Introduction

This profile is used to represent the clinical content present within a RESP-NET report.

Sections and Population Criteria

The following sections and population criteria should be used to create the composition resource below.

• Patient: The Patient who is the subject of the encounter
• Encounter: The Encounter that was closed (Updated documentation has to be added to the encounter before saying it is closed)
• Conditions: Encounter Diagnosis for the closed encounter, All Statuses except InActive, verificationStatus = Confirmed
• MedicationRequests: status = Active and Completed, Intent = order.
• MedicationAdministration: Medication administered during the encounter and status = active
• Medications: Referenced by MedicationRequests and MedicationAdministration
• LabResults: Results linked to the encounter or ordered during the encounter or results received during the Encounter plus thresholds. (72 hours after the encounter close) and Status = final and preliminary
• Vital Signs: all vital signs for the encounter with status = final or amended
• Procedures: Procedures performed during the encounter limited to status = completed or in-progress.
• ServiceRequest: to capture procedures ordered during the encounter.
• Immunizations: all immunizations associated with the patient.
• Lab Reporting: Results linked to the encounter or ordered during the encounter or results received during the Encounter plus thresholds. (72 hours after the encounter close) and Status = final and preliminary
• Diagnostic Report Notes: Results linked to the encounter or ordered during the encounter or results received during the Encounter plus thresholds. (72 hours after the encounter close) and Status = final and preliminary
• Clinical Notes: All notes created during the encounter
• Smoking Status: Everything associated with the patient.

The above data has to be populated by the implementers of either the DataSource actors or the MedMorph HDEA (backend services app).

• 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	Resp-net Composition Profile
identifier	S	1..1	Identifier	RESP-NET Composition identifier
status	S	1..1	code	preliminary | final | amended | entered-in-error Fixed Value: final
type	S	1..1	CodeableConcept	RESP-NET 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: 75619-7
subject	S	1..1	Reference(US Public Health Patient)	Patient who is the subject of the report.
encounter	S	1..1	Reference(US Public Health Encounter)	Encounter related to the public health event
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | Device)	The author(s) of the document
title	S	1..1	string	Human Readable name/title Fixed Value: RESP-NET Report
Slices for section	S	0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:sliceProblemSection	S	1..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 Public Health Condition)	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(US Public Health MedicationAdministration)	Medication Administration Entry
entry:sliceMedicationReferences	S	0..*	Reference(US Core Medication Profile)	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(US Public Health MedicationAdministration)	Medication Administration Entry
entry:sliceMedicationStatement	S	0..*	Reference(RESP-NET Medication Statement)	Medication Statement Entry
entry:sliceMedicationReferences	S	0..*	Reference(US Core Medication Profile)	Medication Reference Entries
section:sliceResultsSection	S	1..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)	Lab Result Entries
entry:sliceDiagnosticResultEntry	S	0..*	Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting)	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)	Document Reference Entries
entry:sliceDiagnosticReportEntry	S	0..*	Reference(US Core DiagnosticReport Profile for Report and Note exchange)	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(US Core MedicationRequest Profile)	Medication Request Entries
entry:sliceMedicationReferences	S	0..*	Reference(US Core Medication Profile)	Medication Reference Entries
entry:sliceProcedureOrders	S	0..*	Reference(eICR ServiceRequest)	Procedure Order Entries
section:sliceImmunizationsSection	S	0..1	BackboneElement	Immunizations Section
code	S	1..1	CodeableConcept	Immunizations 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: 11369-6
text	S	1..1	Narrative	Immunizations narrative
entry	S	0..*	Reference(US Core Immunization Profile)	A reference to data that supports this section
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(eICR Procedure)	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(US Core Vital Signs Profile)	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
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceSmokingStatus	S	0..*	Reference(US Core Smoking Status Observation Profile)	Smoking Status
entry:sliceDisabilityStatus	S	0..*	Reference(US Public Health Disability Status)	Disability Status
entry:sliceCharacteristicsOfHomeEnvironment	S	0..*	Reference(US Public Health Characteristics of Home Environment)	Characteristics of Home Environment
section:slicePregnancySection	S	0..1	BackboneElement	Pregnancy Section
code	S	1..1	CodeableConcept	Pregnancy 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: 90767-5
text	S	1..1	Narrative	Pregnancy Section narrative
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:slicePregnancyOutcome	S	0..*	Reference(US Public Health Pregnancy Outcome Observation)	Pregnancy Outcome
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	Resp-net 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	RESP-NET 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	RESP-NET 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: 75619-7
subject	SΣ	1..1	Reference(US Public Health Patient)	Patient who is the subject of the report.
encounter	SΣ	1..1	Reference(US Public Health Encounter)	Encounter related to the public health event
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | Device)	The author(s) of the document
title	SΣ	1..1	string	Human Readable name/title Fixed Value: RESP-NET Report
Slices for section	SC	0..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:sliceProblemSection	SC	1..1	BackboneElement	Problem Section
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 Public Health Condition)	A reference to data that supports this section
section:sliceMedicationsAdministeredSection	SC	0..1	BackboneElement	Medications Administered Section
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(US Public Health MedicationAdministration)	Medication Administration Entry
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile)	Medication Reference Entries
section:sliceMedicationsSection	SC	0..1	BackboneElement	Medications Section
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(US Public Health MedicationAdministration)	Medication Administration Entry
entry:sliceMedicationStatement	SC	0..*	Reference(RESP-NET Medication Statement)	Medication Statement Entry
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile)	Medication Reference Entries
section:sliceResultsSection	SC	1..1	BackboneElement	Results Section
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)	Lab Result Entries
entry:sliceDiagnosticResultEntry	SC	0..*	Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting)	Diagnostic Result Entries
section:sliceNotesSection	SC	0..1	BackboneElement	Clinical and Diagnostic Reports Section
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)	Document Reference Entries
entry:sliceDiagnosticReportEntry	SC	0..*	Reference(US Core DiagnosticReport Profile for Report and Note exchange)	Diagnostic Report Entries
section:slicePlanOfTreatmentSection	SC	0..1	BackboneElement	Plan of Treatment Section
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(US Core MedicationRequest Profile)	Medication Request Entries
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile)	Medication Reference Entries
entry:sliceProcedureOrders	SC	0..*	Reference(eICR ServiceRequest)	Procedure Order Entries
section:sliceImmunizationsSection	SC	0..1	BackboneElement	Immunizations Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Immunizations 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: 11369-6
text	SC	1..1	Narrative	Immunizations narrative
entry	SC	0..*	Reference(US Core Immunization Profile)	A reference to data that supports this 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.
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(eICR Procedure)	A reference to data that supports this section
section:sliceVitalSignsSection	SC	0..1	BackboneElement	Vital Signs Section
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(US Core Vital Signs Profile)	A reference to data that supports this section
section:sliceSocialHistorySection	SC	0..1	BackboneElement	Social History Section
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
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceSmokingStatus	SC	0..*	Reference(US Core Smoking Status Observation Profile)	Smoking Status
entry:sliceDisabilityStatus	SC	0..*	Reference(US Public Health Disability Status)	Disability Status
entry:sliceCharacteristicsOfHomeEnvironment	SC	0..*	Reference(US Public Health Characteristics of Home Environment)	Characteristics of Home Environment
section:slicePregnancySection	SC	0..1	BackboneElement	Pregnancy Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Pregnancy 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: 90767-5
text	SC	1..1	Narrative	Pregnancy Section narrative
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:slicePregnancyOutcome	SC	0..*	Reference(US Public Health Pregnancy Outcome Observation)	Pregnancy Outcome
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.status	required	Fixed Value: final
Composition.type	preferred	Pattern: LOINC code 75619-7
Composition.section:sliceProblemSection.code	example	Pattern: LOINC code 11450-4
Composition.section:sliceMedicationsAdministeredSection.code	example	Pattern: LOINC code 29549-3
Composition.section:sliceMedicationsSection.code	example	Pattern: LOINC code 10160-0
Composition.section:sliceResultsSection.code	example	Pattern: LOINC code 30954-2
Composition.section:sliceNotesSection.code	example	Pattern: LOINC code 28650-0
Composition.section:slicePlanOfTreatmentSection.code	example	Pattern: LOINC code 18776-5
Composition.section:sliceImmunizationsSection.code	example	Pattern: LOINC code 11369-6
Composition.section:sliceProceduresSection.code	example	Pattern: LOINC code 47519-4
Composition.section:sliceVitalSignsSection.code	example	Pattern: LOINC code 8716-3
Composition.section:sliceSocialHistorySection.code	example	Pattern: LOINC code 29762-2
Composition.section:slicePregnancySection.code	example	Pattern: LOINC code 90767-5

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:slicePregnancySection	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:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:slicePregnancySection	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	Resp-net 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	RESP-NET 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	RESP-NET 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: 75619-7
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 Public Health Patient)	Patient who is the subject of the report.
encounter	SΣ	1..1	Reference(US Public Health Encounter)	Encounter related to the public health event
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | Device)	The author(s) of the document
title	SΣ	1..1	string	Human Readable name/title Fixed Value: RESP-NET 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
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:sliceProblemSection	SC	1..1	BackboneElement	Problem Section
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 Public Health 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:sliceMedicationsAdministeredSection	SC	0..1	BackboneElement	Medications Administered Section
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(US Public Health MedicationAdministration)	Medication Administration Entry
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile)	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
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(US Public Health MedicationAdministration)	Medication Administration Entry
entry:sliceMedicationStatement	SC	0..*	Reference(RESP-NET Medication Statement)	Medication Statement Entry
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile)	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:sliceResultsSection	SC	1..1	BackboneElement	Results Section
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)	Lab Result Entries
entry:sliceDiagnosticResultEntry	SC	0..*	Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting)	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
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)	Document Reference Entries
entry:sliceDiagnosticReportEntry	SC	0..*	Reference(US Core DiagnosticReport Profile for Report and Note exchange)	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
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(US Core MedicationRequest Profile)	Medication Request Entries
entry:sliceMedicationReferences	SC	0..*	Reference(US Core Medication Profile)	Medication Reference Entries
entry:sliceProcedureOrders	SC	0..*	Reference(eICR ServiceRequest)	Procedure Order 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:sliceImmunizationsSection	SC	0..1	BackboneElement	Immunizations Section
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	Immunizations 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: 11369-6
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	Immunizations 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 Immunization 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: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.
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(eICR Procedure)	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
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(US Core Vital Signs 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:sliceSocialHistorySection	SC	0..1	BackboneElement	Social History Section
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.
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceSmokingStatus	SC	0..*	Reference(US Core Smoking Status Observation Profile)	Smoking Status
entry:sliceDisabilityStatus	SC	0..*	Reference(US Public Health Disability Status)	Disability Status
entry:sliceCharacteristicsOfHomeEnvironment	SC	0..*	Reference(US Public Health Characteristics of Home Environment)	Characteristics of Home Environment
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:slicePregnancySection	SC	0..1	BackboneElement	Pregnancy Section
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	Pregnancy 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: 90767-5
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	Pregnancy 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:slicePregnancyOutcome	SC	0..*	Reference(US Public Health Pregnancy Outcome Observation)	Pregnancy Outcome
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
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	Fixed Value: final
Composition.type	preferred	Pattern: LOINC code 75619-7
Composition.category	example	DocumentClassValueSet
Composition.confidentiality	required	v3.ConfidentialityClassification
Composition.attester.mode	required	CompositionAttestationMode
Composition.relatesTo.code	required	DocumentRelationshipType
Composition.event.code	example	ActCode
Composition.section.code	example	DocumentSectionCodes
Composition.section.mode	required	ListMode
Composition.section.orderedBy	preferred	ListOrderCodes
Composition.section.emptyReason	preferred	ListEmptyReasons
Composition.section:sliceProblemSection.code	example	Pattern: LOINC code 11450-4
Composition.section:sliceProblemSection.mode	required	ListMode
Composition.section:sliceProblemSection.orderedBy	preferred	ListOrderCodes
Composition.section:sliceProblemSection.emptyReason	preferred	ListEmptyReasons
Composition.section:sliceMedicationsAdministeredSection.code	example	Pattern: LOINC code 29549-3
Composition.section:sliceMedicationsAdministeredSection.mode	required	ListMode
Composition.section:sliceMedicationsAdministeredSection.orderedBy	preferred	ListOrderCodes
Composition.section:sliceMedicationsAdministeredSection.emptyReason	preferred	ListEmptyReasons
Composition.section:sliceMedicationsSection.code	example	Pattern: LOINC code 10160-0
Composition.section:sliceMedicationsSection.mode	required	ListMode
Composition.section:sliceMedicationsSection.orderedBy	preferred	ListOrderCodes
Composition.section:sliceMedicationsSection.emptyReason	preferred	ListEmptyReasons
Composition.section:sliceResultsSection.code	example	Pattern: LOINC code 30954-2
Composition.section:sliceResultsSection.mode	required	ListMode
Composition.section:sliceResultsSection.orderedBy	preferred	ListOrderCodes
Composition.section:sliceResultsSection.emptyReason	preferred	ListEmptyReasons
Composition.section:sliceNotesSection.code	example	Pattern: LOINC code 28650-0
Composition.section:sliceNotesSection.mode	required	ListMode
Composition.section:sliceNotesSection.orderedBy	preferred	ListOrderCodes
Composition.section:sliceNotesSection.emptyReason	preferred	ListEmptyReasons
Composition.section:slicePlanOfTreatmentSection.code	example	Pattern: LOINC code 18776-5
Composition.section:slicePlanOfTreatmentSection.mode	required	ListMode
Composition.section:slicePlanOfTreatmentSection.orderedBy	preferred	ListOrderCodes
Composition.section:slicePlanOfTreatmentSection.emptyReason	preferred	ListEmptyReasons
Composition.section:sliceImmunizationsSection.code	example	Pattern: LOINC code 11369-6
Composition.section:sliceImmunizationsSection.mode	required	ListMode
Composition.section:sliceImmunizationsSection.orderedBy	preferred	ListOrderCodes
Composition.section:sliceImmunizationsSection.emptyReason	preferred	ListEmptyReasons
Composition.section:sliceProceduresSection.code	example	Pattern: LOINC code 47519-4
Composition.section:sliceProceduresSection.mode	required	ListMode
Composition.section:sliceProceduresSection.orderedBy	preferred	ListOrderCodes
Composition.section:sliceProceduresSection.emptyReason	preferred	ListEmptyReasons
Composition.section:sliceVitalSignsSection.code	example	Pattern: LOINC code 8716-3
Composition.section:sliceVitalSignsSection.mode	required	ListMode
Composition.section:sliceVitalSignsSection.orderedBy	preferred	ListOrderCodes
Composition.section:sliceVitalSignsSection.emptyReason	preferred	ListEmptyReasons
Composition.section:sliceSocialHistorySection.code	example	Pattern: LOINC code 29762-2
Composition.section:sliceSocialHistorySection.mode	required	ListMode
Composition.section:sliceSocialHistorySection.orderedBy	preferred	ListOrderCodes
Composition.section:sliceSocialHistorySection.emptyReason	preferred	ListEmptyReasons
Composition.section:slicePregnancySection.code	example	Pattern: LOINC code 90767-5
Composition.section:slicePregnancySection.mode	required	ListMode
Composition.section:slicePregnancySection.orderedBy	preferred	ListOrderCodes
Composition.section:slicePregnancySection.emptyReason	preferred	ListEmptyReasons

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:slicePregnancySection	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:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:slicePregnancySection	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()