Da Vinci - Payer Coverage Decision Exchange (PCDE)
1.0.0 - STU 1

Da Vinci - Payer Coverage Decision Exchange (PCDE), published by HL7 International - Financial Management Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/davinci-pcde/ and changes regularly. See the Directory of published versions

Resource Profile: PCDE Coverage Transition Composition Profile

Defining URL:http://hl7.org/fhir/us/davinci-pcde/StructureDefinition/profile-composition
Version:1.0.0
Name:PCDEComposition
Title:PCDE Coverage Transition Composition Profile
Status:Active as of 2020-12-23T02:47:15+00:00
Definition:

Constraints on Composition to define the root and table of contents for a Coverage Transition Document

Publisher:HL7 International - Financial Management Work Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/davinci-pcde/StructureDefinition/profile-composition

This profile defines the structure of the Coverage Transition document, including the code that distinguishes the type of document as well as other metadata. It also defines the structure of sections that are required to be in the document. (Other sections are permitted, but support for those will need to be negotiated on a payer-to-payer basis.)

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Composition

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... status S1..1codepreliminary | final | amended | entered-in-error
Fixed Value: final
... type S1..1CodeableConceptKind of composition (LOINC if possible)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: pcde
... subject S1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... author S1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)Who and/or what authored the composition
... title S1..1stringCoverage Decision Exchange Document (patient name, date)
... event S0..*BackboneElementThe clinical service(s) being documented
.... detail S0..*Reference(HRex Coverage Profile)The event(s) being documented
... section S0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... title S1..1stringLabel for section (e.g. for ToC)
.... section:ActiveTreatment S0..*BackboneElementInclude if there are active treatments
..... title 0..1string[treatment type]
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: activeTreatment
..... text S0..1NarrativeText summary of the section, for human interpretation
..... entry 0..0
..... section S1..*(Slice Definition)Nested Section
Slice: Unordered, Open by value:code
...... section:Treatment S1..1BackboneElementOne treatment per sub-section
....... title 0..1string[treatment type]
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: treatment
....... text S0..1NarrativeText summary of the section, for human interpretation
....... entry S1..1Reference(PCDE Coverage Transition CarePlan Profile)A reference to data that supports this section
....... section 0..0
...... section:PriorCoverage S0..1BackboneElementNested Section
....... title 0..1stringPrior Coverage
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: priorCoverage
....... text S0..1NarrativeText summary of the section, for human interpretation
....... entry S1..*Reference(PAS Claim | PAS Claim Response | US Core DocumentReference Profile)A reference to data that supports this section
....... section 0..0
...... section:SupportingInformation S0..*BackboneElementNested Section
....... title 0..1stringSupporting Information
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: supportingInfo
....... text S1..1NarrativeText summary of the section, for human interpretation
....... entry S1..*Reference(Resource)A reference to data that supports this section
....... section 0..0
.... section:OtherDocumentation S0..*BackboneElementComposition is broken into sections
..... title 0..1stringOther Documentation
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: otherDocumentation
..... text S1..1NarrativeText summary of the section, for human interpretation
..... entry S0..*Reference(Resource)A reference to data that supports this section
..... section 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!SΣ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type SΣ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: pcde
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter Σ0..1Reference(Encounter)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)Who and/or what authored the composition
... title SΣ1..1stringCoverage Decision Exchange Document (patient name, date)
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event SΣ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail SΣ0..*Reference(HRex Coverage Profile)The event(s) being documented
... section SI0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:ActiveTreatment SI0..*BackboneElementInclude if there are active treatments
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1string[treatment type]
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: activeTreatment
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section SI1..*(Slice Definition)Nested Section
Slice: Unordered, Open by value:code
...... section:Treatment SI1..1BackboneElementOne treatment per sub-section
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... title 0..1string[treatment type]
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... id0..1stringUnique id for inter-element referencing
......... extension0..*ExtensionAdditional content defined by implementations
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... version0..1stringVersion of the system - if relevant
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: treatment
......... display0..1stringRepresentation defined by the system
......... userSelected0..1booleanIf this coding was chosen directly by the user
........ text0..1stringPlain text representation of the concept
....... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
....... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
....... text SI0..1NarrativeText summary of the section, for human interpretation
....... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

....... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

....... entry SI1..1Reference(PCDE Coverage Transition CarePlan Profile)A reference to data that supports this section
....... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

...... section:PriorCoverage SI0..1BackboneElementNested Section
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... title 0..1stringPrior Coverage
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... id0..1stringUnique id for inter-element referencing
......... extension0..*ExtensionAdditional content defined by implementations
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... version0..1stringVersion of the system - if relevant
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: priorCoverage
......... display0..1stringRepresentation defined by the system
......... userSelected0..1booleanIf this coding was chosen directly by the user
........ text0..1stringPlain text representation of the concept
....... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
....... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
....... text SI0..1NarrativeText summary of the section, for human interpretation
....... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

....... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

....... entry SI1..*Reference(PAS Claim | PAS Claim Response | US Core DocumentReference Profile)A reference to data that supports this section
....... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

...... section:SupportingInformation SI0..*BackboneElementNested Section
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... title 0..1stringSupporting Information
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... id0..1stringUnique id for inter-element referencing
......... extension0..*ExtensionAdditional content defined by implementations
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... version0..1stringVersion of the system - if relevant
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: supportingInfo
......... display0..1stringRepresentation defined by the system
......... userSelected0..1booleanIf this coding was chosen directly by the user
........ text0..1stringPlain text representation of the concept
....... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
....... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
....... text SI1..1NarrativeText summary of the section, for human interpretation
....... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

....... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

....... entry SI1..*Reference(Resource)A reference to data that supports this section
....... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:OtherDocumentation SI0..*BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringOther Documentation
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: otherDocumentation
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SI0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type Σ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: pcde
... subject Σ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... author Σ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)Who and/or what authored the composition
... title Σ1..1stringCoverage Decision Exchange Document (patient name, date)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... detail Σ0..*Reference(HRex Coverage Profile)The event(s) being documented
... section I0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... title 1..1stringLabel for section (e.g. for ToC)
.... section:ActiveTreatment I0..*BackboneElementInclude if there are active treatments
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: activeTreatment
..... text I0..1NarrativeText summary of the section, for human interpretation
..... section I1..*(Slice Definition)Nested Section
Slice: Unordered, Open by value:code
...... section:Treatment I1..1BackboneElementOne treatment per sub-section
....... code 1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: treatment
....... text I0..1NarrativeText summary of the section, for human interpretation
....... entry I1..1Reference(PCDE Coverage Transition CarePlan Profile)A reference to data that supports this section
...... section:PriorCoverage I0..1BackboneElementNested Section
....... code 1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: priorCoverage
....... text I0..1NarrativeText summary of the section, for human interpretation
....... entry I1..*Reference(PAS Claim | PAS Claim Response | US Core DocumentReference Profile)A reference to data that supports this section
...... section:SupportingInformation I0..*BackboneElementNested Section
....... code 1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: supportingInfo
....... text I1..1NarrativeText summary of the section, for human interpretation
....... entry I1..*Reference(Resource)A reference to data that supports this section
.... section:OtherDocumentation I0..*BackboneElementComposition is broken into sections
..... code 1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: otherDocumentation
..... text I1..1NarrativeText summary of the section, for human interpretation
..... entry I0..*Reference(Resource)A reference to data that supports this section

doco Documentation for this format

This structure is derived from Composition

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... status S1..1codepreliminary | final | amended | entered-in-error
Fixed Value: final
... type S1..1CodeableConceptKind of composition (LOINC if possible)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: pcde
... subject S1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... author S1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)Who and/or what authored the composition
... title S1..1stringCoverage Decision Exchange Document (patient name, date)
... event S0..*BackboneElementThe clinical service(s) being documented
.... detail S0..*Reference(HRex Coverage Profile)The event(s) being documented
... section S0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... title S1..1stringLabel for section (e.g. for ToC)
.... section:ActiveTreatment S0..*BackboneElementInclude if there are active treatments
..... title 0..1string[treatment type]
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: activeTreatment
..... text S0..1NarrativeText summary of the section, for human interpretation
..... entry 0..0
..... section S1..*(Slice Definition)Nested Section
Slice: Unordered, Open by value:code
...... section:Treatment S1..1BackboneElementOne treatment per sub-section
....... title 0..1string[treatment type]
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: treatment
....... text S0..1NarrativeText summary of the section, for human interpretation
....... entry S1..1Reference(PCDE Coverage Transition CarePlan Profile)A reference to data that supports this section
....... section 0..0
...... section:PriorCoverage S0..1BackboneElementNested Section
....... title 0..1stringPrior Coverage
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: priorCoverage
....... text S0..1NarrativeText summary of the section, for human interpretation
....... entry S1..*Reference(PAS Claim | PAS Claim Response | US Core DocumentReference Profile)A reference to data that supports this section
....... section 0..0
...... section:SupportingInformation S0..*BackboneElementNested Section
....... title 0..1stringSupporting Information
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: supportingInfo
....... text S1..1NarrativeText summary of the section, for human interpretation
....... entry S1..*Reference(Resource)A reference to data that supports this section
....... section 0..0
.... section:OtherDocumentation S0..*BackboneElementComposition is broken into sections
..... title 0..1stringOther Documentation
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: otherDocumentation
..... text S1..1NarrativeText summary of the section, for human interpretation
..... entry S0..*Reference(Resource)A reference to data that supports this section
..... section 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!SΣ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type SΣ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: pcde
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter Σ0..1Reference(Encounter)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)Who and/or what authored the composition
... title SΣ1..1stringCoverage Decision Exchange Document (patient name, date)
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event SΣ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail SΣ0..*Reference(HRex Coverage Profile)The event(s) being documented
... section SI0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:ActiveTreatment SI0..*BackboneElementInclude if there are active treatments
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1string[treatment type]
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: activeTreatment
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section SI1..*(Slice Definition)Nested Section
Slice: Unordered, Open by value:code
...... section:Treatment SI1..1BackboneElementOne treatment per sub-section
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... title 0..1string[treatment type]
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDE Document Section Codes (required): Codes for PCDE Sections


Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... id0..1stringUnique id for inter-element referencing
......... extension0..*ExtensionAdditional content defined by implementations
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes
......... version0..1stringVersion of the system - if relevant
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: treatment
......... display