HL7 Czech Outpatient Encounter Report Implementation Guide
0.1.0 - ci-build Czechia flag

HL7 Czech Outpatient Encounter Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/amb/ and changes regularly. See the Directory of published versions

Resource Profile: Composition: Outpatient Encounter Report (CZ)

Official URL: https://hl7.cz/fhir/amb/StructureDefinition/cz-composition-amb Version: 0.1.0
Standards status: Draft Maturity Level: 0 Computable Name: CZ_CompositionAmb

Copyright/Legal: HL7 CZ

Clinical document used to represent an Outpatient Encounter Report for the scope of this guide.

Outpatient Encounter Report composition is an electronic health record extract containing Outpatient Encounter Report.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Outpatient Encounter Report Composition
... meta Σ 0..1 Meta Metadata about the resource
.... security SΣ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:presentedForm 1..* (Complex) Presented form
URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Order
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept Kind of composition (Outpatient Encounter Report)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34108-1
..... display 1..1 string Representation defined by the system
Fixed Value: Outpatient Note
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient (CZ core)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter (CZ)) Context that defines the Outpatient Encounter Report
... date Σ 1..1 dateTime Date the order was created.
... author Σ 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ)) Who and/or what authored the Outpatient Encounter Report
... title Σ 1..1 string Human Readable name/title
... custodian Σ 0..1 Reference(Organization (CZ core)) Organization that manages the Outpatient Encounter Report
... Slices for section C 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAdvanceDirectives C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 42348-3
....... display 1..1 string Representation defined by the system
Fixed Value: Advance healthcare directives
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Consent (Advance Directives) (HDR CZ) | Consent | DocumentReference) A reference to data that supports this section
.... section:sectionAllergies C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(AllergyIntolerance: Outpatient Encounter Report (CZ) | Allergy Intolerance (CZ) | AllergyIntolerance | DocumentReference) A reference to data that supports this section
.... section:sectionAlerts C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 104605-1
....... display 1..1 string Representation defined by the system
Fixed Value: Alert
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Flag: Outpatient Encounter Report (CZ) | Flag | DocumentReference) A reference to data that supports this section
.... section:sectionAdmissionEvaluation C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 67851-6
....... display 1..1 string Representation defined by the system
Fixed Value: Admission evaluation note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Vital Signs Profile | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) | Observation | DocumentReference) A reference to data that supports this section
.... section:sectionPatientHistory C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 35090-0
....... display 1..1 string Representation defined by the system
Fixed Value: Patient history
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for section C 0..* See section (Composition) Nested Section
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:PastIllnessHx C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11348-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Past illness note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Condition (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:HistoryMedicalDevices C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 46264-8
......... display 1..1 string Representation defined by the system
Fixed Value: History of medical device use
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Medical Device (CZ) | DeviceUseStatement | DocumentReference) A reference to data that supports this section
...... section:ProceduresHx C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 47519-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Procedure (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:ImmunizationHx C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11369-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Immunization (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:InfectiousContacts C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: https://hl7.cz/fhir/hdr/CodeSystem/temporarySystem-hdr-cz
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: infection-contact
......... display 1..1 string Representation defined by the system
Fixed Value: Infectious contacts
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation: Infectious Contact (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:TravelHx C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 10182-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Travel note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation: travel history (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:FamilyHistory C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 10157-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of family member diseases note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(FamilyMemberHistory (HDR CZ) | FamilyMemberHistory | DocumentReference) A reference to data that supports this section
...... section:SocialHistory C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 29762-2
......... display 1..1 string Representation defined by the system
Fixed Value: Social history note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation: SDOH (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:AlcoholUse C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11331-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Alcohol use
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:TobaccoUse C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11367-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Tobacco use
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:DrugUse C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11343-1
......... display 1..1 string Representation defined by the system
Fixed Value: History of Other nonmedical drug use
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:SubstanceUse C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 108229-6
......... display 1..1 string Representation defined by the system
Fixed Value: Use of substance note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
.... section:sectionEncounterSummary C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 67781-5
....... display 1..1 string Representation defined by the system
Fixed Value: Summarization of encounter note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for section C 0..* See section (Composition) Nested Section
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:ProblemList C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11450-4
......... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Condition (HDR CZ) | Condition | ClinicalImpression) A reference to data that supports this section
...... section:ProceduresAndTreatments C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 29554-3
......... display 1..1 string Representation defined by the system
Fixed Value: Procedure Narrative
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Procedure (HDR CZ) | Procedure | MedicationAdministration) A reference to data that supports this section
...... section:MedicalDevices C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 57080-4
......... display 1..1 string Representation defined by the system
Fixed Value: Implanted medical device Narrative
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(DeviceUseStatement (HDR) | Device | Medical Device (CZ)) A reference to data that supports this section
...... section:MedicationDuring C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 29549-3
......... display 1..1 string Representation defined by the system
Fixed Value: Medication administered Narrative
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(MedicationAdministration | MedicationStatement | Medication (CZ)) A reference to data that supports this section
...... section:Results C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 30954-2
......... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation | DiagnosticReport | ImagingStudy | Observation Laboratory (CZ) | Observation: Imaging Report (CZ)) A reference to data that supports this section
...... section:ClinicalSummary C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 51848-0
......... display 1..1 string Representation defined by the system
Fixed Value: Evaluation note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionMedicationSummary C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Medication (CZ) | Medication Statement (CZ) | MedicationStatement | MedicationRequest | DocumentReference) A reference to data that supports this section
.... section:sectionPlanOfCare C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Care Plan (HDR CZ) | CarePlan | DocumentReference) A reference to data that supports this section
.... section:sectionAttachments C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 77599-9
....... display 1..1 string Representation defined by the system
Fixed Value: Additional documentation
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(DocumentReference) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlerts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:PastIllnessHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:HistoryMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ProceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ImmunizationHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:InfectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TravelHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:FamilyHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SocialHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:AlcoholUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TobaccoUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:DrugUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SubstanceUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProblemList.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProceduresAndTreatments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicationDuring.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:Results.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ClinicalSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicationSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAllergies, Composition.section:sectionAlerts, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionPatientHistory, Composition.section:sectionEncounterSummary, Composition.section:sectionMedicationSummary, Composition.section:sectionPlanOfCare, Composition.section:sectionAttachments A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAllergies, Composition.section:sectionAlerts, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionPatientHistory, Composition.section:sectionEncounterSummary, Composition.section:sectionMedicationSummary, Composition.section:sectionPlanOfCare, Composition.section:sectionAttachments A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Outpatient Encounter Report Composition
... meta
.... security S 0..* Coding Security Labels applied to this resource
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:presentedForm 1..* (Complex) Presented form
URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
..... value[x]
...... contentType 0..1 code Mime type of the content, with charset etc.
Example pdf: application/pdf
...... data 0..1 base64Binary B64 in-line data
...... url 0..1 url URL of the document
... identifier 0..1 Identifier Report identifier
... type 1..1 CodeableConcept Kind of composition (Outpatient Encounter Report)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34108-1
..... display 1..1 string Representation defined by the system
Fixed Value: Outpatient Note
... subject 1..1 Reference(Patient (CZ core)) Who and/or what the composition is about
... encounter 0..1 Reference(Encounter (CZ)) Context that defines the Outpatient Encounter Report
... date 1..1 dateTime Date the order was created.
... author 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ)) Who and/or what authored the Outpatient Encounter Report
... custodian 0..1 Reference(Organization (CZ core)) Organization that manages the Outpatient Encounter Report
... Slices for section 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:sectionAdvanceDirectives 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 42348-3
....... display 1..1 string Representation defined by the system
Fixed Value: Advance healthcare directives
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Consent (Advance Directives) (HDR CZ) | Consent | DocumentReference) A reference to data that supports this section
.... section:sectionAllergies 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(AllergyIntolerance: Outpatient Encounter Report (CZ) | Allergy Intolerance (CZ) | AllergyIntolerance | DocumentReference) A reference to data that supports this section
.... section:sectionAlerts 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 104605-1
....... display 1..1 string Representation defined by the system
Fixed Value: Alert
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Flag: Outpatient Encounter Report (CZ) | Flag | DocumentReference) A reference to data that supports this section
.... section:sectionAdmissionEvaluation 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 67851-6
....... display 1..1 string Representation defined by the system
Fixed Value: Admission evaluation note
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Vital Signs Profile | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) | Observation | DocumentReference) A reference to data that supports this section
.... section:sectionPatientHistory 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 35090-0
....... display 1..1 string Representation defined by the system
Fixed Value: Patient history
..... Slices for section 0..* Nested Section
Slice: Unordered, Open by pattern:code
...... section:PastIllnessHx 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11348-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Past illness note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Condition (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:HistoryMedicalDevices 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 46264-8
......... display 1..1 string Representation defined by the system
Fixed Value: History of medical device use
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Medical Device (CZ) | DeviceUseStatement | DocumentReference) A reference to data that supports this section
...... section:ProceduresHx 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 47519-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Procedure (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:ImmunizationHx 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11369-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Immunization (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:InfectiousContacts 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: https://hl7.cz/fhir/hdr/CodeSystem/temporarySystem-hdr-cz
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: infection-contact
......... display 1..1 string Representation defined by the system
Fixed Value: Infectious contacts
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation: Infectious Contact (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:TravelHx 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 10182-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Travel note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation: travel history (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:FamilyHistory 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 10157-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of family member diseases note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(FamilyMemberHistory (HDR CZ) | FamilyMemberHistory | DocumentReference) A reference to data that supports this section
...... section:SocialHistory 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 29762-2
......... display 1..1 string Representation defined by the system
Fixed Value: Social history note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation: SDOH (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:AlcoholUse 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11331-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Alcohol use
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:TobaccoUse 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11367-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Tobacco use
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:DrugUse 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11343-1
......... display 1..1 string Representation defined by the system
Fixed Value: History of Other nonmedical drug use
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:SubstanceUse 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 108229-6
......... display 1..1 string Representation defined by the system
Fixed Value: Use of substance note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
.... section:sectionEncounterSummary 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 67781-5
....... display 1..1 string Representation defined by the system
Fixed Value: Summarization of encounter note
..... Slices for section 0..* Nested Section
Slice: Unordered, Open by pattern:code
...... section:ProblemList 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11450-4
......... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Condition (HDR CZ) | Condition | ClinicalImpression) A reference to data that supports this section
...... section:ProceduresAndTreatments 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 29554-3
......... display 1..1 string Representation defined by the system
Fixed Value: Procedure Narrative
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Procedure (HDR CZ) | Procedure | MedicationAdministration) A reference to data that supports this section
...... section:MedicalDevices 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 57080-4
......... display 1..1 string Representation defined by the system
Fixed Value: Implanted medical device Narrative
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(DeviceUseStatement (HDR) | Device | Medical Device (CZ)) A reference to data that supports this section
...... section:MedicationDuring 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 29549-3
......... display 1..1 string Representation defined by the system
Fixed Value: Medication administered Narrative
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(MedicationAdministration | MedicationStatement | Medication (CZ)) A reference to data that supports this section
...... section:Results 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 30954-2
......... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation | DiagnosticReport | ImagingStudy | Observation Laboratory (CZ) | Observation: Imaging Report (CZ)) A reference to data that supports this section
...... section:ClinicalSummary 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 51848-0
......... display 1..1 string Representation defined by the system
Fixed Value: Evaluation note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionMedicationSummary 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Medication (CZ) | Medication Statement (CZ) | MedicationStatement | MedicationRequest | DocumentReference) A reference to data that supports this section
.... section:sectionPlanOfCare 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care note
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Care Plan (HDR CZ) | CarePlan | DocumentReference) A reference to data that supports this section
.... section:sectionAttachments 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 77599-9
....... display 1..1 string Representation defined by the system
Fixed Value: Additional documentation
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(DocumentReference) A reference to data that supports this section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Outpatient Encounter Report 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 Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security SΣ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:presentedForm 1..* (Complex) Presented form
URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"
..... value[x] 0..1 Attachment Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType Σ 0..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
Example pdf: application/pdf
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 0..1 base64Binary B64 in-line data
...... url Σ 0..1 url URL of the document
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Order
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept Kind of composition (Outpatient Encounter Report)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34108-1
..... display 1..1 string Representation defined by the system
Fixed Value: Outpatient Note
..... 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 Σ 1..1 Reference(Patient (CZ core)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter (CZ)) Context that defines the Outpatient Encounter Report
... date Σ 1..1 dateTime Date the order was created.
... author Σ 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ)) Who and/or what authored the Outpatient Encounter Report
... title Σ 1..1 string Human Readable name/title
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... time 0..1 dateTime When the composition was attested
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
... custodian Σ 0..1 Reference(Organization (CZ core)) Organization that manages the Outpatient Encounter Report
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
.... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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:sectionAdvanceDirectives C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 42348-3
....... display 1..1 string Representation defined by the system
Fixed Value: Advance healthcare directives
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(Consent (Advance Directives) (HDR CZ) | Consent | DocumentReference) 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:sectionAllergies C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(AllergyIntolerance: Outpatient Encounter Report (CZ) | Allergy Intolerance (CZ) | AllergyIntolerance | DocumentReference) 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:sectionAlerts C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 104605-1
....... display 1..1 string Representation defined by the system
Fixed Value: Alert
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(Flag: Outpatient Encounter Report (CZ) | Flag | DocumentReference) 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:sectionAdmissionEvaluation C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 67851-6
....... display 1..1 string Representation defined by the system
Fixed Value: Admission evaluation note
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(Vital Signs Profile | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) | Observation | DocumentReference) 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:sectionPatientHistory C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 35090-0
....... display 1..1 string Representation defined by the system
Fixed Value: Patient history
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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.
..... Slices for section C 0..* See section (Composition) Nested Section
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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:PastIllnessHx C 0..1 BackboneElement Nested 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 1..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: 11348-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Past illness note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Condition (HDR CZ) | DocumentReference) 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:HistoryMedicalDevices C 0..1 BackboneElement Nested 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 1..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: 46264-8
......... display 1..1 string Representation defined by the system
Fixed Value: History of medical device use
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Medical Device (CZ) | DeviceUseStatement | DocumentReference) 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:ProceduresHx C 0..1 BackboneElement Nested 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 1..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: 47519-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Procedure (HDR CZ) | DocumentReference) 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:ImmunizationHx C 0..* BackboneElement Nested 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 1..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: 11369-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Immunization (HDR CZ) | DocumentReference) 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:InfectiousContacts C 0..* BackboneElement Nested 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 1..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: https://hl7.cz/fhir/hdr/CodeSystem/temporarySystem-hdr-cz
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: infection-contact
......... display 1..1 string Representation defined by the system
Fixed Value: Infectious contacts
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation: Infectious Contact (HDR CZ) | DocumentReference) 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:TravelHx C 0..* BackboneElement Nested 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 1..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: 10182-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Travel note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation: travel history (HDR CZ) | DocumentReference) 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:FamilyHistory C 0..* BackboneElement Nested 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 1..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: 10157-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of family member diseases note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(FamilyMemberHistory (HDR CZ) | FamilyMemberHistory | DocumentReference) 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:SocialHistory C 0..1 BackboneElement Nested 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 1..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: 29762-2
......... display 1..1 string Representation defined by the system
Fixed Value: Social history note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation: SDOH (HDR CZ) | DocumentReference) 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:AlcoholUse C 0..1 BackboneElement Nested 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 1..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: 11331-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Alcohol use
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation | DocumentReference) 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:TobaccoUse C 0..1 BackboneElement Nested 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 1..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: 11367-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Tobacco use
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation | DocumentReference) 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:DrugUse C 0..1 BackboneElement Nested 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 1..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: 11343-1
......... display 1..1 string Representation defined by the system
Fixed Value: History of Other nonmedical drug use
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation | DocumentReference) 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:SubstanceUse C 0..1 BackboneElement Nested 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 1..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: 108229-6
......... display 1..1 string Representation defined by the system
Fixed Value: Use of substance note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation | DocumentReference) 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:sectionEncounterSummary C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 67781-5
....... display 1..1 string Representation defined by the system
Fixed Value: Summarization of encounter note
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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.
..... Slices for section C 0..* See section (Composition) Nested Section
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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:ProblemList C 0..1 BackboneElement Nested 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 1..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: 11450-4
......... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Condition (HDR CZ) | Condition | ClinicalImpression) 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:ProceduresAndTreatments C 0..1 BackboneElement Nested 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 1..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: 29554-3
......... display 1..1 string Representation defined by the system
Fixed Value: Procedure Narrative
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Procedure (HDR CZ) | Procedure | MedicationAdministration) 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:MedicalDevices C 0..1 BackboneElement Nested 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 1..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: 57080-4
......... display 1..1 string Representation defined by the system
Fixed Value: Implanted medical device Narrative
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(DeviceUseStatement (HDR) | Device | Medical Device (CZ)) 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:MedicationDuring C 0..* BackboneElement Nested 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 1..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: 29549-3
......... display 1..1 string Representation defined by the system
Fixed Value: Medication administered Narrative
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(MedicationAdministration | MedicationStatement | Medication (CZ)) 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:Results C 0..* BackboneElement Nested 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 1..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: 30954-2
......... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation | DiagnosticReport | ImagingStudy | Observation Laboratory (CZ) | Observation: Imaging Report (CZ)) 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:ClinicalSummary C 0..* BackboneElement Nested 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 1..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: 51848-0
......... display 1..1 string Representation defined by the system
Fixed Value: Evaluation note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(ClinicalImpression) 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:sectionMedicationSummary C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(Medication (CZ) | Medication Statement (CZ) | MedicationStatement | MedicationRequest | DocumentReference) 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:sectionPlanOfCare C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care note
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(Care Plan (HDR CZ) | CarePlan | DocumentReference) 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:sectionAttachments C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 77599-9
....... display 1..1 string Representation defined by the system
Fixed Value: Additional documentation
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(DocumentReference) 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Composition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.extension:presentedForm.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
Composition.extension:presentedForm.​value[x].language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v7.0
Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAlerts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlerts.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAlerts.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlerts.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:PastIllnessHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:PastIllnessHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:PastIllnessHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:PastIllnessHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:HistoryMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:HistoryMedicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:HistoryMedicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:HistoryMedicalDevices.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ProceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ProceduresHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ProceduresHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ProceduresHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ImmunizationHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ImmunizationHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ImmunizationHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ImmunizationHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:InfectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:InfectiousContacts.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:InfectiousContacts.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:InfectiousContacts.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TravelHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TravelHx.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TravelHx.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TravelHx.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:FamilyHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:FamilyHistory.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:FamilyHistory.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:FamilyHistory.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SocialHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SocialHistory.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SocialHistory.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SocialHistory.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:AlcoholUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:AlcoholUse.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:AlcoholUse.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:AlcoholUse.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TobaccoUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TobaccoUse.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TobaccoUse.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TobaccoUse.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:DrugUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:DrugUse.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:DrugUse.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:DrugUse.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SubstanceUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SubstanceUse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SubstanceUse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SubstanceUse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProblemList.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProblemList.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProblemList.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProblemList.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProceduresAndTreatments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProceduresAndTreatments.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProceduresAndTreatments.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProceduresAndTreatments.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicalDevices.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicationDuring.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicationDuring.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicationDuring.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicationDuring.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:Results.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:Results.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:Results.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:Results.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ClinicalSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ClinicalSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ClinicalSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ClinicalSummary.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionMedicationSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicationSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionMedicationSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicationSummary.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAllergies, Composition.section:sectionAlerts, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionPatientHistory, Composition.section:sectionEncounterSummary, Composition.section:sectionMedicationSummary, Composition.section:sectionPlanOfCare, Composition.section:sectionAttachments A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAllergies, Composition.section:sectionAlerts, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionPatientHistory, Composition.section:sectionEncounterSummary, Composition.section:sectionMedicationSummary, Composition.section:sectionPlanOfCare, Composition.section:sectionAttachments A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 3 elements(79 nested mandatory elements)
Must-Support: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.section

Maturity: 0

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Outpatient Encounter Report Composition
... meta Σ 0..1 Meta Metadata about the resource
.... security SΣ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:presentedForm 1..* (Complex) Presented form
URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Order
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept Kind of composition (Outpatient Encounter Report)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34108-1
..... display 1..1 string Representation defined by the system
Fixed Value: Outpatient Note
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient (CZ core)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter (CZ)) Context that defines the Outpatient Encounter Report
... date Σ 1..1 dateTime Date the order was created.
... author Σ 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ)) Who and/or what authored the Outpatient Encounter Report
... title Σ 1..1 string Human Readable name/title
... custodian Σ 0..1 Reference(Organization (CZ core)) Organization that manages the Outpatient Encounter Report
... Slices for section C 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAdvanceDirectives C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 42348-3
....... display 1..1 string Representation defined by the system
Fixed Value: Advance healthcare directives
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Consent (Advance Directives) (HDR CZ) | Consent | DocumentReference) A reference to data that supports this section
.... section:sectionAllergies C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(AllergyIntolerance: Outpatient Encounter Report (CZ) | Allergy Intolerance (CZ) | AllergyIntolerance | DocumentReference) A reference to data that supports this section
.... section:sectionAlerts C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 104605-1
....... display 1..1 string Representation defined by the system
Fixed Value: Alert
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Flag: Outpatient Encounter Report (CZ) | Flag | DocumentReference) A reference to data that supports this section
.... section:sectionAdmissionEvaluation C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 67851-6
....... display 1..1 string Representation defined by the system
Fixed Value: Admission evaluation note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Vital Signs Profile | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) | Observation | DocumentReference) A reference to data that supports this section
.... section:sectionPatientHistory C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 35090-0
....... display 1..1 string Representation defined by the system
Fixed Value: Patient history
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for section C 0..* See section (Composition) Nested Section
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:PastIllnessHx C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11348-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Past illness note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Condition (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:HistoryMedicalDevices C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 46264-8
......... display 1..1 string Representation defined by the system
Fixed Value: History of medical device use
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Medical Device (CZ) | DeviceUseStatement | DocumentReference) A reference to data that supports this section
...... section:ProceduresHx C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 47519-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Procedure (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:ImmunizationHx C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11369-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Immunization (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:InfectiousContacts C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: https://hl7.cz/fhir/hdr/CodeSystem/temporarySystem-hdr-cz
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: infection-contact
......... display 1..1 string Representation defined by the system
Fixed Value: Infectious contacts
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation: Infectious Contact (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:TravelHx C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 10182-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Travel note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation: travel history (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:FamilyHistory C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 10157-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of family member diseases note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(FamilyMemberHistory (HDR CZ) | FamilyMemberHistory | DocumentReference) A reference to data that supports this section
...... section:SocialHistory C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 29762-2
......... display 1..1 string Representation defined by the system
Fixed Value: Social history note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation: SDOH (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:AlcoholUse C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11331-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Alcohol use
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:TobaccoUse C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11367-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Tobacco use
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:DrugUse C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11343-1
......... display 1..1 string Representation defined by the system
Fixed Value: History of Other nonmedical drug use
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:SubstanceUse C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 108229-6
......... display 1..1 string Representation defined by the system
Fixed Value: Use of substance note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
.... section:sectionEncounterSummary C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 67781-5
....... display 1..1 string Representation defined by the system
Fixed Value: Summarization of encounter note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for section C 0..* See section (Composition) Nested Section
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:ProblemList C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 11450-4
......... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Condition (HDR CZ) | Condition | ClinicalImpression) A reference to data that supports this section
...... section:ProceduresAndTreatments C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 29554-3
......... display 1..1 string Representation defined by the system
Fixed Value: Procedure Narrative
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Procedure (HDR CZ) | Procedure | MedicationAdministration) A reference to data that supports this section
...... section:MedicalDevices C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 57080-4
......... display 1..1 string Representation defined by the system
Fixed Value: Implanted medical device Narrative
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(DeviceUseStatement (HDR) | Device | Medical Device (CZ)) A reference to data that supports this section
...... section:MedicationDuring C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 29549-3
......... display 1..1 string Representation defined by the system
Fixed Value: Medication administered Narrative
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(MedicationAdministration | MedicationStatement | Medication (CZ)) A reference to data that supports this section
...... section:Results C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 30954-2
......... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Observation | DiagnosticReport | ImagingStudy | Observation Laboratory (CZ) | Observation: Imaging Report (CZ)) A reference to data that supports this section
...... section:ClinicalSummary C 0..* BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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: 51848-0
......... display 1..1 string Representation defined by the system
Fixed Value: Evaluation note
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionMedicationSummary C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Medication (CZ) | Medication Statement (CZ) | MedicationStatement | MedicationRequest | DocumentReference) A reference to data that supports this section
.... section:sectionPlanOfCare C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care note
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Care Plan (HDR CZ) | CarePlan | DocumentReference) A reference to data that supports this section
.... section:sectionAttachments C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..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: 77599-9
....... display 1..1 string Representation defined by the system
Fixed Value: Additional documentation
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(DocumentReference) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlerts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:PastIllnessHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:HistoryMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ProceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ImmunizationHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:InfectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TravelHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:FamilyHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SocialHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:AlcoholUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TobaccoUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:DrugUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SubstanceUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProblemList.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProceduresAndTreatments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicationDuring.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:Results.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ClinicalSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicationSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAllergies, Composition.section:sectionAlerts, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionPatientHistory, Composition.section:sectionEncounterSummary, Composition.section:sectionMedicationSummary, Composition.section:sectionPlanOfCare, Composition.section:sectionAttachments A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAllergies, Composition.section:sectionAlerts, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionPatientHistory, Composition.section:sectionEncounterSummary, Composition.section:sectionMedicationSummary, Composition.section:sectionPlanOfCare, Composition.section:sectionAttachments A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Outpatient Encounter Report Composition
... meta
.... security S 0..* Coding Security Labels applied to this resource
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:presentedForm 1..* (Complex) Presented form
URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
..... value[x]
...... contentType 0..1 code Mime type of the content, with charset etc.
Example pdf: application/pdf
...... data 0..1 base64Binary B64 in-line data
...... url 0..1 url URL of the document
... identifier 0..1 Identifier Report identifier
... type 1..1 CodeableConcept Kind of composition (Outpatient Encounter Report)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34108-1
..... display 1..1 string Representation defined by the system
Fixed Value: Outpatient Note
... subject 1..1 Reference(Patient (CZ core)) Who and/or what the composition is about
... encounter 0..1 Reference(Encounter (CZ)) Context that defines the Outpatient Encounter Report
... date 1..1 dateTime Date the order was created.
... author 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ)) Who and/or what authored the Outpatient Encounter Report
... custodian 0..1 Reference(Organization (CZ core)) Organization that manages the Outpatient Encounter Report
... Slices for section 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
.... section:sectionAdvanceDirectives 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 42348-3
....... display 1..1 string Representation defined by the system
Fixed Value: Advance healthcare directives
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Consent (Advance Directives) (HDR CZ) | Consent | DocumentReference) A reference to data that supports this section
.... section:sectionAllergies 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(AllergyIntolerance: Outpatient Encounter Report (CZ) | Allergy Intolerance (CZ) | AllergyIntolerance | DocumentReference) A reference to data that supports this section
.... section:sectionAlerts 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 104605-1
....... display 1..1 string Representation defined by the system
Fixed Value: Alert
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Flag: Outpatient Encounter Report (CZ) | Flag | DocumentReference) A reference to data that supports this section
.... section:sectionAdmissionEvaluation 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 67851-6
....... display 1..1 string Representation defined by the system
Fixed Value: Admission evaluation note
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Vital Signs Profile | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) | Observation | DocumentReference) A reference to data that supports this section
.... section:sectionPatientHistory 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 35090-0
....... display 1..1 string Representation defined by the system
Fixed Value: Patient history
..... Slices for section 0..* Nested Section
Slice: Unordered, Open by pattern:code
...... section:PastIllnessHx 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11348-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Past illness note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Condition (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:HistoryMedicalDevices 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 46264-8
......... display 1..1 string Representation defined by the system
Fixed Value: History of medical device use
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Medical Device (CZ) | DeviceUseStatement | DocumentReference) A reference to data that supports this section
...... section:ProceduresHx 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 47519-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Procedure (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:ImmunizationHx 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11369-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Immunization (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:InfectiousContacts 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: https://hl7.cz/fhir/hdr/CodeSystem/temporarySystem-hdr-cz
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: infection-contact
......... display 1..1 string Representation defined by the system
Fixed Value: Infectious contacts
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation: Infectious Contact (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:TravelHx 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 10182-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Travel note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation: travel history (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:FamilyHistory 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 10157-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of family member diseases note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(FamilyMemberHistory (HDR CZ) | FamilyMemberHistory | DocumentReference) A reference to data that supports this section
...... section:SocialHistory 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 29762-2
......... display 1..1 string Representation defined by the system
Fixed Value: Social history note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation: SDOH (HDR CZ) | DocumentReference) A reference to data that supports this section
...... section:AlcoholUse 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11331-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Alcohol use
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:TobaccoUse 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11367-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Tobacco use
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:DrugUse 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11343-1
......... display 1..1 string Representation defined by the system
Fixed Value: History of Other nonmedical drug use
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
...... section:SubstanceUse 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 108229-6
......... display 1..1 string Representation defined by the system
Fixed Value: Use of substance note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation | DocumentReference) A reference to data that supports this section
.... section:sectionEncounterSummary 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 67781-5
....... display 1..1 string Representation defined by the system
Fixed Value: Summarization of encounter note
..... Slices for section 0..* Nested Section
Slice: Unordered, Open by pattern:code
...... section:ProblemList 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 11450-4
......... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Condition (HDR CZ) | Condition | ClinicalImpression) A reference to data that supports this section
...... section:ProceduresAndTreatments 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 29554-3
......... display 1..1 string Representation defined by the system
Fixed Value: Procedure Narrative
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Procedure (HDR CZ) | Procedure | MedicationAdministration) A reference to data that supports this section
...... section:MedicalDevices 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 57080-4
......... display 1..1 string Representation defined by the system
Fixed Value: Implanted medical device Narrative
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(DeviceUseStatement (HDR) | Device | Medical Device (CZ)) A reference to data that supports this section
...... section:MedicationDuring 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 29549-3
......... display 1..1 string Representation defined by the system
Fixed Value: Medication administered Narrative
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(MedicationAdministration | MedicationStatement | Medication (CZ)) A reference to data that supports this section
...... section:Results 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 30954-2
......... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Observation | DiagnosticReport | ImagingStudy | Observation Laboratory (CZ) | Observation: Imaging Report (CZ)) A reference to data that supports this section
...... section:ClinicalSummary 0..* BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
....... 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: 51848-0
......... display 1..1 string Representation defined by the system
Fixed Value: Evaluation note
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionMedicationSummary 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Medication (CZ) | Medication Statement (CZ) | MedicationStatement | MedicationRequest | DocumentReference) A reference to data that supports this section
.... section:sectionPlanOfCare 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care note
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Care Plan (HDR CZ) | CarePlan | DocumentReference) A reference to data that supports this section
.... section:sectionAttachments 0..1 BackboneElement Composition is broken into sections
..... title 1..1 string Label for section (e.g. for ToC)
..... 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: 77599-9
....... display 1..1 string Representation defined by the system
Fixed Value: Additional documentation
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(DocumentReference) A reference to data that supports this section

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Outpatient Encounter Report 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 Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security SΣ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:presentedForm 1..* (Complex) Presented form
URL: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"
..... value[x] 0..1 Attachment Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType Σ 0..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
Example pdf: application/pdf
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 0..1 base64Binary B64 in-line data
...... url Σ 0..1 url URL of the document
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Report identifier
... status ?!Σ 1..1 code Status of the Order
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConcept Kind of composition (Outpatient Encounter Report)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34108-1
..... display 1..1 string Representation defined by the system
Fixed Value: Outpatient Note
..... 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 Σ 1..1 Reference(Patient (CZ core)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter (CZ)) Context that defines the Outpatient Encounter Report
... date Σ 1..1 dateTime Date the order was created.
... author Σ 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Device: Performer/Observer (CZ)) Who and/or what authored the Outpatient Encounter Report
... title Σ 1..1 string Human Readable name/title
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
.... time 0..1 dateTime When the composition was attested
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
... custodian Σ 0..1 Reference(Organization (CZ core)) Organization that manages the Outpatient Encounter Report
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
.... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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:sectionAdvanceDirectives C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 42348-3
....... display 1..1 string Representation defined by the system
Fixed Value: Advance healthcare directives
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(Consent (Advance Directives) (HDR CZ) | Consent | DocumentReference) 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:sectionAllergies C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(AllergyIntolerance: Outpatient Encounter Report (CZ) | Allergy Intolerance (CZ) | AllergyIntolerance | DocumentReference) 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:sectionAlerts C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 104605-1
....... display 1..1 string Representation defined by the system
Fixed Value: Alert
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(Flag: Outpatient Encounter Report (CZ) | Flag | DocumentReference) 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:sectionAdmissionEvaluation C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 67851-6
....... display 1..1 string Representation defined by the system
Fixed Value: Admission evaluation note
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(Vital Signs Profile | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) | Observation | DocumentReference) 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:sectionPatientHistory C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 35090-0
....... display 1..1 string Representation defined by the system
Fixed Value: Patient history
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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.
..... Slices for section C 0..* See section (Composition) Nested Section
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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:PastIllnessHx C 0..1 BackboneElement Nested 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 1..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: 11348-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Past illness note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Condition (HDR CZ) | DocumentReference) 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:HistoryMedicalDevices C 0..1 BackboneElement Nested 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 1..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: 46264-8
......... display 1..1 string Representation defined by the system
Fixed Value: History of medical device use
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Medical Device (CZ) | DeviceUseStatement | DocumentReference) 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:ProceduresHx C 0..1 BackboneElement Nested 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 1..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: 47519-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Procedure (HDR CZ) | DocumentReference) 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:ImmunizationHx C 0..* BackboneElement Nested 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 1..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: 11369-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Immunization (HDR CZ) | DocumentReference) 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:InfectiousContacts C 0..* BackboneElement Nested 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 1..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: https://hl7.cz/fhir/hdr/CodeSystem/temporarySystem-hdr-cz
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: infection-contact
......... display 1..1 string Representation defined by the system
Fixed Value: Infectious contacts
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation: Infectious Contact (HDR CZ) | DocumentReference) 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:TravelHx C 0..* BackboneElement Nested 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 1..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: 10182-4
......... display 1..1 string Representation defined by the system
Fixed Value: History of Travel note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation: travel history (HDR CZ) | DocumentReference) 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:FamilyHistory C 0..* BackboneElement Nested 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 1..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: 10157-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of family member diseases note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(FamilyMemberHistory (HDR CZ) | FamilyMemberHistory | DocumentReference) 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:SocialHistory C 0..1 BackboneElement Nested 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 1..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: 29762-2
......... display 1..1 string Representation defined by the system
Fixed Value: Social history note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation: SDOH (HDR CZ) | DocumentReference) 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:AlcoholUse C 0..1 BackboneElement Nested 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 1..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: 11331-6
......... display 1..1 string Representation defined by the system
Fixed Value: History of Alcohol use
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation | DocumentReference) 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:TobaccoUse C 0..1 BackboneElement Nested 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 1..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: 11367-0
......... display 1..1 string Representation defined by the system
Fixed Value: History of Tobacco use
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation | DocumentReference) 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:DrugUse C 0..1 BackboneElement Nested 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 1..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: 11343-1
......... display 1..1 string Representation defined by the system
Fixed Value: History of Other nonmedical drug use
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation | DocumentReference) 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:SubstanceUse C 0..1 BackboneElement Nested 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 1..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: 108229-6
......... display 1..1 string Representation defined by the system
Fixed Value: Use of substance note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation | DocumentReference) 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:sectionEncounterSummary C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 67781-5
....... display 1..1 string Representation defined by the system
Fixed Value: Summarization of encounter note
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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.
..... Slices for section C 0..* See section (Composition) Nested Section
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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:ProblemList C 0..1 BackboneElement Nested 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 1..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: 11450-4
......... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Condition (HDR CZ) | Condition | ClinicalImpression) 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:ProceduresAndTreatments C 0..1 BackboneElement Nested 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 1..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: 29554-3
......... display 1..1 string Representation defined by the system
Fixed Value: Procedure Narrative
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Procedure (HDR CZ) | Procedure | MedicationAdministration) 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:MedicalDevices C 0..1 BackboneElement Nested 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 1..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: 57080-4
......... display 1..1 string Representation defined by the system
Fixed Value: Implanted medical device Narrative
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(DeviceUseStatement (HDR) | Device | Medical Device (CZ)) 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:MedicationDuring C 0..* BackboneElement Nested 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 1..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: 29549-3
......... display 1..1 string Representation defined by the system
Fixed Value: Medication administered Narrative
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(MedicationAdministration | MedicationStatement | Medication (CZ)) 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:Results C 0..* BackboneElement Nested 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 1..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: 30954-2
......... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(Observation | DiagnosticReport | ImagingStudy | Observation Laboratory (CZ) | Observation: Imaging Report (CZ)) 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:ClinicalSummary C 0..* BackboneElement Nested 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 1..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: 51848-0
......... display 1..1 string Representation defined by the system
Fixed Value: Evaluation note
......... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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(ClinicalImpression) 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:sectionMedicationSummary C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(Medication (CZ) | Medication Statement (CZ) | MedicationStatement | MedicationRequest | DocumentReference) 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:sectionPlanOfCare C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of care note
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(Care Plan (HDR CZ) | CarePlan | DocumentReference) 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:sectionAttachments C 0..1 BackboneElement Composition is broken into sections
Constraints: cmp-1, cmp-2
..... 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 1..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: 77599-9
....... display 1..1 string Representation defined by the system
Fixed Value: Additional documentation
....... 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 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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(DocumentReference) 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Composition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.extension:presentedForm.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
Composition.extension:presentedForm.​value[x].language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v7.0
Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAlerts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlerts.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAlerts.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlerts.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:PastIllnessHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:PastIllnessHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:PastIllnessHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:PastIllnessHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:HistoryMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:HistoryMedicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:HistoryMedicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:HistoryMedicalDevices.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ProceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ProceduresHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ProceduresHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ProceduresHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ImmunizationHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ImmunizationHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ImmunizationHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:ImmunizationHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:InfectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:InfectiousContacts.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:InfectiousContacts.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:InfectiousContacts.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TravelHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TravelHx.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TravelHx.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TravelHx.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:FamilyHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:FamilyHistory.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:FamilyHistory.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:FamilyHistory.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SocialHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SocialHistory.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SocialHistory.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SocialHistory.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:AlcoholUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:AlcoholUse.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:AlcoholUse.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:AlcoholUse.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TobaccoUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TobaccoUse.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TobaccoUse.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:TobaccoUse.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:DrugUse.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:DrugUse.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:DrugUse.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:DrugUse.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SubstanceUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SubstanceUse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SubstanceUse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHistory.​section:SubstanceUse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProblemList.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProblemList.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProblemList.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProblemList.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProceduresAndTreatments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProceduresAndTreatments.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProceduresAndTreatments.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ProceduresAndTreatments.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicalDevices.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicationDuring.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicationDuring.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicationDuring.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:MedicationDuring.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:Results.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:Results.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:Results.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:Results.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ClinicalSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ClinicalSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ClinicalSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionEncounterSummary.​section:ClinicalSummary.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionMedicationSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicationSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionMedicationSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicationSummary.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAllergies, Composition.section:sectionAlerts, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionPatientHistory, Composition.section:sectionEncounterSummary, Composition.section:sectionMedicationSummary, Composition.section:sectionPlanOfCare, Composition.section:sectionAttachments A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAllergies, Composition.section:sectionAlerts, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionPatientHistory, Composition.section:sectionEncounterSummary, Composition.section:sectionMedicationSummary, Composition.section:sectionPlanOfCare, Composition.section:sectionAttachments A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 3 elements(79 nested mandatory elements)
Must-Support: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.section

Maturity: 0

 

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