Profile: IHE_RIPT_Composition Parent: http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips Id: IHE.PCC.RIPT.Composition Title: "Refferal For Interfacility Patient Transport" Description: """ 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 """ * subject 1..1 // in addition to the sections defined in IPS... * section contains sectionCertificationOfMedicalNecessity 0..1 and sectionCoverage 0..1 and sectionReasonForReferral 0..1 and sectionTransportInstructions 0..1 * section[sectionCoverage] ^extension.url = "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" * section[sectionCoverage] ^extension.valueString = "Section" * section[sectionCoverage] ^short = "Insurance Section" * section[sectionCoverage] ^definition = "The insurance information for the patient to cover the encounter event." * section[sectionCoverage].code = $loinc#48768-6 * section[sectionCoverage].code MS * section[sectionCoverage].entry ..1 MS * section[sectionCoverage].entry only Reference(Coverage) * section[sectionCoverage].entry ^slicing.discriminator.type = #profile * section[sectionCoverage].entry ^slicing.discriminator.path = "resolve()" * section[sectionCoverage].entry ^slicing.rules = #open * section[sectionCoverage].entry ^short = "the Patient's insurance information" * section[sectionCoverage].entry ^definition = "Contains data on the patient's payers, whether a 'third party' insurance, self-pay, other payer or guarantor, or some combination of payers, and is used to define which entity is the responsible fiduciary for the financial aspects of a patient's care" * section[sectionCoverage].entry contains Coverage 0..1 MS * section[sectionCoverage].entry[Coverage] only Reference(Coverage) * section[sectionReasonForReferral] ^extension.url = "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" * section[sectionReasonForReferral] ^extension.valueString = "Section" * section[sectionReasonForReferral] ^short = "Reason for Referral" * section[sectionReasonForReferral] ^definition = "This section shall include at least one entry describing the reason for referral as described in the Entry Content Module. " * section[sectionReasonForReferral].code = $loinc#42349-1 * section[sectionReasonForReferral].code MS * section[sectionReasonForReferral].entry 2..2 MS * section[sectionReasonForReferral].entry ^slicing.discriminator.type = #profile * section[sectionReasonForReferral].entry ^slicing.discriminator.path = "resolve()" * section[sectionReasonForReferral].entry ^slicing.rules = #open * section[sectionReasonForReferral].entry ^short = "Certification of Medical Necessity" * section[sectionReasonForReferral].entry ^definition = "Indication of whether a physician certification statement (PCS) is available documenting the medical necessity for the EMS encounter. The Certification of Medical Necessity section includes the information necessary to document the justification for the medical transport, including the name and role of the person authorizing the medical transport. This information can be used to generate a Certificate of Medical Necessity (CMN) document for signature." * section[sectionReasonForReferral].entry contains SimpleObservations 1..1 MS and ConditionsEntry 1..1 MS * section[sectionReasonForReferral].entry[SimpleObservations] only Reference(Observation) * section[sectionReasonForReferral].entry[ConditionsEntry] only Reference(ConditionUvIps) * section[sectionCertificationOfMedicalNecessity] ^extension.url = "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" * section[sectionCertificationOfMedicalNecessity] ^extension.valueString = "Section" * section[sectionCertificationOfMedicalNecessity] ^short = "Certification of Medical Necessity" * section[sectionCertificationOfMedicalNecessity] ^definition = "The Certification of Medical Necessity section includes the information necessary to document the justification for the medical transport, including the name and role of the person authorizing the medical transport. This information can be used to generate a Certificate of Medical Necessity (CMN) document for signature." * section[sectionCertificationOfMedicalNecessity].code = $loinc#52016-3 * section[sectionCertificationOfMedicalNecessity].code MS * section[sectionCertificationOfMedicalNecessity].entry ..* MS * section[sectionCertificationOfMedicalNecessity].entry ^slicing.discriminator.type = #profile * section[sectionCertificationOfMedicalNecessity].entry ^slicing.discriminator.path = "resolve()" * section[sectionCertificationOfMedicalNecessity].entry ^slicing.rules = #open * section[sectionCertificationOfMedicalNecessity].entry ^short = "Medical Necessity Entry" * section[sectionCertificationOfMedicalNecessity].entry ^definition = "Indication of whether a physician certification statement (PCS) is available documenting the medical necessity for the EMS encounter. The Certification of Medical Necessity section includes the information necessary to document the justification for the medical transport, including the name and role of the person authorizing the medical transport. This information can be used to generate a Certificate of Medical Necessity (CMN) document for signature." * section[sectionTransportInstructions] ^extension.url = "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" * section[sectionTransportInstructions] ^extension.valueString = "Section" * section[sectionTransportInstructions] ^short = "Transport Instructions" * section[sectionTransportInstructions] ^definition = "This section contains narrative information provided by the patient’s care provider(s) to indicate any care that should be rendered during the transport." * section[sectionTransportInstructions].code = $loinc#74213-0 * section[sectionTransportInstructions].code MS * section[sectionTransportInstructions].entry ..* MS * section[sectionTransportInstructions].entry ^slicing.discriminator.type = #profile * section[sectionTransportInstructions].entry ^slicing.discriminator.path = "resolve()" * section[sectionTransportInstructions].entry ^slicing.rules = #open * section[sectionTransportInstructions].entry ^short = "Transport Instructions Section Entries" * section[sectionTransportInstructions].entry ^definition = "This section contains information provided by the patient’s care provider(s) to indicate any care that should be rendered during the transport and the Destination information." * section[sectionTransportInstructions].entry contains TrasnportInstructions 0..1 MS and DestinationInformation 0..1 MS * section[sectionTransportInstructions].entry[DestinationInformation] only Reference(Location) * section[sectionProblems].entry[problem] Reference(IHE_RIPT_Condition) * section[sectionProceduresHx].entry[procedure] Reference(IHE_RIPT_Procedures) * section[sectionAllergies].entry[allergyOrIntolerance] Reference(IHE_RIPT_AllergyIntolerance)