CH EMED EPR
1.0.1-ci-build - ci-build Switzerland flag

CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 1.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions

Resource Profile: PML Composition

Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-composition-medicationlist Version: 1.0.1-ci-build
Draft as of 2024-04-05 Computable Name: CHEMEDEPRCompositionMedicationList

Copyright/Legal: CC0-1.0

Definition of the composition for the medication list document

Usage:

Formal Views of Profile Content

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

This structure is derived from CHEMEDCompositionMedicationList

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHEMEDCompositionMedicationList CH EMED Medication List Composition
... meta
.... extension D 0..* Extension ✕ This element is not supported
.... versionId D 0..1 id ✕ This element is not supported
.... lastUpdated D 0..1 instant ✕ This element is not supported
.... source D 0..1 uri ✕ This element is not supported
.... security D 0..* Coding ✕ This element is not supported
.... tag D 0..* Coding ✕ This element is not supported
... implicitRules 0..0
... modifierExtension 0..0
.... extension D 0..* Extension ✕ This element is not supported
.... use 0..1 code usual | official | temp | secondary | old (If known)
Required Pattern: official
.... type D 0..1 CodeableConcept ✕ This element is not supported
.... value C 1..1 string The document identifier as an URN-encoded UUID
urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
.... period D 0..1 Period ✕ This element is not supported
.... assigner D 0..1 Reference(CH EMED EPR Organization) ✕ This element is not supported
... type
.... extension D 0..* Extension ✕ This element is not supported
.... coding
..... extension D 0..* Extension ✕ This element is not supported
..... version D 0..1 string ✕ This element is not supported
..... userSelected D 0..1 boolean ✕ This element is not supported
... encounter D 0..1 Reference(CH Core Encounter) ✕ This element is not supported
... date C 1..1 dateTime The document's creation date and time
datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ')
... author 1..1 Reference(CH EMED EPR Device) The author of the document (device, which dynamically generates the document)
... confidentiality 1..1 code The confidentiality is fixed to the 'normal' level
Required Pattern: N
.... id D 0..1 string ✕ This element is not supported
.... extension 1..1 Extension Extension
.... extension:confidentialityCode 1..1 EPRConfidentialityCode Extension
..... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
...... extension D 0..* Extension ✕ This element is not supported
...... coding 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 17621005
....... extension D 0..* Extension ✕ This element is not supported
....... version D 0..1 string ✕ This element is not supported
....... userSelected D 0..1 boolean ✕ This element is not supported
... attester D 0..* BackboneElement ✕ This element is not supported
... attester:legalAuthenticator D 0..1 BackboneElement ✕ This element is not supported
... custodian
.... id D 0..1 string ✕ This element is not supported
... relatesTo D 0..* BackboneElement ✕ This element is not supported
.... code 1..1 code replaces | transforms | signs | appends
Required Pattern: replaces
... event D 0..* BackboneElement ✕ This element is not supported
... section 1..* BackboneElement Medication list
.... modifierExtension 0..0
.... author 0..* Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) Who and/or what authored the section
.... focus D 0..1 Reference(Resource) ✕ This element is not supported
.... mode 0..1 code working | snapshot | changes
Required Pattern: snapshot
.... orderedBy D 0..1 CodeableConcept ✕ This element is not supported
.... entry
..... id D 0..1 string ✕ This element is not supported
... section:originalRepresentation 0..1 BackboneElement Contains the original representation as a PDF of the current document.
.... modifierExtension 0..0
.... author 0..* Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) Who and/or what authored the section
... section:list 1..1 BackboneElement Composition is broken into sections
.... modifierExtension 0..0
.... author 0..0
.... text 1..1 Narrative Description of the parameters used to generate this medication list.
.... entry:medicationStatement 0..* Reference(PML MedicationStatement) MedicationStatement (from MTP)
.... entry:medicationRequest 0..* Reference(PML MedicationRequest) MedicationRequest (from PRE)
.... entry:medicationDispense 0..* Reference(PML MedicationDispense) MedicationDispense or MedicationAdministration (from DIS)
.... entry:observation 0..* Reference(PML Observation) Observation (from PADV)
... section:annotation 0..1 BackboneElement Annotation
.... modifierExtension 0..0
.... author 0..* Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) Who and/or what authored the section
... section:vitalSigns 0..1 BackboneElement IPS Vital Signs Section
.... modifierExtension 0..0
.... code 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: 8716-3
..... coding 1..* Coding Code defined by a terminology system
.... author 0..* Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) Who and/or what authored the section
.... entry 1..1 Reference(Body Weight Observation) A reference to data that supports this section

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
datetime-only-instant-invarianterrorComposition.dateThe dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ')
: $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$')
urn-uuid-invarianterrorComposition.identifier.valueThe value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
: $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHEMEDCompositionMedicationList CH EMED Medication List Composition
... language 1..1 code Language of the document
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... informationRecipient 0..* Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization) Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
... dataEnterer 0..1 (Complex) Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: official
.... type Σ 0..1 CodeableConcept ✕ This element is not supported
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value ΣC 1..1 string The document identifier as an URN-encoded UUID
urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
.... period Σ 0..1 Period ✕ This element is not supported
.... assigner Σ 0..1 Reference(CH EMED EPR Organization) ✕ This element is not supported
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type ΣC 1..1 CodeableConcept Medication summary document (record artifact)
Binding: DocumentEntry.typeCode (extensible)
ch-emed-comp-list: If a LOINC code is additionally provided, '56445-0' shall be used for this document type.
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721912009
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
... subject Σ 1..1 Reference(CH Core Patient EPR) A patient for whom this document instance was created
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter Σ 0..1 Reference(CH Core Encounter) ✕ This element is not supported
... date ΣC 1..1 dateTime The document's creation date and time
datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ')
... author Σ 1..1 Reference(CH EMED EPR Device) The author of the document (device, which dynamically generates the document)
.... time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... title Σ 1..1 string 'Medikationsliste' in german or 'Liste de médication' in french or 'Elenco delle terapie farmacologiche' in italian or Medication List' in english or titles in other languages are also allowed
... confidentiality Σ 1..1 code The confidentiality is fixed to the 'normal' level
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.


Required Pattern: N
.... id 0..1 string ✕ This element is not supported
.... Slices for extension 1..1 Extension Extension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1 (Complex) Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
..... extension 0..0
..... url 1..1 uri "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode"
..... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: DocumentEntry.confidentialityCode (extensible)
....... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
....... coding Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 17621005
........ extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
........ version Σ 0..1 string ✕ This element is not supported
........ code Σ 1..1 code Symbol in syntax defined by the system
........ userSelected Σ 0..1 boolean ✕ This element is not supported
... Slices for attester 0..* BackboneElement ✕ This element is not supported
Slice: Unordered, Open by value:mode
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... attester:legalAuthenticator 0..1 BackboneElement ✕ This element is not supported
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... party 1..1 Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR) Who attested the composition
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... relatesTo 0..* BackboneElement ✕ This element is not supported
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.


Required Pattern: replaces
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(CH Core Composition EPR)
... event Σ 0..* BackboneElement ✕ This element is not supported
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... Slices for section C 1..* BackboneElement Medication list
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... author 0..* Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) Who and/or what authored the section
..... focus 0..1 Reference(Resource) ✕ This element is not supported
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.


Required Pattern: snapshot
..... orderedBy 0..1 CodeableConcept ✕ This element is not supported
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

.... section:originalRepresentation C 0..1 BackboneElement Contains the original representation as a PDF of the current document.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... title 1..1 string Original representation
..... code 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: 55108-5
..... author 0..* Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) Who and/or what authored the section
..... text C 1..1 Narrative Representation of the original view
..... entry C 1..1 Reference(Binary) According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... narrativeLink 0..1 url narrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
.... section:list C 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... title 1..1 string 'Medikamentenliste' in german or 'Liste de médicaments' in french or 'Lista farmaci' in italian or 'Medication List' in english or titles in other languages are also allowed
..... code 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: 10160-0
..... text C 1..1 Narrative Description of the parameters used to generate this medication list.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:medicationStatement C 0..* Reference(PML MedicationStatement) MedicationStatement (from MTP)
....... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:medicationRequest C 0..* Reference(PML MedicationRequest) MedicationRequest (from PRE)
....... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:medicationDispense C 0..* Reference(PML MedicationDispense) MedicationDispense or MedicationAdministration (from DIS)
....... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... entry:observation C 0..* Reference(PML Observation) Observation (from PADV)
....... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:annotation C 0..1 BackboneElement Annotation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... title 1..1 string 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
..... code 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: 48767-8
..... author 0..* Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) Who and/or what authored the section
..... text C 1..1 Narrative Human readable text of this section
.... section:vitalSigns C 0..1 BackboneElement IPS Vital Signs Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... code 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: 8716-3
...... coding Σ 1..* Coding Code defined by a terminology system
..... author 0..* Reference(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) Who and/or what authored the section
..... entry C 1..1 Reference(Body Weight Observation) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.identifier.userequiredPattern: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Composition.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typeextensiblePattern: SNOMED CT code 721912009
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
Composition.confidentialityrequiredPattern: N
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.confidentiality.extension:confidentialityCode.value[x]:valueCodeableConceptextensibleDocumentEntryConfidentialityCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:legalAuthenticator.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredPattern: replaces
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.section.moderequiredPattern: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:originalRepresentation.codeexamplePattern: LOINC code 55108-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:list.codeexamplePattern: LOINC code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:annotation.codeexamplePattern: LOINC code 48767-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:vitalSigns.codeexamplePattern: LOINC code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-emed-comp-listerrorComposition.typeIf a LOINC code is additionally provided, '56445-0' shall be used for this document type.
: coding.exists(system = 'http://loinc.org') implies (coding.exists(system = 'http://loinc.org' and code = '56445-0'))
cmp-1errorComposition.section, Composition.section:originalRepresentation, Composition.section:list, Composition.section:annotation, Composition.section:vitalSignsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:originalRepresentation, Composition.section:list, Composition.section:annotation, Composition.section:vitalSignsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
datetime-only-instant-invarianterrorComposition.dateThe dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ')
: $this.toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))$')
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
urn-uuid-invarianterrorComposition.identifier.valueThe value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
: $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* CHEMEDCompositionMedicationList CH EMED Medication List Composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id ✕ This element is not supported
.... lastUpdated Σ 0..1 instant ✕ This element is not supported
.... source Σ 0..1 uri ✕ This element is not supported
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding ✕ This element is not supported
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding ✕ This element is not supported
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... language 1..1 code Language of the document
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... informationRecipient 0..* Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization) Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient
... dataEnterer 0..1 (Complex) Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
... identifier Σ 1..1 Identifier Version-independent identifier for the Composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: official
.... type Σ 0..1 CodeableConcept ✕ This element is not supported
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value ΣC 1..1 string The document identifier as an URN-encoded UUID
urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
.... period Σ 0..1 Period ✕ This element is not supported
.... assigner Σ 0..1 Reference(CH EMED EPR Organization) ✕ This element is not supported
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type ΣC 1..1 CodeableConcept Medication summary document (record artifact)
Binding: DocumentEntry.typeCode (extensible)
ch-emed-comp-list: If a LOINC code is additionally provided, '56445-0' shall be used for this document type.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721912009
..... 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string ✕ This element is not supported
..... code Σ 0..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean ✕ This element is not supported
.... text Σ 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 Σ 1..1 Reference(CH Core Patient EPR) A patient for whom this document instance was created
.... 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 ΣC 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 Σ 0..1 Reference(CH Core Encounter) ✕ This element is not supported
... date ΣC 1..1 dateTime The document's creation date and time
datetime-only-instant-invariant: The dateTime shall be an instant ('YYYY-MM-DDThh:mm:ss+zz:zz' or 'YYYY-MM-DDThh:mm:ssZ')
... author Σ 1..1 Reference(CH EMED EPR Device) The author of the document (device, which dynamically generates the document)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
.... reference ΣC 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
... title Σ 1..1 string 'Medikationsliste' in german or 'Liste de médication' in french or 'Elenco delle terapie farmacologiche' in italian or Medication List' in english or titles in other languages are also allowed
... confidentiality Σ 1..1 code The confidentiality is fixed to the 'normal' level
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.


Required Pattern: N
.... id 0..1 string ✕ This element is not supported
.... Slices for extension 1..1 Extension Extension
Slice: Unordered, Open by value:url
.... confidentialityCode 1..1 (Complex) Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode"
..... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: DocumentEntry.confidentialityCode (extensible)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
....... coding Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 17621005
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
........ version Σ 0..1 string ✕ This element is not supported
........ code Σ 1..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean ✕ This element is not supported
....... text Σ 0..1 string Plain text representation of the concept
.... value 0..1 string Primitive value for code
... Slices for attester 0..* BackboneElement ✕ This element is not supported
Slice: Unordered, Open by value:mode
.... attester: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
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1 dateTime When the composition was attested
..... party 0..1 Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Who attested the composition
...... 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 ΣC 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
.... attester:legalAuthenticator 0..1 BackboneElement ✕ This element is not supported
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


Fixed Value: legal
..... time 0..1 dateTime Timestamp of the signature
..... party 1..1 Reference(CH Core Patient EPR | RelatedPerson | CH Core Practitioner EPR | CH Core PractitionerRole EPR) Who attested the composition
...... 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 ΣC 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
... custodian Σ 0..1 Reference(CH Core Organization EPR) Organization which maintains the composition
.... id 0..1 string ✕ This element is not supported
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 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
... relatesTo 0..* BackboneElement ✕ This element is not supported
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.


Required Pattern: replaces
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(CH Core Composition EPR)
... event Σ 0..* BackboneElement ✕ This element is not supported
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 1..* BackboneElement Medication list
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... 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(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) Who and/or what authored the section
..... focus 0..1 Reference(Resource) ✕ This element is not supported
..... 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.


Required Pattern: snapshot
..... orderedBy 0..1 CodeableConcept ✕ This element is not supported
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
...... id 0..1 string ✕ This element is not supported
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..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
..... 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:originalRepresentation C 0..1 BackboneElement Contains the original representation as a PDF of the current document.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... title 1..1 string Original representation
..... code 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: 55108-5
....... 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(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) 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 1..1 Narrative Representation of the original view
..... 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 1..1 Reference(Binary) According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format.
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... narrativeLink 0..1 url narrativeLink to img src attribute
URL: http://hl7.org/fhir/StructureDefinition/narrativeLink
...... reference ΣC 0..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
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:list C 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... title 1..1 string 'Medikamentenliste' in german or 'Liste de médicaments' in french or 'Lista farmaci' in italian or 'Medication List' in english or titles in other languages are also allowed
..... code 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: 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
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 1..1 Narrative Description of the parameters used to generate this medication list.
..... 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) A reference to data that supports this section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:medicationStatement C 0..* Reference(PML MedicationStatement) MedicationStatement (from MTP)
....... 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 ΣC 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
...... entry:medicationRequest C 0..* Reference(PML MedicationRequest) MedicationRequest (from PRE)
....... 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 ΣC 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
...... entry:medicationDispense C 0..* Reference(PML MedicationDispense) MedicationDispense or MedicationAdministration (from DIS)
....... 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 ΣC 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
...... entry:observation C 0..* Reference(PML Observation) Observation (from PADV)
....... 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 ΣC 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
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

.... section:annotation C 0..1 BackboneElement Annotation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... title 1..1 string 'Kommentar' in german or 'Commentaire' in french or 'Osservazione' in italian or 'Comment' in english or titles in other languages are also allowed
..... code 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: 48767-8
....... 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(CH EMED EPR Practitioner | CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR Organization | CH EMED EPR RelatedPerson | CH EMED EPR Device) 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 1..1 Narrative Human readable text of this section
..... 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:vitalSigns C 0..1 BackboneElement IPS Vital Signs Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... title 0..1 string Label for section (e.g. for ToC)
..... code 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: 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
...... id 0..1 string Unique id for inter-element referencing
......