Introduction

This profile is used to represent the Central Cancer Registry Report Composition resource. The Composition resource is used as part of the Central Cancer Registry Reporting Content Bundle. The Composition resource is used to organize the information into different sections so that the receiver of the data can consume the data easily.

Profiles from Other IGs used as part of the Composition

The content is made up data elements from the following profiles from the other IGs as direct references or as base profiles.

From the mCODE IG:

• mCODE Secondary Cancer Condition Profile
• mCODE Cancer Stage Group Profile
• mCODE TNM Distant Metastases Category Profile
• mCODE TNM Primary Tumor Category Profile
• mCODE TNM Regional Nodes Category Profile
• mCODE Cancer-Related Medication Request Profile
• mCODE Cancer-Related Administration Request Profile
• mCODE Radiotherapy Course Summary Profile

From ODH IG:

Occupation Data for Health Usual Work Profile

From US Core IG:

US Core profiles

Guidance on populating the data for each section:

The following guidance is provided to the implementers to identify the data of interest which needs to be extracted and populated in the various sections.

• Patient: The Patient who is the subject of the closed encounter
• Encounter: The encounter that triggered the HDEA (i.e., closed encounter)
• Primary Cancer Condition: Condition with a category of “encounter-diagnosis” for the closed encounter with a Condition.code value that is on the reportability list.All Conditions with do not have a clinicalStatuses of inactive can be considered to determine the primary cancer condition along with a verificationStatus of confirmed.
• Secondary Cancer Condition: Condition with a category of “encounter-diagnosis” for the closed encounter with a Condition.code that is present in the Secondary Cancer Disorder Value Set.All Conditions with do not have a clinicalStatuses of inactive can be considered to determine the primary cancer condition along with a verificationStatus of Confirmed.
• Cancer Stage Group: All Observations with the Cancer Stage Group information and a status of final, amended, or corrected
• TNM Primary Tumor Category: All Observation with TNM tumor information having a status of final, amended, or corrected
• TNM Regional Nodes Category: All Observation with TNM Regional Nodes information having a status of final, amended, or corrected
• TNM Distant Metastases Category: All Observation with TNM Metastases information having a status of final, amended, or corrected
• Radiotherapy Course Summary: All Procedures with the Radiotherapy course summary information having a status of completed, not-done, stopped, entered-in-error, unknown and a category of 108290001-Radiation Oncology and/or Radiotherapy (Procedure).
• Cancer-Related Medication Request: Medications requested during the closed encounter with a status of active, completed, cancelled, entered-in-error, stopped, unknown and an intent of order.
• Cancer-Related Medication Administration: Medications administered during the closed encounter with a status of completed, in-progress, entered-in-error, stopped or unknown.
• Usual Work: Usual Work information for the patient with a status of final.
• Laboratory Resul : Results linked to the encounter or ordered during the encounter or results received during the Encounter with a status of final
• Vital Signs: All vital signs for the encounter with status of final, corrected, unknown or amended
• Procedure: Procedures performed during the closed encounter limited to status of completed or unknown.
• DiagnosticReport Profile for Laboratory Results Reporting: Results linked to the encounter or ordered during the encounter or results received during the Encounter and Status of final
• DiagnosticReport Profile for Report and Note exchange: Results linked to the encounter or ordered during the encounter or results received during the Encounter and Status of final
• DocumentReference: All notes created during the encounter with a status of current
• Smoking Status: Smoking Status associated with the patient with status of final.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	Central Cancer Registry Composition Profile
identifier	S	1..1	Identifier	Central Cancelr Registry Report Composition identifier
status	S	1..1	code	preliminary | final | amended | entered-in-error Fixed Value: final
type	S	1..1	CodeableConcept	Central Cancer Registry Report Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72134-0
subject	S	1..1	Reference(US Core Patient Profile(5.0.1))	Patient who is the subject of the report.
encounter	S	1..1	Reference(US Core Encounter Profile(5.0.1))	Encounter related to the public health event
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(US Core PractitionerRole Profile(5.0.1) | US Core Practitioner Profile(5.0.1) | US Core Organization Profile(5.0.1))	The author(s) of the document
title	S	1..1	string	Human Readable name/title Fixed Value: Central Cancer Registry Report
Slices for section	S	0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:slicePrimaryCancerCondition	S	1..1	BackboneElement	Primary Cancer Condition Section
code	S	1..1	CodeableConcept	Primary Cancer Condition code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 363346000
text	S	1..1	Narrative	Primary Cancer Condition narrative
entry	S	1..1	Reference(Central Cancer Registry Reporting Primary Cancer Condition)	A reference to data that supports this section
section:sliceSecondaryCancerCondition	S	0..1	BackboneElement	Secondary Cancer Condition Section
code	S	1..1	CodeableConcept	Secondary Cancer Condition code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 128462008
text	S	1..1	Narrative	Secondary Cancer Condition narrative
entry	S	0..*	Reference(Secondary Cancer Condition Profile)	A reference to data that supports this section
section:sliceCancerStageGroup	S	0..1	BackboneElement	Cancer Stage Group
code	S	1..1	CodeableConcept	Cancer Stage Group code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21908-9
text	S	1..1	Narrative	Cancer Stage Group narrative
entry	S	0..1	Reference(TNM Stage Group Profile)	A reference to data that supports this section
section:sliceRadioTherapyCourseSummary	S	0..1	BackboneElement	Cancer Radio Therapy Course Summary
code	S	1..1	CodeableConcept	Cancer Radio Therapy Course Summary Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1217123003
text	S	1..1	Narrative	Cancer Radio Therapy Course Summary narrative
entry	S	0..1	Reference(Radiotherapy Course Summary Profile)	A reference to data that supports this section
section:sliceProblemSection	S	0..1	BackboneElement	Problem Section
code	S	1..1	CodeableConcept	Problem Section code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
text	S	1..1	Narrative	Problem Section narrative
entry	S	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
section:sliceAllergiesSection	S	0..1	BackboneElement	Allergies Section
code	S	1..1	CodeableConcept	Allergies Section code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
text	S	1..1	Narrative	Allergies Section narrative
entry	S	0..*	Reference(US Core AllergyIntolerance Profile(5.0.1))	A reference to data that supports this section
section:sliceMedicationsAdministeredSection	S	0..1	BackboneElement	Medications Administered Section
code	S	1..1	CodeableConcept	Medications Administered Section code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29549-3
text	S	1..1	Narrative	Medications Administered Section narrative
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration	S	0..*	Reference(Cancer-Related Medication Administration Profile)	Medication Administration Entry
entry:sliceMedicationReferences	S	0..*	Reference(US Core Medication Profile(5.0.1))	Medication Reference Entries
section:sliceMedicationsSection	S	0..1	BackboneElement	Medications Section
code	S	1..1	CodeableConcept	Medications Section code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
text	S	1..1	Narrative	Medications Section narrative
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration	S	0..*	Reference(Cancer-Related Medication Administration Profile)	Medication Administration Entry
entry:sliceMedicationStatement	S	0..*	Reference(MedicationStatement)	Medication Statement Entry
entry:sliceMedicationReferences	S	0..*	Reference(US Core Medication Profile(5.0.1))	Medication Reference Entries
section:sliceOdhSection	S	0..1	BackboneElement	ODH Data
code	S	1..1	CodeableConcept	ODH Data code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 74165-2
text	S	1..1	Narrative	ODH Data narrative
entry	S	0..1	Reference(Usual Work)	A reference to data that supports this section
section:sliceResultsSection	S	0..1	BackboneElement	Results Section
code	S	1..1	CodeableConcept	Results Section code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
text	S	1..1	Narrative	Results Section narrative
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceLabResultEntry	S	0..*	Reference(US Core Laboratory Result Observation Profile(5.0.1))	Lab Result Entries
entry:sliceDiagnosticResultEntry	S	0..*	Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting(5.0.1))	Diagnostic Result Entries
section:sliceNotesSection	S	0..1	BackboneElement	Clinical and Diagnostic Reports Section
code	S	1..1	CodeableConcept	Clinical Notes Section code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 28650-0
text	S	1..1	Narrative	Notes Section narrative
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceDocumentReferenceEntry	S	0..*	Reference(US Core DocumentReference Profile(5.0.1))	Document Reference Entries
entry:sliceDiagnosticReportEntry	S	0..*	Reference(US Core DiagnosticReport Profile for Report and Note Exchange(5.0.1))	Diagnostic Report Entries
section:slicePlanOfTreatmentSection	S	0..1	BackboneElement	Plan of Treatment Section
code	S	1..1	CodeableConcept	Plan of Treatment code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
text	S	1..1	Narrative	Plan of Treatment narrative
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationRequest	S	0..*	Reference(Cancer-Related Medication Request Profile)	Medication Request Entries
entry:sliceMedicationReferences	S	0..*	Reference(US Core Medication Profile(5.0.1))	Medication Reference Entries
entry:sliceProcedureOrders	S	0..*	Reference(ServiceRequest)	Procedure Order Entries
entry:sliceCarePlanEntries	S	0..*	Reference(US Core CarePlan Profile(5.0.1))	CarePlan Entries
section:sliceProceduresSection	S	0..1	BackboneElement	This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
code	S	1..1	CodeableConcept	Procedures Section code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
text	S	1..1	Narrative	Procedures Section narrative
entry	S	0..*	Reference(US Core Procedure Profile(5.0.1))	A reference to data that supports this section
section:sliceVitalSignsSection	S	0..1	BackboneElement	Vital Signs Section
code	S	1..1	CodeableConcept	Vital Signs code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
text	S	1..1	Narrative	Vital Signs narrative
entry	S	0..*	Reference(Observation)	A reference to data that supports this section
section:sliceSocialHistorySection	S	0..1	BackboneElement	Social History Section
code	S	1..1	CodeableConcept	Social History Section code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29762-2
text	S	1..1	Narrative	Social History Section narrative
entry	S	0..1	Reference(US Core Smoking Status Observation Profile(5.0.1))	A reference to data that supports this section
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	Central Cancer Registry Composition Profile
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Central Cancelr Registry Report Composition identifier
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	SΣ	1..1	CodeableConcept	Central Cancer Registry Report Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72134-0
subject	SΣ	1..1	Reference(US Core Patient Profile(5.0.1))	Patient who is the subject of the report.
encounter	SΣ	1..1	Reference(US Core Encounter Profile(5.0.1))	Encounter related to the public health event
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(US Core PractitionerRole Profile(5.0.1) | US Core Practitioner Profile(5.0.1) | US Core Organization Profile(5.0.1))	The author(s) of the document
title	SΣ	1..1	string	Human Readable name/title Fixed Value: Central Cancer Registry Report
Slices for section	SC	0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:slicePrimaryCancerCondition	SC	1..1	BackboneElement	Primary Cancer Condition Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Primary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 363346000
text	SC	1..1	Narrative	Primary Cancer Condition narrative
entry	SC	1..1	Reference(Central Cancer Registry Reporting Primary Cancer Condition)	A reference to data that supports this section
section:sliceSecondaryCancerCondition	SC	0..1	BackboneElement	Secondary Cancer Condition Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Secondary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 128462008
text	SC	1..1	Narrative	Secondary Cancer Condition narrative
entry	SC	0..*	Reference(Secondary Cancer Condition Profile)	A reference to data that supports this section
section:sliceCancerStageGroup	SC	0..1	BackboneElement	Cancer Stage Group cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Cancer Stage Group code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21908-9
text	SC	1..1	Narrative	Cancer Stage Group narrative
entry	SC	0..1	Reference(TNM Stage Group Profile)	A reference to data that supports this section
section:sliceRadioTherapyCourseSummary	SC	0..1	BackboneElement	Cancer Radio Therapy Course Summary cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Cancer Radio Therapy Course Summary Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1217123003
text	SC	1..1	Narrative	Cancer Radio Therapy Course Summary narrative
entry	SC	0..1	Reference(Radiotherapy Course Summary Profile)	A reference to data that supports this section
section:sliceProblemSection	SC	0..1	BackboneElement	Problem Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Problem Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
text	SC	1..1	Narrative	Problem Section narrative
entry	SC	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
section:sliceAllergiesSection	SC	0..1	BackboneElement	Allergies Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Allergies Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
text	SC	1..1	Narrative	Allergies Section narrative
entry	SC	0..*	Reference(US Core AllergyIntolerance Profile(5.0.1))	A reference to data that supports this section
section:sliceMedicationsAdministeredSection	SC	0..1	BackboneElement	Medications Administered Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Medications Administered Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29549-3
text	SC	1..1	Narrative	Medications Administered Section narrative
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration	SC	0..*	Reference(Cancer-Related Medication Administration Profile)	Medication Administration Entry
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile(5.0.1))	Medication Reference Entries
section:sliceMedicationsSection	SC	0..1	BackboneElement	Medications Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Medications Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
text	SC	1..1	Narrative	Medications Section narrative
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration	SC	0..*	Reference(Cancer-Related Medication Administration Profile)	Medication Administration Entry
entry:sliceMedicationStatement	SC	0..*	Reference(MedicationStatement)	Medication Statement Entry
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile(5.0.1))	Medication Reference Entries
section:sliceOdhSection	SC	0..1	BackboneElement	ODH Data cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	ODH Data code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 74165-2
text	SC	1..1	Narrative	ODH Data narrative
entry	SC	0..1	Reference(Usual Work)	A reference to data that supports this section
section:sliceResultsSection	SC	0..1	BackboneElement	Results Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Results Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
text	SC	1..1	Narrative	Results Section narrative
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceLabResultEntry	SC	0..*	Reference(US Core Laboratory Result Observation Profile(5.0.1))	Lab Result Entries
entry:sliceDiagnosticResultEntry	SC	0..*	Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting(5.0.1))	Diagnostic Result Entries
section:sliceNotesSection	SC	0..1	BackboneElement	Clinical and Diagnostic Reports Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Clinical Notes Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 28650-0
text	SC	1..1	Narrative	Notes Section narrative
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceDocumentReferenceEntry	SC	0..*	Reference(US Core DocumentReference Profile(5.0.1))	Document Reference Entries
entry:sliceDiagnosticReportEntry	SC	0..*	Reference(US Core DiagnosticReport Profile for Report and Note Exchange(5.0.1))	Diagnostic Report Entries
section:slicePlanOfTreatmentSection	SC	0..1	BackboneElement	Plan of Treatment Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Plan of Treatment code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
text	SC	1..1	Narrative	Plan of Treatment narrative
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationRequest	SC	0..*	Reference(Cancer-Related Medication Request Profile)	Medication Request Entries
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile(5.0.1))	Medication Reference Entries
entry:sliceProcedureOrders	SC	0..*	Reference(ServiceRequest)	Procedure Order Entries
entry:sliceCarePlanEntries	SC	0..*	Reference(US Core CarePlan Profile(5.0.1))	CarePlan Entries
section:sliceProceduresSection	SC	0..1	BackboneElement	This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Procedures Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
text	SC	1..1	Narrative	Procedures Section narrative
entry	SC	0..*	Reference(US Core Procedure Profile(5.0.1))	A reference to data that supports this section
section:sliceVitalSignsSection	SC	0..1	BackboneElement	Vital Signs Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Vital Signs code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
text	SC	1..1	Narrative	Vital Signs narrative
entry	SC	0..*	Reference(Observation)	A reference to data that supports this section
section:sliceSocialHistorySection	SC	0..1	BackboneElement	Social History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Social History Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29762-2
text	SC	1..1	Narrative	Social History Section narrative
entry	SC	0..1	Reference(US Core Smoking Status Observation Profile(5.0.1))	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC code 72134-0 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.section:slicePrimaryCancerCondition.code	example	Pattern: SNOMED CT code 363346000 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceSecondaryCancerCondition.code	example	Pattern: SNOMED CT code 128462008 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceCancerStageGroup.code	example	Pattern: LOINC code 21908-9 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceRadioTherapyCourseSummary.code	example	Pattern: SNOMED CT code 1217123003 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceProblemSection.code	example	Pattern: LOINC code 11450-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceAllergiesSection.code	example	Pattern: LOINC code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceMedicationsAdministeredSection.code	example	Pattern: LOINC code 29549-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceMedicationsSection.code	example	Pattern: LOINC code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceOdhSection.code	example	Pattern: LOINC code 74165-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceResultsSection.code	example	Pattern: LOINC code 30954-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceNotesSection.code	example	Pattern: LOINC code 28650-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:slicePlanOfTreatmentSection.code	example	Pattern: LOINC code 18776-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceProceduresSection.code	example	Pattern: LOINC code 47519-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceVitalSignsSection.code	example	Pattern: LOINC code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceSocialHistorySection.code	example	Pattern: LOINC code 29762-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceCancerStageGroup, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceOdhSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceCancerStageGroup, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceOdhSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	Central Cancer Registry Composition Profile
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Central Cancelr Registry Report Composition identifier
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	SΣ	1..1	CodeableConcept	Central Cancer Registry Report Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72134-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(US Core Patient Profile(5.0.1))	Patient who is the subject of the report.
encounter	SΣ	1..1	Reference(US Core Encounter Profile(5.0.1))	Encounter related to the public health event
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(US Core PractitionerRole Profile(5.0.1) | US Core Practitioner Profile(5.0.1) | US Core Organization Profile(5.0.1))	The author(s) of the document
title	SΣ	1..1	string	Human Readable name/title Fixed Value: Central Cancer Registry Report
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(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	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification 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..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:slicePrimaryCancerCondition	SC	1..1	BackboneElement	Primary Cancer Condition Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Primary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 363346000
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Primary Cancer Condition narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..1	Reference(Central Cancer Registry Reporting Primary Cancer Condition)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceSecondaryCancerCondition	SC	0..1	BackboneElement	Secondary Cancer Condition Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Secondary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 128462008
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Secondary Cancer Condition narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Secondary Cancer Condition Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceCancerStageGroup	SC	0..1	BackboneElement	Cancer Stage Group cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Cancer Stage Group code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21908-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Cancer Stage Group narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..1	Reference(TNM Stage Group Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceRadioTherapyCourseSummary	SC	0..1	BackboneElement	Cancer Radio Therapy Course Summary cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Cancer Radio Therapy Course Summary Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1217123003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Cancer Radio Therapy Course Summary narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..1	Reference(Radiotherapy Course Summary Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceProblemSection	SC	0..1	BackboneElement	Problem Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Problem Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Problem Section narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceAllergiesSection	SC	0..1	BackboneElement	Allergies Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Allergies Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Allergies Section narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(US Core AllergyIntolerance Profile(5.0.1))	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceMedicationsAdministeredSection	SC	0..1	BackboneElement	Medications Administered Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Medications Administered Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29549-3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Medications Administered Section narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration	SC	0..*	Reference(Cancer-Related Medication Administration Profile)	Medication Administration Entry
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile(5.0.1))	Medication Reference Entries
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceMedicationsSection	SC	0..1	BackboneElement	Medications Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Medications Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Medications Section narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration	SC	0..*	Reference(Cancer-Related Medication Administration Profile)	Medication Administration Entry
entry:sliceMedicationStatement	SC	0..*	Reference(MedicationStatement)	Medication Statement Entry
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile(5.0.1))	Medication Reference Entries
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceOdhSection	SC	0..1	BackboneElement	ODH Data cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	ODH Data code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 74165-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	ODH Data narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..1	Reference(Usual Work)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceResultsSection	SC	0..1	BackboneElement	Results Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Results Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Results Section narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceLabResultEntry	SC	0..*	Reference(US Core Laboratory Result Observation Profile(5.0.1))	Lab Result Entries
entry:sliceDiagnosticResultEntry	SC	0..*	Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting(5.0.1))	Diagnostic Result Entries
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceNotesSection	SC	0..1	BackboneElement	Clinical and Diagnostic Reports Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Clinical Notes Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 28650-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Notes Section narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceDocumentReferenceEntry	SC	0..*	Reference(US Core DocumentReference Profile(5.0.1))	Document Reference Entries
entry:sliceDiagnosticReportEntry	SC	0..*	Reference(US Core DiagnosticReport Profile for Report and Note Exchange(5.0.1))	Diagnostic Report Entries
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:slicePlanOfTreatmentSection	SC	0..1	BackboneElement	Plan of Treatment Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Plan of Treatment code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Plan of Treatment narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationRequest	SC	0..*	Reference(Cancer-Related Medication Request Profile)	Medication Request Entries
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile(5.0.1))	Medication Reference Entries
entry:sliceProcedureOrders	SC	0..*	Reference(ServiceRequest)	Procedure Order Entries
entry:sliceCarePlanEntries	SC	0..*	Reference(US Core CarePlan Profile(5.0.1))	CarePlan Entries
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceProceduresSection	SC	0..1	BackboneElement	This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Procedures Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Procedures Section narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(US Core Procedure Profile(5.0.1))	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceVitalSignsSection	SC	0..1	BackboneElement	Vital Signs Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Vital Signs code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Vital Signs narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Observation)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sliceSocialHistorySection	SC	0..1	BackboneElement	Social History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Social History Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29762-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Social History Section narrative
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..1	Reference(US Core Smoking Status Observation Profile(5.0.1))	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC code 72134-0 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:slicePrimaryCancerCondition.code	example	Pattern: SNOMED CT code 363346000 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:slicePrimaryCancerCondition.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:slicePrimaryCancerCondition.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:slicePrimaryCancerCondition.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceSecondaryCancerCondition.code	example	Pattern: SNOMED CT code 128462008 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceSecondaryCancerCondition.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceSecondaryCancerCondition.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceSecondaryCancerCondition.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceCancerStageGroup.code	example	Pattern: LOINC code 21908-9 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceCancerStageGroup.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceCancerStageGroup.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceCancerStageGroup.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceRadioTherapyCourseSummary.code	example	Pattern: SNOMED CT code 1217123003 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceRadioTherapyCourseSummary.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceRadioTherapyCourseSummary.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceRadioTherapyCourseSummary.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceProblemSection.code	example	Pattern: LOINC code 11450-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceProblemSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceProblemSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceProblemSection.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceAllergiesSection.code	example	Pattern: LOINC code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceAllergiesSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceAllergiesSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceAllergiesSection.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceMedicationsAdministeredSection.code	example	Pattern: LOINC code 29549-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceMedicationsAdministeredSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceMedicationsAdministeredSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceMedicationsAdministeredSection.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceMedicationsSection.code	example	Pattern: LOINC code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceMedicationsSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceMedicationsSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceMedicationsSection.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceOdhSection.code	example	Pattern: LOINC code 74165-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceOdhSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceOdhSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceOdhSection.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceResultsSection.code	example	Pattern: LOINC code 30954-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceResultsSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceResultsSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceResultsSection.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceNotesSection.code	example	Pattern: LOINC code 28650-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceNotesSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceNotesSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceNotesSection.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:slicePlanOfTreatmentSection.code	example	Pattern: LOINC code 18776-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:slicePlanOfTreatmentSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:slicePlanOfTreatmentSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:slicePlanOfTreatmentSection.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceProceduresSection.code	example	Pattern: LOINC code 47519-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceProceduresSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceProceduresSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceProceduresSection.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceVitalSignsSection.code	example	Pattern: LOINC code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceVitalSignsSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceVitalSignsSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceVitalSignsSection.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sliceSocialHistorySection.code	example	Pattern: LOINC code 29762-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sliceSocialHistorySection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sliceSocialHistorySection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sliceSocialHistorySection.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceCancerStageGroup, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceOdhSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceCancerStageGroup, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceOdhSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()