Respiratory Virus Hospitalization Surveillance Network (RESP-NET) Content Implementation Guide
1.0.0 - STU1 Release 1 United States of America flag

Respiratory Virus Hospitalization Surveillance Network (RESP-NET) Content Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-resp-net-ig/ and changes regularly. See the Directory of published versions

Resource Profile: RESPNETComposition - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 2

Definitions for the resp-net-composition resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Composition
Definition

The RESP-NET Composition profile establishes the core elements, extensions, vocabularies and value sets for representing RESP-NET report.

ShortResp-net Composition Profile
Is Modifierfalse
Must Supporttrue
2. Composition.extension:respnet-report-context
Slice Namerespnet-report-context
Control1..1
TypeExtension(RESP-NET Report Context Extension) (Extension Type: CodeableConcept)
Must Supporttrue
4. Composition.identifier
Definition

RESP-NET Composition identifier. This is equivalent to ClinicalDocument.setId in CDA. The identifier of the containing Bundle is equivalent to ClinicalDocument.id in CDA.

ShortRESP-NET Composition identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1
Must Supporttrue
6. Composition.status
Must Supporttrue
Fixed Valuefinal
8. Composition.type
Definition

The type of this Composition is a RESP-NET Report

ShortRESP-NET Report
Must Supporttrue
Pattern Value{
  "coding" : [{
    "system" : "http://loinc.org",
    "code" : "55751-2"
  }]
}
10. Composition.subject
Definition

This Patient profile represents the subject of the RESP-NET report.

ShortPatient who is the subject of the report.
Control1..?
TypeReference(US Public Health Patient)
Is Modifierfalse
Must Supporttrue
12. Composition.encounter
Definition

This Encounter profile represents the encounter related to the RESP-NET report.

ShortEncounter related to the public health event
Control1..?
TypeReference(US Public Health Encounter)
Is Modifierfalse
Must Supporttrue
14. Composition.date
Is Modifierfalse
Must Supporttrue
16. Composition.author
Definition

It is possible to have multiple authors - especially in the case where the default author is the organization. Author information can contain the HDEA/BSA as a Device Author.

ShortThe author(s) of the document
Control0..*
TypeReference(US Core PractitionerRole Profile, US Core Practitioner Profile, US Core Organization Profile, Device)
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
18. Composition.title
Must Supporttrue
Fixed ValueRESP-NET Report
20. Composition.section
Must Supporttrue
SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ code
  • 22. Composition.section:sliceProblemSection
    Slice NamesliceProblemSection
    Definition

    This section lists and describes all the patient's current problems on the maintained problem list.

    ShortProblem Section
    Control1..1
    Is Modifierfalse
    Must Supporttrue
    24. Composition.section:sliceProblemSection.code
    Definition

    Problem Section code

    ShortProblem Section code
    Control1..?
    Is Modifierfalse
    Must Supporttrue
    Pattern Value{
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "11450-4"
      }]
    }
    26. Composition.section:sliceProblemSection.text
    Definition

    Problem Section narrative

    ShortProblem Section narrative
    Control1..?
    Must Supporttrue
    28. Composition.section:sliceProblemSection.entry
    TypeReference(US Public Health Condition)
    Must Supporttrue
    30. Composition.section:sliceMedicationsAdministeredSection
    Slice NamesliceMedicationsAdministeredSection
    Definition

    The Medications Administered Section defines medications administered during the encounter.

    ShortMedications Administered Section
    Control0..1
    Is Modifierfalse
    Must Supporttrue
    32. Composition.section:sliceMedicationsAdministeredSection.code
    Definition

    Medications Administered Section code

    ShortMedications Administered Section code
    Control1..?
    Is Modifierfalse
    Must Supporttrue
    Pattern Value{
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "29549-3"
      }]
    }
    34. Composition.section:sliceMedicationsAdministeredSection.text
    Definition

    Medications Administered Section narrative

    ShortMedications Administered Section narrative
    Control1..?
    Must Supporttrue
    36. Composition.section:sliceMedicationsAdministeredSection.entry
    Must Supporttrue
    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • profile @ resolve()
    • 38. Composition.section:sliceMedicationsAdministeredSection.entry:sliceMedicationAdministration
      Slice NamesliceMedicationAdministration
      ShortMedication Administration Entry
      TypeReference(US Public Health MedicationAdministration)
      Is Modifierfalse
      Must Supporttrue
      40. Composition.section:sliceMedicationsAdministeredSection.entry:sliceMedicationReferences
      Slice NamesliceMedicationReferences
      ShortMedication Reference Entries
      TypeReference(US Core Medication Profile)
      Is Modifierfalse
      Must Supporttrue
      42. Composition.section:sliceMedicationsSection
      Slice NamesliceMedicationsSection
      Definition

      The Medications Section contains a patient's current medications and pertinent medication history. At a minimum, the currently active medications are listed.

      ShortMedications Section
      Control0..1
      Is Modifierfalse
      Must Supporttrue
      44. Composition.section:sliceMedicationsSection.code
      Definition

      Medications Section code

      ShortMedications Section code
      Control1..?
      Is Modifierfalse
      Must Supporttrue
      Pattern Value{
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "10160-0"
        }]
      }
      46. Composition.section:sliceMedicationsSection.text
      Definition

      Medications Section narrative

      ShortMedications Section narrative
      Control1..?
      Must Supporttrue
      48. Composition.section:sliceMedicationsSection.entry
      Must Supporttrue
      SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • profile @ resolve()
      • 50. Composition.section:sliceMedicationsSection.entry:sliceMedicationAdministration
        Slice NamesliceMedicationAdministration
        ShortMedication Administration Entry
        TypeReference(US Public Health MedicationAdministration)
        Is Modifierfalse
        Must Supporttrue
        52. Composition.section:sliceMedicationsSection.entry:sliceMedicationStatement
        Slice NamesliceMedicationStatement
        ShortMedication Statement Entry
        TypeReference(RESP-NET Medication Statement)
        Is Modifierfalse
        Must Supporttrue
        54. Composition.section:sliceMedicationsSection.entry:sliceMedicationReferences
        Slice NamesliceMedicationReferences
        ShortMedication Reference Entries
        TypeReference(US Core Medication Profile)
        Is Modifierfalse
        Must Supporttrue
        56. Composition.section:sliceResultsSection
        Slice NamesliceResultsSection
        Definition

        The Results Section contains observations of results generated by laboratories, imaging procedures, and other procedures. The scope includes observations such as hematology, chemistry, serology, virology, toxicology, microbiology, plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine, pathology, and procedure observations. The section often includes notable results such as abnormal values or relevant trends, and could contain all results for the period of time being documented.

        Laboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology, microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory. Imaging results are typically generated by a clinician reviewing the output of an imaging procedure, such as where a cardiologist reports the left ventricular ejection fraction based on the review of a cardiac echocardiogram.

        Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure, such as where a gastroenterologist reports the size of a polyp observed during a colonoscopy.

        ShortResults Section
        Control1..1
        Is Modifierfalse
        Must Supporttrue
        58. Composition.section:sliceResultsSection.code
        Definition

        Results Section code

        ShortResults Section code
        Control1..?
        Is Modifierfalse
        Must Supporttrue
        Pattern Value{
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "30954-2"
          }]
        }
        60. Composition.section:sliceResultsSection.text
        Definition

        Results Section narrative

        ShortResults Section narrative
        Control1..?
        Must Supporttrue
        62. Composition.section:sliceResultsSection.entry
        Must Supporttrue
        SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • profile @ resolve()
        • 64. Composition.section:sliceResultsSection.entry:sliceLabResultEntry
          Slice NamesliceLabResultEntry
          ShortLab Result Entries
          TypeReference(US Public Health Laboratory Result Observation Profile)
          Is Modifierfalse
          Must Supporttrue
          66. Composition.section:sliceResultsSection.entry:sliceDiagnosticResultEntry
          Slice NamesliceDiagnosticResultEntry
          ShortDiagnostic Result Entries
          TypeReference(US Core DiagnosticReport Profile for Laboratory Results Reporting)
          Is Modifierfalse
          Must Supporttrue
          68. Composition.section:sliceNotesSection
          Slice NamesliceNotesSection
          Definition

          The Notes Section contains clinical notes and diagnostic reports.

          ShortClinical and Diagnostic Reports Section
          Control0..1
          Is Modifierfalse
          Must Supporttrue
          70. Composition.section:sliceNotesSection.code
          Definition

          Clinical Notes Section code

          ShortClinical Notes Section code
          Control1..?
          Is Modifierfalse
          Must Supporttrue
          Pattern Value{
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "28650-0"
            }]
          }
          72. Composition.section:sliceNotesSection.text
          Definition

          Notes Section narrative

          ShortNotes Section narrative
          Control1..?
          Must Supporttrue
          74. Composition.section:sliceNotesSection.entry
          Must Supporttrue
          SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • profile @ resolve()
          • 76. Composition.section:sliceNotesSection.entry:sliceDocumentReferenceEntry
            Slice NamesliceDocumentReferenceEntry
            ShortDocument Reference Entries
            TypeReference(US Core DocumentReference Profile)
            Is Modifierfalse
            Must Supporttrue
            78. Composition.section:sliceNotesSection.entry:sliceDiagnosticReportEntry
            Slice NamesliceDiagnosticReportEntry
            ShortDiagnostic Report Entries
            TypeReference(US Core DiagnosticReport Profile for Report and Note Exchange)
            Is Modifierfalse
            Must Supporttrue
            80. Composition.section:slicePlanOfTreatmentSection
            Slice NameslicePlanOfTreatmentSection
            Definition

            This section, contains data that define pending orders, interventions, encounters, services, and procedures for the patient. It is limited to prospective, unfulfilled, or incomplete orders and requests only. All active, incomplete, or pending orders, appointments, referrals, procedures, services, or any other pending event of clinical significance to the current care of the patient should be listed.

            ShortPlan of Treatment Section
            Control0..1
            Is Modifierfalse
            Must Supporttrue
            82. Composition.section:slicePlanOfTreatmentSection.code
            Definition

            Plan of Treatment code

            ShortPlan of Treatment code
            Control1..?
            Is Modifierfalse
            Must Supporttrue
            Pattern Value{
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "18776-5"
              }]
            }
            84. Composition.section:slicePlanOfTreatmentSection.text
            Definition

            Plan of Treatment narrative

            ShortPlan of Treatment narrative
            Control1..?
            Must Supporttrue
            86. Composition.section:slicePlanOfTreatmentSection.entry
            Must Supporttrue
            SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • profile @ resolve()
            • 88. Composition.section:slicePlanOfTreatmentSection.entry:sliceServiceRequests
              Slice NamesliceServiceRequests
              ShortServiceRequest Entries
              TypeReference(eICR ServiceRequest)
              Is Modifierfalse
              Must Supporttrue
              90. Composition.section:slicePlanOfTreatmentSection.entry:sliceMedicationRequest
              Slice NamesliceMedicationRequest
              ShortMedicationRequest Entries
              TypeReference(US Core MedicationRequest Profile)
              Is Modifierfalse
              Must Supporttrue
              92. Composition.section:slicePlanOfTreatmentSection.entry:sliceMedicationReferences
              Slice NamesliceMedicationReferences
              ShortMedication Reference Entries
              TypeReference(US Core Medication Profile)
              Is Modifierfalse
              Must Supporttrue
              94. Composition.section:sliceImmunizationsSection
              Slice NamesliceImmunizationsSection
              Definition

              The Immunizations Section defines a patient's current immunization status and pertinent immunization history. The primary use case for the Immunization Section is to enable communication of a patient's immunization status. The section should include current immunization status, and may contain the entire immunization history that is relevant to the period of time being summarized.

              ShortImmunizations Section
              Control0..1
              Is Modifierfalse
              Must Supporttrue
              96. Composition.section:sliceImmunizationsSection.code
              Definition

              Immunizations code

              ShortImmunizations code
              Control1..?
              Is Modifierfalse
              Must Supporttrue
              Pattern Value{
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "11369-6"
                }]
              }
              98. Composition.section:sliceImmunizationsSection.text
              Definition

              Immunizations narrative

              ShortImmunizations narrative
              Control1..?
              Must Supporttrue
              100. Composition.section:sliceImmunizationsSection.entry
              Must Supporttrue
              SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • profile @ resolve()
              • 102. Composition.section:sliceImmunizationsSection.entry:sliceImmunizations
                Slice NamesliceImmunizations
                TypeReference(US Core Immunization Profile)
                Is Modifierfalse
                Must Supporttrue
                104. Composition.section:sliceProceduresSection
                Slice NamesliceProceduresSection
                Definition

                This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. The section should include notable procedures, but can contain all procedures for the period of time being summarized.

                ShortThis section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
                Control0..1
                Is Modifierfalse
                Must Supporttrue
                106. Composition.section:sliceProceduresSection.code
                Definition

                Procedures Section code

                ShortProcedures Section code
                Control1..?
                Is Modifierfalse
                Must Supporttrue
                Pattern Value{
                  "coding" : [{
                    "system" : "http://loinc.org",
                    "code" : "47519-4"
                  }]
                }
                108. Composition.section:sliceProceduresSection.text
                Definition

                Procedures Section narrative

                ShortProcedures Section narrative
                Control1..?
                Must Supporttrue
                110. Composition.section:sliceProceduresSection.entry
                Must Supporttrue
                SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • profile @ resolve()
                • 112. Composition.section:sliceProceduresSection.entry:sliceProcedures
                  Slice NamesliceProcedures
                  TypeReference(eICR Procedure)
                  Is Modifierfalse
                  Must Supporttrue
                  114. Composition.section:sliceVitalSignsSection
                  Slice NamesliceVitalSignsSection
                  Definition

                  The Vital Signs Section contains relevant vital signs for the eICR. The section should include notable vital signs such as the most recent, maximum and/or minimum, baseline, or relevant trends. Vital signs are represented in the same way as other results, but are aggregated into their own section to follow clinical conventions.

                  ShortVital Signs Section
                  Control0..1
                  Is Modifierfalse
                  Must Supporttrue
                  116. Composition.section:sliceVitalSignsSection.code
                  Definition

                  Vital Signs code

                  ShortVital Signs code
                  Control1..?
                  Is Modifierfalse
                  Must Supporttrue
                  Pattern Value{
                    "coding" : [{
                      "system" : "http://loinc.org",
                      "code" : "8716-3"
                    }]
                  }
                  118. Composition.section:sliceVitalSignsSection.text
                  Definition

                  Vital Signs narrative

                  ShortVital Signs narrative
                  Control1..?
                  Must Supporttrue
                  120. Composition.section:sliceVitalSignsSection.entry
                  Must Supporttrue
                  SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • profile @ resolve()
                  • 122. Composition.section:sliceVitalSignsSection.entry:sliceVitalSigns
                    Slice NamesliceVitalSigns
                    TypeReference(US Core Vital Signs Profile)
                    Is Modifierfalse
                    Must Supporttrue
                    124. Composition.section:sliceSocialHistorySection
                    Slice NamesliceSocialHistorySection
                    Definition

                    This section contains social history data that influence a patient’s physical, psychological or emotional health such as occupation, home environment, travel history, and disability status.

                    ShortSocial History Section
                    Control0..1
                    Is Modifierfalse
                    Must Supporttrue
                    126. Composition.section:sliceSocialHistorySection.code
                    Definition

                    Social History Section code

                    ShortSocial History Section code
                    Control1..?
                    Is Modifierfalse
                    Must Supporttrue
                    Pattern Value{
                      "coding" : [{
                        "system" : "http://loinc.org",
                        "code" : "29762-2"
                      }]
                    }
                    128. Composition.section:sliceSocialHistorySection.text
                    Definition

                    Social History Section narrative

                    ShortSocial History Section narrative
                    Control1..?
                    Must Supporttrue
                    130. Composition.section:sliceSocialHistorySection.entry
                    Must Supporttrue
                    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • profile @ resolve()
                    • 132. Composition.section:sliceSocialHistorySection.entry:sliceSmokingStatus
                      Slice NamesliceSmokingStatus
                      Definition

                      Smoking Status entry

                      ShortSmoking Status
                      TypeReference(US Core Smoking Status Observation Profile)
                      Must Supporttrue
                      134. Composition.section:sliceSocialHistorySection.entry:sliceDisabilityStatus
                      Slice NamesliceDisabilityStatus
                      Definition

                      Disability Status entry

                      ShortDisability Status
                      TypeReference(US Public Health Disability Status)
                      Must Supporttrue
                      136. Composition.section:sliceSocialHistorySection.entry:sliceCharacteristicsOfHomeEnvironment
                      Slice NamesliceCharacteristicsOfHomeEnvironment
                      Definition

                      If the patient is homeless, complete as much address information as possible (city, zip, county, etc.) and use the Characteristics of Home Environment profile to indicate that the patient is homeless.

                      ShortCharacteristics of Home Environment
                      TypeReference(US Public Health Characteristics of Home Environment)
                      Must Supporttrue
                      138. Composition.section:slicePregnancySection
                      Slice NameslicePregnancySection
                      Definition

                      This section contains pregnancy data

                      ShortPregnancy Section
                      Control0..1
                      Is Modifierfalse
                      Must Supporttrue
                      140. Composition.section:slicePregnancySection.code
                      Definition

                      Pregnancy Section code

                      ShortPregnancy Section code
                      Control1..?
                      Is Modifierfalse
                      Must Supporttrue
                      Pattern Value{
                        "coding" : [{
                          "system" : "http://loinc.org",
                          "code" : "90767-5"
                        }]
                      }
                      142. Composition.section:slicePregnancySection.text
                      Definition

                      Pregnancy Section narrative

                      ShortPregnancy Section narrative
                      Control1..?
                      Must Supporttrue
                      144. Composition.section:slicePregnancySection.entry
                      Must Supporttrue
                      SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • profile @ resolve()
                      • 146. Composition.section:slicePregnancySection.entry:slicePregnancyOutcome
                        Slice NameslicePregnancyOutcome
                        Definition

                        Pregnancy Outcome entry

                        ShortPregnancy Outcome
                        TypeReference(US Public Health Pregnancy Outcome Observation)
                        Must Supporttrue
                        148. Composition.section:slicePregnancySection.entry:slicePregnancyStatusObservation
                        Slice NameslicePregnancyStatusObservation
                        Definition

                        Pregnancy Status Observation entry

                        ShortPregnancy Status Observation
                        TypeReference(US Public Health Pregnancy Status Observation)
                        Must Supporttrue
                        150. Composition.section:slicePregnancySection.entry:slicePostpartumStatus
                        Slice NameslicePostpartumStatus
                        Definition

                        Postpartum Status entry

                        ShortPostpartum Status
                        TypeReference(US Public Health Postpartum Status)
                        Must Supporttrue