IHE PCC - Routine Interfacility Patient Transport (RIPT)
2.0.0-draft - ci-build

IHE PCC - Routine Interfacility Patient Transport (RIPT), published by IHE Patient Care Coordination. This is not an authorized publication; it is the continuous build for version 2.0.0-draft). This version is based on the current content of https://github.com/IHE/PCC.RIPT/ and changes regularly. See the Directory of published versions

## Resource Profile: Refferal For Interfacility Patient Transport

Official URL: http://profiles.ihe.net/PCC/RIPT/StructureDefinition/IHE.PCC.RIPT.Composition | Version: 2.0.0-draft
Active as of 2023-01-27 | Computable Name: IHE_RIPT_Composition

composition of the FHIR elements that are used to build the FHIR Document for the Refferal For Interfacility Patient Transport document. the following cardinalities follow the documentation in the RIPT profile:

- RE 0..1 IPS Advance Directives
- R 1..1 IPS Allergies and Intolerances
- R 1..1 IPS Medication Summary
- RE 0..1 IPS History of Past Illness
- R 1..1 IPS Functional Status
- RE 0..1 IPS History of Procedures
- O 0..1 Immunizations
- O 0..1 IPS Medical Devices
- RE 0..1 IPS Problems
- O 0..1 IPS Results
- RE 0..1 IPS Vital Signs
- RE 0..1 IPS History of Pregnancy
- O 0..1 IPS Plan of Care
- O 0..1 Payor
- RE 0..1 Coded Reason for Referral
- RE 0..1 Transport Instructions

Usage:

- This Resource Profile is not used by any profiles in this Implementation Guide

### Formal Views of Profile Content

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

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

This structure is derived from CompositionUvIps

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | CompositionUvIps | International Patient Summary composition
subject |  | 1..1 | Reference(Patient (IPS)) | Who and/or what the composition is about
section |  | 3..* | BackboneElement | Sections composing the IPS
section:sectionCertificationOfMedicalNecessity |  | 0..1 | BackboneElement | Certification of Medical Necessity
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 52016-3
Slices for entry | S | 0..* | Reference(Resource) | Medical Necessity Entry Slice: Unordered, Open by profile:resolve()
entry:MedicalNecessityEntry | S | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:Signature | S | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignatureDate | S | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignerProviderType | S | 0..1 | Reference(PractitionerRole) | A reference to data that supports this section
entry:SignerName | S | 0..1 | Reference(Practitioner) | A reference to data that supports this section
entry:Justification | S | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:ReasonForTransport | S | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCode |  | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCodePayer |  | 0..1 | Reference(Observation) | A reference to data that supports this section
section:sectionCoverage |  | 0..1 | BackboneElement | Insurance Section
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 48768-6
Slices for entry | S | 0..1 | Reference(Coverage) | the Patient's insurance information Slice: Unordered, Open by profile:resolve()
entry:Coverage | S | 0..1 | Reference(Resource) | A reference to data that supports this section
section:sectionReasonForReferral |  | 0..1 | BackboneElement | Reason for Referral
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 42349-1
Slices for entry | S | 2..2 | Reference(Resource) | Certification of Medical Necessity Slice: Unordered, Open by profile:resolve()
entry:SimpleObservations | S | 1..1 | Reference(Observation) | A reference to data that supports this section
entry:ConditionsEntry | S | 1..1 | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionTransportInstructions |  | 0..1 | BackboneElement | Transport Instructions
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 74213-0
Slices for entry | S | 0..* | Reference(Resource) | Transport Instructions Section Entries Slice: Unordered, Open by profile:resolve()
entry:TrasnportInstructions | S | 0..1 | Reference(Resource) | A reference to data that supports this section
entry:DestinationInformation | S | 0..1 | Reference(Location) | A reference to data that supports this section
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition | S | 0..* | CompositionUvIps | International Patient Summary composition
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation
versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Version-independent identifier for the Composition
status | ?!S Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") 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: 60591-5
subject | S Σ | 1..1 | Reference(Patient (IPS)) | Who and/or what the composition is about
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
encounter | S Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the IPS
title | S Σ | 1..1 | string | International Patient Summary
confidentiality | S 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 | S | 0..* | BackboneElement | Attests to accuracy of composition
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time | S | 0..1 | dateTime | When the composition was attested
party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
custodian | S Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo | S | 0..* | BackboneElement | Relationships to other compositions/documents
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] | S | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition | Composition (IPS)) |
Slices for event | S Σ | 0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by pattern:code
event:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event:careProvisioningEvent | S Σ | 0..1 | BackboneElement | The care provisioning being documented
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..* | 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. 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://terminology.hl7.org/CodeSystem/v3-ActClass
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR
period | S Σ | 0..1 | Period | The period covered by the documentation
Slices for section | S C | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by pattern:code
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
section:sectionMedications | S C | 1..1 | BackboneElement | IPS Medication Summary Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Medication Summary section
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:$this.resolve()
entry:medicationStatement | S C | 1..* | Reference(Medication Statement (IPS)) | A reference to data that supports this section
section:sectionAllergies | S C | 1..1 | BackboneElement | IPS Allergies and Intolerances Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by profile:$this.resolve()
entry:allergyOrIntolerance | S C | 1..* | Reference(Allergy Intolerance (IPS)) | A reference to data that supports this section
section:sectionProblems | S C | 1..1 | BackboneElement | IPS Problems Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by profile:$this.resolve()
entry:problem | S C | 1..* | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionProceduresHx | S C | 0..1 | BackboneElement | IPS History of Procedures Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by profile:$this.resolve()
entry:procedure | S C | 1..* | Reference(Procedure (IPS)) | A reference to data that supports this section
section:sectionImmunizations | S C | 0..1 | BackboneElement | IPS Immunizations Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Patient's immunization status and pertinent history. Slice: Unordered, Open by profile:$this.resolve()
entry:immunization | S C | 1..* | Reference(Immunization (IPS)) | A reference to data that supports this section
section:sectionMedicalDevices | S C | 0..1 | BackboneElement | IPS Medical Devices Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Patient history of medical device use. Slice: Unordered, Open by profile:$this.resolve()
entry:deviceStatement | S C | 1..* | Reference(Device Use Statement (IPS)) | A reference to data that supports this section
section:sectionResults | S C | 0..1 | BackboneElement | IPS Results Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Slice: Unordered, Open by type:$this.resolve(), profile:$this.resolve()
entry:results-observation | S C | 0..* | Reference(Observation Results: laboratory (IPS) | Observation Results: pathology (IPS) | Observation Results: radiology (IPS) | Observation Results (IPS)) | A reference to data that supports this section
entry:results-diagnosticReport | S C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
section:sectionVitalSigns | S C | 0..1 | BackboneElement | IPS Vital Signs Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 0..* | Reference(Resource) | Notable vital signs or physical findings. Slice: Unordered, Open by profile:$this.resolve()
entry:vitalSign | S C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section
section:sectionPastIllnessHx | S C | 0..1 | BackboneElement | IPS History of Past Illness Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Conditions the patient suffered in the past. Slice: Unordered, Open by profile:$this.resolve()
entry:pastProblem | S C | 1..* | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionFunctionalStatus | S C | 0..1 | BackboneElement | IPS Functional Status
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 47420-5
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 0..* | Reference(Resource) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by profile:$this.resolve()
entry:disability | S C | 0..* | Reference(Condition (IPS)) | A reference to data that supports this section
entry:functionalAssessment | S C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section
section:sectionPlanOfCare | S C | 0..1 | BackboneElement | IPS Plan of Care Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | C | 0..* | Reference(Resource) | Optional entry used to represent structured care plans Slice: Unordered, Open by profile:$this.resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | A reference to data that supports this section
section:sectionSocialHistory | S C | 0..1 | BackboneElement | IPS Social History Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 0..* | Reference(Resource) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve()
entry:smokingTobaccoUse | S C | 0..1 | Reference(Observation (SH: tobacco use)) | A reference to data that supports this section
entry:alcoholUse | S C | 0..1 | Reference(Observation (SH: alcohol use)) | A reference to data that supports this section
section:sectionPregnancyHx | S C | 0..1 | BackboneElement | IPS History of Pregnancy Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies. Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyStatus | S C | 0..* | Reference(Observation (Pregnancy: status)) | A reference to data that supports this section
entry:pregnancyOutcomeSummary | S C | 0..* | Reference(Observation (Pregnancy: outcome)) | A reference to data that supports this section
section:sectionAdvanceDirectives | S C | 0..1 | BackboneElement | IPS Advance Directives Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 42348-3
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 0..* | Reference(Resource) | Narrative description of the patient's advance directive. Slice: Unordered, Open by profile:$this.resolve()
entry:advanceDirectivesConsent | S C | 0..* | Reference(Consent) | A reference to data that supports this section
section:sectionCertificationOfMedicalNecessity | S C | 0..1 | BackboneElement | Certification of Medical Necessity
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 52016-3
Slices for entry | S C | 0..* | Reference(Resource) | Medical Necessity Entry Slice: Unordered, Open by profile:resolve()
entry:MedicalNecessityEntry | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:Signature | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignatureDate | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignerProviderType | S C | 0..1 | Reference(PractitionerRole) | A reference to data that supports this section
entry:SignerName | S C | 0..1 | Reference(Practitioner) | A reference to data that supports this section
entry:Justification | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:ReasonForTransport | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCode | C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCodePayer | C | 0..1 | Reference(Observation) | A reference to data that supports this section
section:sectionCoverage | S C | 0..1 | BackboneElement | Insurance Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 48768-6
Slices for entry | S C | 0..1 | Reference(Coverage) | the Patient's insurance information Slice: Unordered, Open by profile:resolve()
entry:Coverage | S C | 0..1 | Reference(Resource) | A reference to data that supports this section
section:sectionReasonForReferral | S C | 0..1 | BackboneElement | Reason for Referral
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 42349-1
Slices for entry | S C | 2..2 | Reference(Resource) | Certification of Medical Necessity Slice: Unordered, Open by profile:resolve()
entry:SimpleObservations | S C | 1..1 | Reference(Observation) | A reference to data that supports this section
entry:ConditionsEntry | S C | 1..1 | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionTransportInstructions | S C | 0..1 | BackboneElement | Transport Instructions
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 74213-0
Slices for entry | S C | 0..* | Reference(Resource) | Transport Instructions Section Entries Slice: Unordered, Open by profile:resolve()
entry:TrasnportInstructions | S C | 0..1 | Reference(Resource) | A reference to data that supports this section
entry:DestinationInformation | S C | 0..1 | Reference(Location) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Composition.status | required | CompositionStatus
Composition.type | preferred | Pattern: LOINC code 60591-5
Composition.confidentiality | required | v3.ConfidentialityClassification
Composition.attester.mode | required | CompositionAttestationMode
Composition.relatesTo.code | required | DocumentRelationshipType
Composition.event:careProvisioningEvent.code | example | Pattern: PCPR
Composition.section:sectionMedications.code | example | Pattern: LOINC code 10160-0
Composition.section:sectionAllergies.code | example | Pattern: LOINC code 48765-2
Composition.section:sectionProblems.code | example | Pattern: LOINC code 11450-4
Composition.section:sectionProceduresHx.code | example | Pattern: LOINC code 47519-4
Composition.section:sectionImmunizations.code | example | Pattern: LOINC code 11369-6
Composition.section:sectionMedicalDevices.code | example | Pattern: LOINC code 46264-8
Composition.section:sectionResults.code | example | Pattern: LOINC code 30954-2
Composition.section:sectionVitalSigns.code | example | Pattern: LOINC code 8716-3
Composition.section:sectionPastIllnessHx.code | example | Pattern: LOINC code 11348-0
Composition.section:sectionFunctionalStatus.code | example | Pattern: LOINC code 47420-5
Composition.section:sectionPlanOfCare.code | example | Pattern: LOINC code 18776-5
Composition.section:sectionSocialHistory.code | example | Pattern: LOINC code 29762-2
Composition.section:sectionPregnancyHx.code | example | Pattern: LOINC code 10162-6
Composition.section:sectionAdvanceDirectives.code | example | Pattern: LOINC code 42348-3
Composition.section:sectionCertificationOfMedicalNecessity.code | example | Pattern: LOINC code 52016-3
Composition.section:sectionCoverage.code | example | Pattern: LOINC code 48768-6
Composition.section:sectionReasonForReferral.code | example | Pattern: LOINC code 42349-1
Composition.section:sectionTransportInstructions.code | example | Pattern: LOINC code 74213-0

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition | S | 0..* | CompositionUvIps | International Patient Summary composition
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 | S | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Version-independent identifier for the Composition
status | ?!S Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") 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: 60591-5
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
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(Patient (IPS)) | Who and/or what the composition is about
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | S Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the IPS
title | S Σ | 1..1 | string | International Patient Summary
confidentiality | S 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 | S | 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 | S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time | S | 0..1 | dateTime | When the composition was attested
party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
custodian | S Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo | S | 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 | S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] | S | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition | Composition (IPS)) |
Slices for event | S Σ | 0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by pattern:code
event: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
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
event:careProvisioningEvent | S Σ | 0..1 | BackboneElement | The care provisioning 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 | S Σ | 1..* | 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. 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://terminology.hl7.org/CodeSystem/v3-ActClass
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR
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
period | S Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | S C | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by pattern: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:sectionMedications | S C | 1..1 | BackboneElement | IPS Medication Summary 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 | S | 1..1 | string | Medication Summary section
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:$this.resolve()
entry:medicationStatement | S C | 1..* | Reference(Medication Statement (IPS)) | A reference to data that supports this section
section:sectionAllergies | S C | 1..1 | BackboneElement | IPS Allergies and Intolerances 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by profile:$this.resolve()
entry:allergyOrIntolerance | S C | 1..* | Reference(Allergy Intolerance (IPS)) | A reference to data that supports this section
section:sectionProblems | S C | 1..1 | BackboneElement | IPS Problems 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by profile:$this.resolve()
entry:problem | S C | 1..* | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionProceduresHx | S C | 0..1 | BackboneElement | IPS History of Procedures 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by profile:$this.resolve()
entry:procedure | S C | 1..* | Reference(Procedure (IPS)) | A reference to data that supports this section
section:sectionImmunizations | S C | 0..1 | BackboneElement | IPS 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Patient's immunization status and pertinent history. Slice: Unordered, Open by profile:$this.resolve()
entry:immunization | S C | 1..* | Reference(Immunization (IPS)) | A reference to data that supports this section
section:sectionMedicalDevices | S C | 0..1 | BackboneElement | IPS Medical Devices 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 46264-8
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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Patient history of medical device use. Slice: Unordered, Open by profile:$this.resolve()
entry:deviceStatement | S C | 1..* | Reference(Device Use Statement (IPS)) | A reference to data that supports this section
section:sectionResults | S C | 0..1 | BackboneElement | IPS 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Slice: Unordered, Open by type:$this.resolve(), profile:$this.resolve()
entry:results-observation | S C | 0..* | Reference(Observation Results: laboratory (IPS) | Observation Results: pathology (IPS) | Observation Results: radiology (IPS) | Observation Results (IPS)) | A reference to data that supports this section
entry:results-diagnosticReport | S C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
section:sectionVitalSigns | S C | 0..1 | BackboneElement | IPS 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 0..* | Reference(Resource) | Notable vital signs or physical findings. Slice: Unordered, Open by profile:$this.resolve()
entry:vitalSign | S C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section
section:sectionPastIllnessHx | S C | 0..1 | BackboneElement | IPS History of Past Illness 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 11348-0
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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Conditions the patient suffered in the past. Slice: Unordered, Open by profile:$this.resolve()
entry:pastProblem | S C | 1..* | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionFunctionalStatus | S C | 0..1 | BackboneElement | IPS Functional Status
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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 47420-5
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 | S C | 1..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.
Slices for entry | S C | 0..* | Reference(Resource) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by profile:$this.resolve()
entry:disability | S C | 0..* | Reference(Condition (IPS)) | A reference to data that supports this section
entry:functionalAssessment | S C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section
section:sectionPlanOfCare | S C | 0..1 | BackboneElement | IPS Plan of Care 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | C | 0..* | Reference(Resource) | Optional entry used to represent structured care plans Slice: Unordered, Open by profile:$this.resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | A reference to data that supports this section
section:sectionSocialHistory | S C | 0..1 | BackboneElement | IPS 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 0..* | Reference(Resource) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve()
entry:smokingTobaccoUse | S C | 0..1 | Reference(Observation (SH: tobacco use)) | A reference to data that supports this section
entry:alcoholUse | S C | 0..1 | Reference(Observation (SH: alcohol use)) | A reference to data that supports this section
section:sectionPregnancyHx | S C | 0..1 | BackboneElement | IPS History of 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 10162-6
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 | S C | 1..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.
Slices for entry | S C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies. Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyStatus | S C | 0..* | Reference(Observation (Pregnancy: status)) | A reference to data that supports this section
entry:pregnancyOutcomeSummary | S C | 0..* | Reference(Observation (Pregnancy: outcome)) | A reference to data that supports this section
section:sectionAdvanceDirectives | S C | 0..1 | BackboneElement | IPS Advance Directives 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 42348-3
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 | S C | 1..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.
Slices for entry | S C | 0..* | Reference(Resource) | Narrative description of the patient's advance directive. Slice: Unordered, Open by profile:$this.resolve()
entry:advanceDirectivesConsent | S C | 0..* | Reference(Consent) | A reference to data that supports this section
section:sectionCertificationOfMedicalNecessity | S C | 0..1 | BackboneElement | Certification of Medical Necessity
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 | Classification of section (recommended) 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: 52016-3
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 | 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.
Slices for entry | S C | 0..* | Reference(Resource) | Medical Necessity Entry Slice: Unordered, Open by profile:resolve()
entry:MedicalNecessityEntry | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:Signature | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignatureDate | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignerProviderType | S C | 0..1 | Reference(PractitionerRole) | A reference to data that supports this section
entry:SignerName | S C | 0..1 | Reference(Practitioner) | A reference to data that supports this section
entry:Justification | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:ReasonForTransport | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCode | C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCodePayer | C | 0..1 | Reference(Observation) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sectionCoverage | S C | 0..1 | BackboneElement | Insurance 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 | Classification of section (recommended) 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: 48768-6
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 | 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.
Slices for entry | S C | 0..1 | Reference(Coverage) | the Patient's insurance information Slice: Unordered, Open by profile:resolve()
entry:Coverage | S C | 0..1 | 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:sectionReasonForReferral | S C | 0..1 | BackboneElement | Reason for Referral
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 | Classification of section (recommended) 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: 42349-1
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 | 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.
Slices for entry | S C | 2..2 | Reference(Resource) | Certification of Medical Necessity Slice: Unordered, Open by profile:resolve()
entry:SimpleObservations | S C | 1..1 | Reference(Observation) | A reference to data that supports this section
entry:ConditionsEntry | S C | 1..1 | Reference(Condition (IPS)) | 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:sectionTransportInstructions | S C | 0..1 | BackboneElement | Transport Instructions
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 | Classification of section (recommended) 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: 74213-0
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 | 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.
Slices for entry | S C | 0..* | Reference(Resource) | Transport Instructions Section Entries Slice: Unordered, Open by profile:resolve()
entry:TrasnportInstructions | S C | 0..1 | Reference(Resource) | A reference to data that supports this section
entry:DestinationInformation | S C | 0..1 | Reference(Location) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Composition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Composition.status | required | CompositionStatus
Composition.type | preferred | Pattern: LOINC code 60591-5
Composition.category | example | DocumentClassValueSet
Composition.subject.type | extensible | ResourceType
Composition.confidentiality | required | v3.ConfidentialityClassification
Composition.attester.mode | required | CompositionAttestationMode
Composition.relatesTo.code | required | DocumentRelationshipType
Composition.event.code | example | ActCode
Composition.event:careProvisioningEvent.code | example | Pattern: PCPR
Composition.section.code | example | DocumentSectionCodes
Composition.section.mode | required | ListMode
Composition.section.orderedBy | preferred | ListOrderCodes
Composition.section.emptyReason | preferred | ListEmptyReasons
Composition.section:sectionMedications.code | example | Pattern: LOINC code 10160-0
Composition.section:sectionMedications.mode | required | ListMode
Composition.section:sectionMedications.orderedBy | preferred | ListOrderCodes
Composition.section:sectionAllergies.code | example | Pattern: LOINC code 48765-2
Composition.section:sectionAllergies.mode | required | ListMode
Composition.section:sectionAllergies.orderedBy | preferred | ListOrderCodes
Composition.section:sectionProblems.code | example | Pattern: LOINC code 11450-4
Composition.section:sectionProblems.mode | required | ListMode
Composition.section:sectionProblems.orderedBy | preferred | ListOrderCodes
Composition.section:sectionProceduresHx.code | example | Pattern: LOINC code 47519-4
Composition.section:sectionProceduresHx.mode | required | ListMode
Composition.section:sectionProceduresHx.orderedBy | preferred | ListOrderCodes
Composition.section:sectionImmunizations.code | example | Pattern: LOINC code 11369-6
Composition.section:sectionImmunizations.mode | required | ListMode
Composition.section:sectionImmunizations.orderedBy | preferred | ListOrderCodes
Composition.section:sectionMedicalDevices.code | example | Pattern: LOINC code 46264-8
Composition.section:sectionMedicalDevices.mode | required | ListMode
Composition.section:sectionMedicalDevices.orderedBy | preferred | ListOrderCodes
Composition.section:sectionResults.code | example | Pattern: LOINC code 30954-2
Composition.section:sectionResults.mode | required | ListMode
Composition.section:sectionResults.orderedBy | preferred | ListOrderCodes
Composition.section:sectionVitalSigns.code | example | Pattern: LOINC code 8716-3
Composition.section:sectionVitalSigns.mode | required | ListMode
Composition.section:sectionVitalSigns.orderedBy | preferred | ListOrderCodes
Composition.section:sectionPastIllnessHx.code | example | Pattern: LOINC code 11348-0
Composition.section:sectionPastIllnessHx.mode | required | ListMode
Composition.section:sectionPastIllnessHx.orderedBy | preferred | ListOrderCodes
Composition.section:sectionFunctionalStatus.code | example | Pattern: LOINC code 47420-5
Composition.section:sectionFunctionalStatus.mode | required | ListMode
Composition.section:sectionFunctionalStatus.orderedBy | preferred | ListOrderCodes
Composition.section:sectionPlanOfCare.code | example | Pattern: LOINC code 18776-5
Composition.section:sectionPlanOfCare.mode | required | ListMode
Composition.section:sectionPlanOfCare.orderedBy | preferred | ListOrderCodes
Composition.section:sectionSocialHistory.code | example | Pattern: LOINC code 29762-2
Composition.section:sectionSocialHistory.mode | required | ListMode
Composition.section:sectionSocialHistory.orderedBy | preferred | ListOrderCodes
Composition.section:sectionPregnancyHx.code | example | Pattern: LOINC code 10162-6
Composition.section:sectionPregnancyHx.mode | required | ListMode
Composition.section:sectionPregnancyHx.orderedBy | preferred | ListOrderCodes
Composition.section:sectionAdvanceDirectives.code | example | Pattern: LOINC code 42348-3
Composition.section:sectionAdvanceDirectives.mode | required | ListMode
Composition.section:sectionAdvanceDirectives.orderedBy | preferred | ListOrderCodes
Composition.section:sectionCertificationOfMedicalNecessity.code | example | Pattern: LOINC code 52016-3
Composition.section:sectionCertificationOfMedicalNecessity.mode | required | ListMode
Composition.section:sectionCertificationOfMedicalNecessity.orderedBy | preferred | ListOrderCodes
Composition.section:sectionCertificationOfMedicalNecessity.emptyReason | preferred | ListEmptyReasons
Composition.section:sectionCoverage.code | example | Pattern: LOINC code 48768-6
Composition.section:sectionCoverage.mode | required | ListMode
Composition.section:sectionCoverage.orderedBy | preferred | ListOrderCodes
Composition.section:sectionCoverage.emptyReason | preferred | ListEmptyReasons
Composition.section:sectionReasonForReferral.code | example | Pattern: LOINC code 42349-1
Composition.section:sectionReasonForReferral.mode | required | ListMode
Composition.section:sectionReasonForReferral.orderedBy | preferred | ListOrderCodes
Composition.section:sectionReasonForReferral.emptyReason | preferred | ListEmptyReasons
Composition.section:sectionTransportInstructions.code | example | Pattern: LOINC code 74213-0
Composition.section:sectionTransportInstructions.mode | required | ListMode
Composition.section:sectionTransportInstructions.orderedBy | preferred | ListOrderCodes
Composition.section:sectionTransportInstructions.emptyReason | preferred | ListEmptyReasons

This structure is derived from CompositionUvIps

Summary

Mandatory: 1 element (6 nested mandatory elements)
Must-Support: 20 elements

Structures

This structure refers to these other structures:

- Condition (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips)

Slices

This structure defines the following Slices:

- The element Composition.section.entry is sliced based on the value of profile:resolve()

Differential View

This structure is derived from CompositionUvIps

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition |  | 0..* | CompositionUvIps | International Patient Summary composition
subject |  | 1..1 | Reference(Patient (IPS)) | Who and/or what the composition is about
section |  | 3..* | BackboneElement | Sections composing the IPS
section:sectionCertificationOfMedicalNecessity |  | 0..1 | BackboneElement | Certification of Medical Necessity
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 52016-3
Slices for entry | S | 0..* | Reference(Resource) | Medical Necessity Entry Slice: Unordered, Open by profile:resolve()
entry:MedicalNecessityEntry | S | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:Signature | S | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignatureDate | S | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignerProviderType | S | 0..1 | Reference(PractitionerRole) | A reference to data that supports this section
entry:SignerName | S | 0..1 | Reference(Practitioner) | A reference to data that supports this section
entry:Justification | S | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:ReasonForTransport | S | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCode |  | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCodePayer |  | 0..1 | Reference(Observation) | A reference to data that supports this section
section:sectionCoverage |  | 0..1 | BackboneElement | Insurance Section
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 48768-6
Slices for entry | S | 0..1 | Reference(Coverage) | the Patient's insurance information Slice: Unordered, Open by profile:resolve()
entry:Coverage | S | 0..1 | Reference(Resource) | A reference to data that supports this section
section:sectionReasonForReferral |  | 0..1 | BackboneElement | Reason for Referral
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 42349-1
Slices for entry | S | 2..2 | Reference(Resource) | Certification of Medical Necessity Slice: Unordered, Open by profile:resolve()
entry:SimpleObservations | S | 1..1 | Reference(Observation) | A reference to data that supports this section
entry:ConditionsEntry | S | 1..1 | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionTransportInstructions |  | 0..1 | BackboneElement | Transport Instructions
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 74213-0
Slices for entry | S | 0..* | Reference(Resource) | Transport Instructions Section Entries Slice: Unordered, Open by profile:resolve()
entry:TrasnportInstructions | S | 0..1 | Reference(Resource) | A reference to data that supports this section
entry:DestinationInformation | S | 0..1 | Reference(Location) | A reference to data that supports this section
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition | S | 0..* | CompositionUvIps | International Patient Summary composition
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation
versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Version-independent identifier for the Composition
status | ?!S Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") 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: 60591-5
subject | S Σ | 1..1 | Reference(Patient (IPS)) | Who and/or what the composition is about
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
encounter | S Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the IPS
title | S Σ | 1..1 | string | International Patient Summary
confidentiality | S 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 | S | 0..* | BackboneElement | Attests to accuracy of composition
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time | S | 0..1 | dateTime | When the composition was attested
party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
custodian | S Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo | S | 0..* | BackboneElement | Relationships to other compositions/documents
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] | S | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition | Composition (IPS)) |
Slices for event | S Σ | 0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by pattern:code
event:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event:careProvisioningEvent | S Σ | 0..1 | BackboneElement | The care provisioning being documented
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..* | 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. 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://terminology.hl7.org/CodeSystem/v3-ActClass
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR
period | S Σ | 0..1 | Period | The period covered by the documentation
Slices for section | S C | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by pattern:code
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
section:sectionMedications | S C | 1..1 | BackboneElement | IPS Medication Summary Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Medication Summary section
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:$this.resolve()
entry:medicationStatement | S C | 1..* | Reference(Medication Statement (IPS)) | A reference to data that supports this section
section:sectionAllergies | S C | 1..1 | BackboneElement | IPS Allergies and Intolerances Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by profile:$this.resolve()
entry:allergyOrIntolerance | S C | 1..* | Reference(Allergy Intolerance (IPS)) | A reference to data that supports this section
section:sectionProblems | S C | 1..1 | BackboneElement | IPS Problems Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by profile:$this.resolve()
entry:problem | S C | 1..* | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionProceduresHx | S C | 0..1 | BackboneElement | IPS History of Procedures Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by profile:$this.resolve()
entry:procedure | S C | 1..* | Reference(Procedure (IPS)) | A reference to data that supports this section
section:sectionImmunizations | S C | 0..1 | BackboneElement | IPS Immunizations Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Patient's immunization status and pertinent history. Slice: Unordered, Open by profile:$this.resolve()
entry:immunization | S C | 1..* | Reference(Immunization (IPS)) | A reference to data that supports this section
section:sectionMedicalDevices | S C | 0..1 | BackboneElement | IPS Medical Devices Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Patient history of medical device use. Slice: Unordered, Open by profile:$this.resolve()
entry:deviceStatement | S C | 1..* | Reference(Device Use Statement (IPS)) | A reference to data that supports this section
section:sectionResults | S C | 0..1 | BackboneElement | IPS Results Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Slice: Unordered, Open by type:$this.resolve(), profile:$this.resolve()
entry:results-observation | S C | 0..* | Reference(Observation Results: laboratory (IPS) | Observation Results: pathology (IPS) | Observation Results: radiology (IPS) | Observation Results (IPS)) | A reference to data that supports this section
entry:results-diagnosticReport | S C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
section:sectionVitalSigns | S C | 0..1 | BackboneElement | IPS Vital Signs Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 0..* | Reference(Resource) | Notable vital signs or physical findings. Slice: Unordered, Open by profile:$this.resolve()
entry:vitalSign | S C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section
section:sectionPastIllnessHx | S C | 0..1 | BackboneElement | IPS History of Past Illness Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 1..* | Reference(Resource) | Conditions the patient suffered in the past. Slice: Unordered, Open by profile:$this.resolve()
entry:pastProblem | S C | 1..* | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionFunctionalStatus | S C | 0..1 | BackboneElement | IPS Functional Status
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 47420-5
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 0..* | Reference(Resource) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by profile:$this.resolve()
entry:disability | S C | 0..* | Reference(Condition (IPS)) | A reference to data that supports this section
entry:functionalAssessment | S C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section
section:sectionPlanOfCare | S C | 0..1 | BackboneElement | IPS Plan of Care Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | C | 0..* | Reference(Resource) | Optional entry used to represent structured care plans Slice: Unordered, Open by profile:$this.resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | A reference to data that supports this section
section:sectionSocialHistory | S C | 0..1 | BackboneElement | IPS Social History Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 0..* | Reference(Resource) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve()
entry:smokingTobaccoUse | S C | 0..1 | Reference(Observation (SH: tobacco use)) | A reference to data that supports this section
entry:alcoholUse | S C | 0..1 | Reference(Observation (SH: alcohol use)) | A reference to data that supports this section
section:sectionPregnancyHx | S C | 0..1 | BackboneElement | IPS History of Pregnancy Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies. Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyStatus | S C | 0..* | Reference(Observation (Pregnancy: status)) | A reference to data that supports this section
entry:pregnancyOutcomeSummary | S C | 0..* | Reference(Observation (Pregnancy: outcome)) | A reference to data that supports this section
section:sectionAdvanceDirectives | S C | 0..1 | BackboneElement | IPS Advance Directives Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 42348-3
text | S C | 1..1 | Narrative | Text summary of the section, for human interpretation
Slices for entry | S C | 0..* | Reference(Resource) | Narrative description of the patient's advance directive. Slice: Unordered, Open by profile:$this.resolve()
entry:advanceDirectivesConsent | S C | 0..* | Reference(Consent) | A reference to data that supports this section
section:sectionCertificationOfMedicalNecessity | S C | 0..1 | BackboneElement | Certification of Medical Necessity
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 52016-3
Slices for entry | S C | 0..* | Reference(Resource) | Medical Necessity Entry Slice: Unordered, Open by profile:resolve()
entry:MedicalNecessityEntry | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:Signature | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignatureDate | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignerProviderType | S C | 0..1 | Reference(PractitionerRole) | A reference to data that supports this section
entry:SignerName | S C | 0..1 | Reference(Practitioner) | A reference to data that supports this section
entry:Justification | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:ReasonForTransport | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCode | C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCodePayer | C | 0..1 | Reference(Observation) | A reference to data that supports this section
section:sectionCoverage | S C | 0..1 | BackboneElement | Insurance Section
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 48768-6
Slices for entry | S C | 0..1 | Reference(Coverage) | the Patient's insurance information Slice: Unordered, Open by profile:resolve()
entry:Coverage | S C | 0..1 | Reference(Resource) | A reference to data that supports this section
section:sectionReasonForReferral | S C | 0..1 | BackboneElement | Reason for Referral
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 42349-1
Slices for entry | S C | 2..2 | Reference(Resource) | Certification of Medical Necessity Slice: Unordered, Open by profile:resolve()
entry:SimpleObservations | S C | 1..1 | Reference(Observation) | A reference to data that supports this section
entry:ConditionsEntry | S C | 1..1 | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionTransportInstructions | S C | 0..1 | BackboneElement | Transport Instructions
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 74213-0
Slices for entry | S C | 0..* | Reference(Resource) | Transport Instructions Section Entries Slice: Unordered, Open by profile:resolve()
entry:TrasnportInstructions | S C | 0..1 | Reference(Resource) | A reference to data that supports this section
entry:DestinationInformation | S C | 0..1 | Reference(Location) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Composition.status | required | CompositionStatus
Composition.type | preferred | Pattern: LOINC code 60591-5
Composition.confidentiality | required | v3.ConfidentialityClassification
Composition.attester.mode | required | CompositionAttestationMode
Composition.relatesTo.code | required | DocumentRelationshipType
Composition.event:careProvisioningEvent.code | example | Pattern: PCPR
Composition.section:sectionMedications.code | example | Pattern: LOINC code 10160-0
Composition.section:sectionAllergies.code | example | Pattern: LOINC code 48765-2
Composition.section:sectionProblems.code | example | Pattern: LOINC code 11450-4
Composition.section:sectionProceduresHx.code | example | Pattern: LOINC code 47519-4
Composition.section:sectionImmunizations.code | example | Pattern: LOINC code 11369-6
Composition.section:sectionMedicalDevices.code | example | Pattern: LOINC code 46264-8
Composition.section:sectionResults.code | example | Pattern: LOINC code 30954-2
Composition.section:sectionVitalSigns.code | example | Pattern: LOINC code 8716-3
Composition.section:sectionPastIllnessHx.code | example | Pattern: LOINC code 11348-0
Composition.section:sectionFunctionalStatus.code | example | Pattern: LOINC code 47420-5
Composition.section:sectionPlanOfCare.code | example | Pattern: LOINC code 18776-5
Composition.section:sectionSocialHistory.code | example | Pattern: LOINC code 29762-2
Composition.section:sectionPregnancyHx.code | example | Pattern: LOINC code 10162-6
Composition.section:sectionAdvanceDirectives.code | example | Pattern: LOINC code 42348-3
Composition.section:sectionCertificationOfMedicalNecessity.code | example | Pattern: LOINC code 52016-3
Composition.section:sectionCoverage.code | example | Pattern: LOINC code 48768-6
Composition.section:sectionReasonForReferral.code | example | Pattern: LOINC code 42349-1
Composition.section:sectionTransportInstructions.code | example | Pattern: LOINC code 74213-0

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Composition | S | 0..* | CompositionUvIps | International Patient Summary composition
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 | S | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
versionNumber |  | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..1 | Identifier | Version-independent identifier for the Composition
status | ?!S Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") 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: 60591-5
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
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(Patient (IPS)) | Who and/or what the composition is about
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | S Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the IPS
title | S Σ | 1..1 | string | International Patient Summary
confidentiality | S 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 | S | 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 | S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time | S | 0..1 | dateTime | When the composition was attested
party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
custodian | S Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo | S | 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 | S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] | S | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition | Composition (IPS)) |
Slices for event | S Σ | 0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by pattern:code
event: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
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
event:careProvisioningEvent | S Σ | 0..1 | BackboneElement | The care provisioning 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 | S Σ | 1..* | 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. 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://terminology.hl7.org/CodeSystem/v3-ActClass
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR
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
period | S Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | S C | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by pattern: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:sectionMedications | S C | 1..1 | BackboneElement | IPS Medication Summary 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 | S | 1..1 | string | Medication Summary section
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:$this.resolve()
entry:medicationStatement | S C | 1..* | Reference(Medication Statement (IPS)) | A reference to data that supports this section
section:sectionAllergies | S C | 1..1 | BackboneElement | IPS Allergies and Intolerances 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by profile:$this.resolve()
entry:allergyOrIntolerance | S C | 1..* | Reference(Allergy Intolerance (IPS)) | A reference to data that supports this section
section:sectionProblems | S C | 1..1 | BackboneElement | IPS Problems 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by profile:$this.resolve()
entry:problem | S C | 1..* | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionProceduresHx | S C | 0..1 | BackboneElement | IPS History of Procedures 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by profile:$this.resolve()
entry:procedure | S C | 1..* | Reference(Procedure (IPS)) | A reference to data that supports this section
section:sectionImmunizations | S C | 0..1 | BackboneElement | IPS 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Patient's immunization status and pertinent history. Slice: Unordered, Open by profile:$this.resolve()
entry:immunization | S C | 1..* | Reference(Immunization (IPS)) | A reference to data that supports this section
section:sectionMedicalDevices | S C | 0..1 | BackboneElement | IPS Medical Devices 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 46264-8
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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Patient history of medical device use. Slice: Unordered, Open by profile:$this.resolve()
entry:deviceStatement | S C | 1..* | Reference(Device Use Statement (IPS)) | A reference to data that supports this section
section:sectionResults | S C | 0..1 | BackboneElement | IPS 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Slice: Unordered, Open by type:$this.resolve(), profile:$this.resolve()
entry:results-observation | S C | 0..* | Reference(Observation Results: laboratory (IPS) | Observation Results: pathology (IPS) | Observation Results: radiology (IPS) | Observation Results (IPS)) | A reference to data that supports this section
entry:results-diagnosticReport | S C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
section:sectionVitalSigns | S C | 0..1 | BackboneElement | IPS 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 0..* | Reference(Resource) | Notable vital signs or physical findings. Slice: Unordered, Open by profile:$this.resolve()
entry:vitalSign | S C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section
section:sectionPastIllnessHx | S C | 0..1 | BackboneElement | IPS History of Past Illness 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 11348-0
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 | S C | 1..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.
Slices for entry | S C | 1..* | Reference(Resource) | Conditions the patient suffered in the past. Slice: Unordered, Open by profile:$this.resolve()
entry:pastProblem | S C | 1..* | Reference(Condition (IPS)) | A reference to data that supports this section
section:sectionFunctionalStatus | S C | 0..1 | BackboneElement | IPS Functional Status
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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 47420-5
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 | S C | 1..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.
Slices for entry | S C | 0..* | Reference(Resource) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by profile:$this.resolve()
entry:disability | S C | 0..* | Reference(Condition (IPS)) | A reference to data that supports this section
entry:functionalAssessment | S C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section
section:sectionPlanOfCare | S C | 0..1 | BackboneElement | IPS Plan of Care 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | C | 0..* | Reference(Resource) | Optional entry used to represent structured care plans Slice: Unordered, Open by profile:$this.resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | A reference to data that supports this section
section:sectionSocialHistory | S C | 0..1 | BackboneElement | IPS 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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 | S C | 1..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.
Slices for entry | S C | 0..* | Reference(Resource) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve()
entry:smokingTobaccoUse | S C | 0..1 | Reference(Observation (SH: tobacco use)) | A reference to data that supports this section
entry:alcoholUse | S C | 0..1 | Reference(Observation (SH: alcohol use)) | A reference to data that supports this section
section:sectionPregnancyHx | S C | 0..1 | BackboneElement | IPS History of 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 10162-6
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 | S C | 1..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.
Slices for entry | S C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies. Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyStatus | S C | 0..* | Reference(Observation (Pregnancy: status)) | A reference to data that supports this section
entry:pregnancyOutcomeSummary | S C | 0..* | Reference(Observation (Pregnancy: outcome)) | A reference to data that supports this section
section:sectionAdvanceDirectives | S C | 0..1 | BackboneElement | IPS Advance Directives 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 | S | 1..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text 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: 42348-3
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 | S C | 1..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.
Slices for entry | S C | 0..* | Reference(Resource) | Narrative description of the patient's advance directive. Slice: Unordered, Open by profile:$this.resolve()
entry:advanceDirectivesConsent | S C | 0..* | Reference(Consent) | A reference to data that supports this section
section:sectionCertificationOfMedicalNecessity | S C | 0..1 | BackboneElement | Certification of Medical Necessity
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 | Classification of section (recommended) 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: 52016-3
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 | 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.
Slices for entry | S C | 0..* | Reference(Resource) | Medical Necessity Entry Slice: Unordered, Open by profile:resolve()
entry:MedicalNecessityEntry | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:Signature | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignatureDate | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:SignerProviderType | S C | 0..1 | Reference(PractitionerRole) | A reference to data that supports this section
entry:SignerName | S C | 0..1 | Reference(Practitioner) | A reference to data that supports this section
entry:Justification | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:ReasonForTransport | S C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCode | C | 0..1 | Reference(Observation) | A reference to data that supports this section
entry:PriorAuthorizationCodePayer | C | 0..1 | Reference(Observation) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sectionCoverage | S C | 0..1 | BackboneElement | Insurance 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 | Classification of section (recommended) 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: 48768-6
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 | 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.
Slices for entry | S C | 0..1 | Reference(Coverage) | the Patient's insurance information Slice: Unordered, Open by profile:resolve()
entry:Coverage | S C | 0..1 | 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:sectionReasonForReferral | S C | 0..1 | BackboneElement | Reason for Referral
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 | Classification of section (recommended) 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: 42349-1
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 | 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.
Slices for entry | S C | 2..2 | Reference(Resource) | Certification of Medical Necessity Slice: Unordered, Open by profile:resolve()
entry:SimpleObservations | S C | 1..1 | Reference(Observation) | A reference to data that supports this section
entry:ConditionsEntry | S C | 1..1 | Reference(Condition (IPS)) | 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:sectionTransportInstructions | S C | 0..1 | BackboneElement | Transport Instructions
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 | Classification of section (recommended) 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: 74213-0
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 | 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.
Slices for entry | S C | 0..* | Reference(Resource) | Transport Instructions Section Entries Slice: Unordered, Open by profile:resolve()
entry:TrasnportInstructions | S C | 0..1 | Reference(Resource) | A reference to data that supports this section
entry:DestinationInformation | S C | 0..1 | Reference(Location) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Composition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Composition.status | required | CompositionStatus
Composition.type | preferred | Pattern: LOINC code 60591-5
Composition.category | example | DocumentClassValueSet
Composition.subject.type | extensible | ResourceType
Composition.confidentiality | required | v3.ConfidentialityClassification
Composition.attester.mode | required | CompositionAttestationMode
Composition.relatesTo.code | required | DocumentRelationshipType
Composition.event.code | example | ActCode
Composition.event:careProvisioningEvent.code | example | Pattern: PCPR
Composition.section.code | example | DocumentSectionCodes
Composition.section.mode | required | ListMode
Composition.section.orderedBy | preferred | ListOrderCodes
Composition.section.emptyReason | preferred | ListEmptyReasons
Composition.section:sectionMedications.code | example | Pattern: LOINC code 10160-0
Composition.section:sectionMedications.mode | required | ListMode
Composition.section:sectionMedications.orderedBy | preferred | ListOrderCodes
Composition.section:sectionAllergies.code | example | Pattern: LOINC code 48765-2
Composition.section:sectionAllergies.mode | required | ListMode
Composition.section:sectionAllergies.orderedBy | preferred | ListOrderCodes
Composition.section:sectionProblems.code | example | Pattern: LOINC code 11450-4
Composition.section:sectionProblems.mode | required | ListMode
Composition.section:sectionProblems.orderedBy | preferred | ListOrderCodes
Composition.section:sectionProceduresHx.code | example | Pattern: LOINC code 47519-4
Composition.section:sectionProceduresHx.mode | required | ListMode
Composition.section:sectionProceduresHx.orderedBy | preferred | ListOrderCodes
Composition.section:sectionImmunizations.code | example | Pattern: LOINC code 11369-6
Composition.section:sectionImmunizations.mode | required | ListMode
Composition.section:sectionImmunizations.orderedBy | preferred | ListOrderCodes
Composition.section:sectionMedicalDevices.code | example | Pattern: LOINC code 46264-8
Composition.section:sectionMedicalDevices.mode | required | ListMode
Composition.section:sectionMedicalDevices.orderedBy | preferred | ListOrderCodes
Composition.section:sectionResults.code | example | Pattern: LOINC code 30954-2
Composition.section:sectionResults.mode | required | ListMode
Composition.section:sectionResults.orderedBy | preferred | ListOrderCodes
Composition.section:sectionVitalSigns.code | example | Pattern: LOINC code 8716-3
Composition.section:sectionVitalSigns.mode | required | ListMode
Composition.section:sectionVitalSigns.orderedBy | preferred | ListOrderCodes
Composition.section:sectionPastIllnessHx.code | example | Pattern: LOINC code 11348-0
Composition.section:sectionPastIllnessHx.mode | required | ListMode
Composition.section:sectionPastIllnessHx.orderedBy | preferred | ListOrderCodes
Composition.section:sectionFunctionalStatus.code | example | Pattern: LOINC code 47420-5
Composition.section:sectionFunctionalStatus.mode | required | ListMode
Composition.section:sectionFunctionalStatus.orderedBy | preferred | ListOrderCodes
Composition.section:sectionPlanOfCare.code | example | Pattern: LOINC code 18776-5
Composition.section:sectionPlanOfCare.mode | required | ListMode
Composition.section:sectionPlanOfCare.orderedBy | preferred | ListOrderCodes
Composition.section:sectionSocialHistory.code | example | Pattern: LOINC code 29762-2
Composition.section:sectionSocialHistory.mode | required | ListMode
Composition.section:sectionSocialHistory.orderedBy | preferred | ListOrderCodes
Composition.section:sectionPregnancyHx.code | example | Pattern: LOINC code 10162-6
Composition.section:sectionPregnancyHx.mode | required | ListMode
Composition.section:sectionPregnancyHx.orderedBy | preferred | ListOrderCodes
Composition.section:sectionAdvanceDirectives.code | example | Pattern: LOINC code 42348-3
Composition.section:sectionAdvanceDirectives.mode | required | ListMode
Composition.section:sectionAdvanceDirectives.orderedBy | preferred | ListOrderCodes
Composition.section:sectionCertificationOfMedicalNecessity.code | example | Pattern: LOINC code 52016-3
Composition.section:sectionCertificationOfMedicalNecessity.mode | required | ListMode
Composition.section:sectionCertificationOfMedicalNecessity.orderedBy | preferred | ListOrderCodes
Composition.section:sectionCertificationOfMedicalNecessity.emptyReason | preferred | ListEmptyReasons
Composition.section:sectionCoverage.code | example | Pattern: LOINC code 48768-6
Composition.section:sectionCoverage.mode | required | ListMode
Composition.section:sectionCoverage.orderedBy | preferred | ListOrderCodes
Composition.section:sectionCoverage.emptyReason | preferred | ListEmptyReasons
Composition.section:sectionReasonForReferral.code | example | Pattern: LOINC code 42349-1
Composition.section:sectionReasonForReferral.mode | required | ListMode
Composition.section:sectionReasonForReferral.orderedBy | preferred | ListOrderCodes
Composition.section:sectionReasonForReferral.emptyReason | preferred | ListEmptyReasons
Composition.section:sectionTransportInstructions.code | example | Pattern: LOINC code 74213-0
Composition.section:sectionTransportInstructions.mode | required | ListMode
Composition.section:sectionTransportInstructions.orderedBy | preferred | ListOrderCodes
Composition.section:sectionTransportInstructions.emptyReason | preferred | ListEmptyReasons

This structure is derived from CompositionUvIps

Summary

Mandatory: 1 element (6 nested mandatory elements)
Must-Support: 20 elements

Structures

This structure refers to these other structures:

- Condition (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips)

Slices

This structure defines the following Slices:

- The element Composition.section.entry is sliced based on the value of profile:resolve()

Other representations of profile: CSV, Excel, Schematron