HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build Czechia flag

HL7 Czech Hospital Discharge 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/hdr/ and changes regularly. See the Directory of published versions

Resource Profile: Composition (HDR CZ)

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr Version: 0.1.0
Draft as of 2025-11-18 Computable Name: CZ_CompositionHdr

This profile defines how to represent Composition resource in HL7 FHIR for the scope of this guide.

Content (cs)

Composition (HDR CZ)

Resource Composition (HDR CZ) popisuje strukturu a obsahovou kostru propouštěcí zprávy. Je hlavním dokumentovým prvkem, který určuje formální hlavičku zprávy, identifikaci, status, datum a čas vytvoření, autora a příjemce. Obsahuje odkaz na pacienta, kontext hospitalizace a všechny obsahové sekce propouštěcí zprávy včetně narativního textu a vazeb na detailní zdroje.

Slouží k jednotnému a přehlednému zachycení informací o průběhu hospitalizace, provedených výkonech, zjištěných nálezech, podané léčbě, stavu při propuštění a doporučeních pro další péči.

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 Hospital Discharge Report composition
This profile also imposes the profile Composition (HDR)
... 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"
.... extension:compositionVersionR5 0..* (Complex) An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
..... value[x] 0..1 string Business version
.... extension:information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(Practitioner (CZ core) | Medical Device (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConceptIPS(2.0.0) Kind of composition ("Hospital Discharge 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: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
..... 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 1..1 Reference(Encounter (HDR CZ)) Context of the Composition
... date Σ 1..1 dateTime HDR date
... author Σ 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Medical Device (CZ) | Organization (CZ core)) Who and/or what authored the Hospital Discharge Report
... title Σ 1..1 string Hospital Discharge Report
... Slices for section C 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value: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
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) Who and/or what authored the 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
..... code 1..1 CodeableConceptIPS(2.0.0) 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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for section C 0..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... 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
...... section:sectionAnthropometry C 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
...... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
....... 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: 8716-3
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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 1..* Reference(Observation) Entry used to represent vital sign measurements
...... section:sectionPhysicalExamination 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)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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 | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
...... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
....... 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: 47420-5
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
.... section:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
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: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionPhysicalExamination C 0..1 BackboneElement Physical examination
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: 55286-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
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: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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 1..* Reference(DocumentReference | Vital Signs Profile) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
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: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAllergies C 0..1 BackboneElement Allergies and Intolerances Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for entry C 1..* Reference(Allergy Intolerance (HDR CZ) | DocumentReference | AllergyIntolerance) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance C 0..* Reference(Allergy Intolerance (HDR CZ)) Allergy entry
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAlert C 0..1 BackboneElement Alert Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for entry C 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..* Reference(Flag) Flags
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
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: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionDiagnosticSummary C 0..1 BackboneElement Problem specification in narrative form
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: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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)) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionSignificantProcedures C 0..1 BackboneElement Significant procedures
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: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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 1..* Reference(Procedure (HDR CZ)) A reference to data that supports this section
.... section:sectionMedicalDevices C 0..1 BackboneElement Medical devices and implants
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: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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) | Procedure (HDR CZ)) A reference to data that supports this section
.... section:sectionPharmacotherapy C 0..1 BackboneElement Pharmacotherapy
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: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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(MedicationDispense (HDR) | Medication Statement (CZ) | MedicationRequest (HDR CZ) | Medication (CZ)) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionSignificantResults C 0..1 BackboneElement Significant Observation Results
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: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) significant results
Slice: Unordered, Open by type:resolve()
...... entry:labResult C 0..* Reference(Observation Laboratory (CZ)) Laboratory Result
...... entry:radResult C 0..* Reference(Observation: Imaging Report (CZ)) Radiology Result
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionSynthesis C 0..1 BackboneElement Synthesis
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionDischargeDetails C 0..1 BackboneElement Discharge details
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: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for section C 0..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... 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
...... section:sectionAnthropometry C 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
...... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
....... 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: 8716-3
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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 1..* Reference(Observation) Entry used to represent vital sign measurements
...... section:sectionPhysicalExamination 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)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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 | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
...... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
....... 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: 47420-5
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
.... section:sectionPatientHx C 0..1 BackboneElement Patient History Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for section C 0..* BackboneElement Patient History
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... 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
...... section:sectionInfectiousContacts C 0..1 BackboneElement Infectious contacts
....... 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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)) Exposure to an infectious agent.
...... section:sectionTravelHx C 0..1 BackboneElement Travel History 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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
...... section:sectionSocialHistory C 0..1 BackboneElement Social History 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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:sectionPastIllnessHx C 0..1 BackboneElement HDR History of Past Illness 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 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (History of Past illness note)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
...... section:sectionProceduresHx C 0..1 BackboneElement History of Procedures 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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
....... Slices for entry C 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
........ entry:procedure C 0..* Reference(Procedure (HDR CZ)) Past Procedure entry
...... section:sectionImmunizations C 0..1 BackboneElement Immunizations 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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
....... Slices for entry C 1..* Reference(Immunization (HDR CZ) | ImmunizationRecommendation (HDR) | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
........ entry:immunization C 0..* Reference(Immunization (HDR CZ)) Immunization entry
...... section:sectionFamilyHistory C 0..1 BackboneElement Family History 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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)) Family History
...... section:sectionSubstanceUse C 0..1 BackboneElement Use of Substances 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: substance-use
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) A reference to data that supports this section
...... section:sectionAlcoholUse C 0..1 BackboneElement Alcohol use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) A reference to data that supports this section
...... section:sectionTobaccoUse C 0..1 BackboneElement Tobacco use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) A reference to data that supports this section
...... section:sectionDrugUse C 0..1 BackboneElement Drug use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) A reference to data that supports this section
...... section:sectionHistoryMedicalDevices C 0..1 BackboneElement History of Medical devices and implants
....... 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) | Procedure (HDR CZ)) A reference to data that supports this section
.... section:sectionProblemList C 0..1 BackboneElement Problem List Section
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: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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)) Conditions the patient suffered in the past.
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionCareTeam C 0..1 BackboneElement Care Team Section
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: 85847-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for entry C 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam C 0..* Reference(CareTeam) Care Team
.... section:sectionPlanOfCare C 0..1 BackboneElement Plan of Care Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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) | DocumentReference) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionDischargeMedications C 0..1 BackboneElement Hospital discharge medications
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: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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 1..* Reference(Medication Statement (CZ) | MedicationRequest (HDR CZ) | Medication (CZ)) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionDischargeInstructions C 0..1 BackboneElement Hospital Discharge instructions
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: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAdvanceDirectives C 0..1 BackboneElement Advance Directives Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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) | DocumentReference) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAttachments C 0..1 BackboneElement Attachments
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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 1..* Reference(DocumentReference | Binary) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionPayers C 0..1 BackboneElement Health insurance and payment information.
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: 48768-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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(Coverage (CZ)) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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:sectionAdmissionEvaluation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​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:sectionAlert.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionPastIllnessHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​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:sectionDischargeMedications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​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.
Composition.section:sectionPayers.​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:sectionAdmissionEvaluation, Composition.section:sectionPhysicalFindings, Composition.section:sectionPhysicalExamination, Composition.section:sectionVitalSigns, Composition.section:sectionFunctionalStatus, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionDischargeDetails, Composition.section:sectionPatientHx, Composition.section:sectionProblemList, Composition.section:sectionCareTeam, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionDischargeInstructions, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAttachments, Composition.section:sectionPayers 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:sectionAdmissionEvaluation, Composition.section:sectionPhysicalFindings, Composition.section:sectionPhysicalExamination, Composition.section:sectionVitalSigns, Composition.section:sectionFunctionalStatus, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionDischargeDetails, Composition.section:sectionPatientHx, Composition.section:sectionProblemList, Composition.section:sectionCareTeam, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionDischargeInstructions, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAttachments, Composition.section:sectionPayers 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 Hospital Discharge Report composition
This profile also imposes the profile Composition (HDR)
... 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
.... extension:compositionVersionR5 0..* (Complex) An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
..... value[x] 0..1 string Business version
.... extension:information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... value[x] 0..1 Reference(Practitioner (CZ core) | Medical Device (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) Value of extension
... identifier 0..1 Identifier HDR business identifier
... status 1..1 code HDR status
.... 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: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
... subject 1..1 Reference(Patient (CZ core)) Who and/or what the composition is about
... encounter 1..1 Reference(Encounter (HDR CZ)) Context of the Composition
... date 1..1 dateTime HDR date
... author 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Medical Device (CZ) | Organization (CZ core)) Who and/or what authored the Hospital Discharge Report
... title 1..1 string Hospital Discharge Report
... attester
.... mode 1..1 code The type of attestation
.... time 0..1 dateTime When the composition was attested.
.... party 0..1 Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) Who attested the composition.
... Slices for section 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) Who and/or what authored the section
.... section:sectionAdmissionEvaluation 0..1 BackboneElement Composition is broken into sections
..... code 1..1 CodeableConceptIPS(2.0.0) 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
..... Slices for section 0..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... title 1..1 string Label for section (e.g. for ToC)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... section 0..0 Nested Section
...... section:sectionAnthropometry 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
....... entry 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
....... section 0..0 BackboneElement Nested Section
...... section:sectionVitalSigns 0..1 BackboneElement Vital signs
....... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... entry 1..* Reference(Observation) Entry used to represent vital sign measurements
....... section 0..0 BackboneElement Nested Section
...... section:sectionPhysicalExamination 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... entry 0..* Reference(ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
...... section:sectionFunctionalStatus 0..1 BackboneElement Functional status
....... 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: 47420-5
....... entry 0..* Reference(Condition (HDR CZ) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
....... section 0..0 BackboneElement Nested Section
.... section:sectionPhysicalFindings 0..1 BackboneElement Physical findings
..... 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: 29545-1
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionPhysicalExamination 0..1 BackboneElement Physical examination
..... 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: 55286-9
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionVitalSigns 0..1 BackboneElement Vital signs
..... 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: 8716-3
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..* Reference(DocumentReference | Vital Signs Profile) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionFunctionalStatus 0..1 BackboneElement Functional status
..... 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: 47420-5
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Condition (HDR CZ) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionAllergies 0..1 BackboneElement Allergies and Intolerances 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: 48765-2
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 1..* Reference(Allergy Intolerance (HDR CZ) | DocumentReference | AllergyIntolerance) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance 0..* Reference(Allergy Intolerance (HDR CZ)) Allergy entry
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionAlert 0..1 BackboneElement Alert 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: 104605-1
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag 0..* Reference(Flag) Flags
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionHospitalCourse 1..1 BackboneElement Significant information about course of hospital stay
..... 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: 8648-8
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionDiagnosticSummary 0..1 BackboneElement Problem specification in narrative form
..... 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: 11535-2
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Condition (HDR CZ)) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionSignificantProcedures 0..1 BackboneElement Significant procedures
..... 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: 10185-7
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..* Reference(Procedure (HDR CZ)) A reference to data that supports this section
..... section 0..0 Nested Section
.... section:sectionMedicalDevices 0..1 BackboneElement Medical devices and implants
..... 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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(DeviceUseStatement (HDR) | Procedure (HDR CZ)) A reference to data that supports this section
..... section 0..0 Nested Section
.... section:sectionPharmacotherapy 0..1 BackboneElement Pharmacotherapy
..... 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: 87232-5
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(MedicationDispense (HDR) | Medication Statement (CZ) | MedicationRequest (HDR CZ) | Medication (CZ)) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionSignificantResults 0..1 BackboneElement Significant Observation Results
..... 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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Observation | DiagnosticReport | DocumentReference) significant results
Slice: Unordered, Open by type:resolve()
...... entry:labResult 0..* Reference(Observation Laboratory (CZ)) Laboratory Result
...... entry:radResult 0..* Reference(Observation: Imaging Report (CZ)) Radiology Result
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionSynthesis 0..1 BackboneElement Synthesis
..... 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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionDischargeDetails 0..1 BackboneElement Discharge details
..... 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: 8650-4
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for section 0..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... title 1..1 string Label for section (e.g. for ToC)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... section 0..0 Nested Section
...... section:sectionAnthropometry 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
....... entry 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
....... section 0..0 BackboneElement Nested Section
...... section:sectionVitalSigns 0..1 BackboneElement Vital signs
....... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... entry 1..* Reference(Observation) Entry used to represent vital sign measurements
....... section 0..0 BackboneElement Nested Section
...... section:sectionPhysicalExamination 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... entry 0..* Reference(ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
...... section:sectionFunctionalStatus 0..1 BackboneElement Functional status
....... 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: 47420-5
....... entry 0..* Reference(Condition (HDR CZ) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
....... section 0..0 BackboneElement Nested Section
.... section:sectionPatientHx 0..1 BackboneElement Patient History 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: 35090-0
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for section 0..* BackboneElement Patient History
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... title 1..1 string Label for section (e.g. for ToC)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... section 0..0 Nested Section
...... section:sectionInfectiousContacts 0..1 BackboneElement Infectious contacts
....... 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
....... entry 0..* Reference(Observation: Infectious Contact (HDR CZ)) Exposure to an infectious agent.
....... section 0..0 BackboneElement Nested Section
...... section:sectionTravelHx 0..1 BackboneElement Travel History Section
....... 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
....... section 0..0 BackboneElement Nested Section
...... section:sectionSocialHistory 0..1 BackboneElement Social History Section
....... 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
....... entry 0..* Reference(Observation: SDOH (HDR CZ) | DocumentReference) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
...... section:sectionPastIllnessHx 0..1 BackboneElement HDR History of Past Illness Section
....... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Fixed Value: As shown (History of Past illness note)
........ coding 1..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
....... entry 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
...... section:sectionProceduresHx 0..1 BackboneElement History of Procedures Section
....... 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
....... Slices for entry 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
........ entry:procedure 0..* Reference(Procedure (HDR CZ)) Past Procedure entry
....... section 0..0 BackboneElement Nested Section
...... section:sectionImmunizations 0..1 BackboneElement Immunizations Section
....... 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
....... Slices for entry 1..* Reference(Immunization (HDR CZ) | ImmunizationRecommendation (HDR) | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
........ entry:immunization 0..* Reference(Immunization (HDR CZ)) Immunization entry
....... section 0..0 BackboneElement Nested Section
...... section:sectionFamilyHistory 0..1 BackboneElement Family History Section
....... 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
....... entry 0..* Reference(FamilyMemberHistory (HDR CZ)) Family History
....... section 0..0 BackboneElement Nested Section
...... section:sectionSubstanceUse 0..1 BackboneElement Use of Substances Section
....... 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: substance-use
....... entry 0..* Reference(Observation) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
...... section:sectionAlcoholUse 0..1 BackboneElement Alcohol use Section
....... 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
....... entry 0..* Reference(Observation) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
...... section:sectionTobaccoUse 0..1 BackboneElement Tobacco use Section
....... 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
....... entry 0..* Reference(Observation) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
...... section:sectionDrugUse 0..1 BackboneElement Drug use Section
....... 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
....... entry 0..* Reference(Observation) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
...... section:sectionHistoryMedicalDevices 0..1 BackboneElement History of Medical devices and implants
....... 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
....... entry 0..* Reference(DeviceUseStatement (HDR) | Procedure (HDR CZ)) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
.... section:sectionProblemList 0..1 BackboneElement Problem List 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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Condition (HDR)) Conditions the patient suffered in the past.
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionCareTeam 0..1 BackboneElement Care Team 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: 85847-2
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam 0..* Reference(CareTeam) Care Team
..... section 0..0 Nested Section
.... section:sectionPlanOfCare 0..1 BackboneElement Plan of Care 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: 18776-5
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Care Plan (HDR CZ) | DocumentReference) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionDischargeMedications 0..1 BackboneElement Hospital discharge medications
..... 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: 75311-1
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..* Reference(Medication Statement (CZ) | MedicationRequest (HDR CZ) | Medication (CZ)) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionDischargeInstructions 0..1 BackboneElement Hospital Discharge instructions
..... 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: 8653-8
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionAdvanceDirectives 0..1 BackboneElement Advance Directives 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: 42348-3
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Consent (Advance Directives) (HDR CZ) | DocumentReference) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionAttachments 0..1 BackboneElement Attachments
..... 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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..* Reference(DocumentReference | Binary) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionPayers 0..1 BackboneElement Health insurance and payment information.
..... 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: 48768-6
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Coverage (CZ)) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Hospital Discharge Report composition
This profile also imposes the profile Composition (HDR)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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 id 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
.... extension:compositionVersionR5 0..* (Complex) An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
..... value[x] 0..1 string Business version
.... extension:information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... 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.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(Practitioner (CZ core) | Medical Device (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier HDR business identifier
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConceptIPS(2.0.0) Kind of composition ("Hospital Discharge 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: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
..... 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 1..1 Reference(Encounter (HDR CZ)) Context of the Composition
... date Σ 1..1 dateTime HDR date
... author Σ 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Medical Device (CZ) | Organization (CZ core)) Who and/or what authored the Hospital Discharge Report
... title Σ 1..1 string Hospital Discharge Report
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code The type of attestation
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(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) Who attested the composition.
... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value: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 (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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: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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) 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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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 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(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:sectionAnthropometry C 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
....... 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: 8716-3
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text 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 1..* Reference(Observation) Entry used to represent vital sign measurements
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionPhysicalExamination 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)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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 | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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: 47420-5
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
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: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* 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 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:sectionPhysicalExamination C 0..1 BackboneElement Physical examination
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: 55286-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* 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 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:sectionVitalSigns C 0..1 BackboneElement Vital signs
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: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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 1..* Reference(DocumentReference | Vital Signs Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* 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 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:sectionFunctionalStatus C 0..1 BackboneElement Functional status
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: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
..... 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..* 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 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:sectionAllergies C 0..1 BackboneElement Allergies and Intolerances Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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.
..... Slices for entry C 1..* Reference(Allergy Intolerance (HDR CZ) | DocumentReference | AllergyIntolerance) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance C 0..* Reference(Allergy Intolerance (HDR CZ)) Allergy entry
..... 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..* 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 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:sectionAlert C 0..1 BackboneElement Alert Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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.
..... Slices for entry C 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..* Reference(Flag) Flags
..... 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..* 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 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:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
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: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* 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 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:sectionDiagnosticSummary C 0..1 BackboneElement Problem specification in narrative form
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: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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)) 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..* 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 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:sectionSignificantProcedures C 0..1 BackboneElement Significant procedures
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: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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 1..* Reference(Procedure (HDR 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:sectionMedicalDevices C 0..1 BackboneElement Medical devices and implants
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: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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) | Procedure (HDR 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:sectionPharmacotherapy C 0..1 BackboneElement Pharmacotherapy
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: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(MedicationDispense (HDR) | Medication Statement (CZ) | MedicationRequest (HDR CZ) | 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..* 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 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:sectionSignificantResults C 0..1 BackboneElement Significant Observation Results
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: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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.
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) significant results
Slice: Unordered, Open by type:resolve()
...... entry:labResult C 0..* Reference(Observation Laboratory (CZ)) Laboratory Result
...... entry:radResult C 0..* Reference(Observation: Imaging Report (CZ)) Radiology Result
..... 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..* 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 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:sectionSynthesis C 0..1 BackboneElement Synthesis
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* 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 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:sectionDischargeDetails C 0..1 BackboneElement Discharge details
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: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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 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(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:sectionAnthropometry C 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
....... 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: 8716-3
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text 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 1..* Reference(Observation) Entry used to represent vital sign measurements
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionPhysicalExamination 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)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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 | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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: 47420-5
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPatientHx C 0..1 BackboneElement Patient History Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* BackboneElement Patient History
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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 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(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:sectionInfectiousContacts C 0..1 BackboneElement Infectious contacts
....... 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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)) Exposure to an infectious agent.
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionTravelHx C 0..1 BackboneElement Travel History Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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(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:sectionSocialHistory C 0..1 BackboneElement Social History Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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:sectionPastIllnessHx C 0..1 BackboneElement HDR History of Past Illness Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (History of Past illness note)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionProceduresHx C 0..1 BackboneElement History of Procedures Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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.
....... Slices for entry C 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
........ entry:procedure C 0..* Reference(Procedure (HDR CZ)) Past Procedure entry
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionImmunizations C 0..1 BackboneElement Immunizations Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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.
....... Slices for entry C 1..* Reference(Immunization (HDR CZ) | ImmunizationRecommendation (HDR) | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
........ entry:immunization C 0..* Reference(Immunization (HDR CZ)) Immunization entry
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionFamilyHistory C 0..1 BackboneElement Family History Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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)) Family History
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionSubstanceUse C 0..1 BackboneElement Use of Substances 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: substance-use
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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) 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:sectionAlcoholUse C 0..1 BackboneElement Alcohol use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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) 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:sectionTobaccoUse C 0..1 BackboneElement Tobacco use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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) 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:sectionDrugUse C 0..1 BackboneElement Drug use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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) 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:sectionHistoryMedicalDevices C 0..1 BackboneElement History of Medical devices and implants
....... 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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) | Procedure (HDR 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:sectionProblemList C 0..1 BackboneElement Problem List Section
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: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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)) Conditions the patient suffered in the past.
..... 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..* 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 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:sectionCareTeam C 0..1 BackboneElement Care Team Section
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: 85847-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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.
..... Slices for entry C 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam C 0..* Reference(CareTeam) Care Team
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPlanOfCare C 0..1 BackboneElement Plan of Care Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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) | 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..* 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 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:sectionDischargeMedications C 0..1 BackboneElement Hospital discharge medications
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: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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 1..* Reference(Medication Statement (CZ) | MedicationRequest (HDR CZ) | 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..* 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 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:sectionDischargeInstructions C 0..1 BackboneElement Hospital Discharge instructions
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: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* 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 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:sectionAdvanceDirectives C 0..1 BackboneElement Advance Directives Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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) | 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..* 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 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:sectionAttachments C 0..1 BackboneElement Attachments
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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 1..* Reference(DocumentReference | Binary) 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..* 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 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:sectionPayers C 0..1 BackboneElement Health insurance and payment information.
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: 48768-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(Coverage (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..* 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 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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: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:sectionAdmissionEvaluation.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionPhysicalExamination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionPhysicalExamination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionPhysicalExamination.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​section.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:sectionAllergies.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionPhysicalExamination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionPhysicalExamination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionPhysicalExamination.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionPastIllnessHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionPastIllnessHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionPastIllnessHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionPastIllnessHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​section.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:sectionPlanOfCare.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​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:sectionAdvanceDirectives.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​section.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.
Composition.section:sectionAttachments.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​section.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:sectionAdmissionEvaluation, Composition.section:sectionPhysicalFindings, Composition.section:sectionPhysicalExamination, Composition.section:sectionVitalSigns, Composition.section:sectionFunctionalStatus, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionDischargeDetails, Composition.section:sectionPatientHx, Composition.section:sectionProblemList, Composition.section:sectionCareTeam, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionDischargeInstructions, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAttachments, Composition.section:sectionPayers 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:sectionAdmissionEvaluation, Composition.section:sectionPhysicalFindings, Composition.section:sectionPhysicalExamination, Composition.section:sectionVitalSigns, Composition.section:sectionFunctionalStatus, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionDischargeDetails, Composition.section:sectionPatientHx, Composition.section:sectionProblemList, Composition.section:sectionCareTeam, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionDischargeInstructions, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAttachments, Composition.section:sectionPayers 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: 9 elements(105 nested mandatory elements)
Fixed: 1 element
Prohibited: 44 elements

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Hospital Discharge Report composition
This profile also imposes the profile Composition (HDR)
... 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"
.... extension:compositionVersionR5 0..* (Complex) An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
..... value[x] 0..1 string Business version
.... extension:information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(Practitioner (CZ core) | Medical Device (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConceptIPS(2.0.0) Kind of composition ("Hospital Discharge 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: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
..... 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 1..1 Reference(Encounter (HDR CZ)) Context of the Composition
... date Σ 1..1 dateTime HDR date
... author Σ 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Medical Device (CZ) | Organization (CZ core)) Who and/or what authored the Hospital Discharge Report
... title Σ 1..1 string Hospital Discharge Report
... Slices for section C 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value: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
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) Who and/or what authored the 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
..... code 1..1 CodeableConceptIPS(2.0.0) 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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for section C 0..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... 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
...... section:sectionAnthropometry C 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
...... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
....... 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: 8716-3
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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 1..* Reference(Observation) Entry used to represent vital sign measurements
...... section:sectionPhysicalExamination 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)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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 | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
...... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
....... 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: 47420-5
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
.... section:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
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: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionPhysicalExamination C 0..1 BackboneElement Physical examination
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: 55286-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
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: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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 1..* Reference(DocumentReference | Vital Signs Profile) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
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: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAllergies C 0..1 BackboneElement Allergies and Intolerances Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for entry C 1..* Reference(Allergy Intolerance (HDR CZ) | DocumentReference | AllergyIntolerance) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance C 0..* Reference(Allergy Intolerance (HDR CZ)) Allergy entry
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAlert C 0..1 BackboneElement Alert Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for entry C 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..* Reference(Flag) Flags
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
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: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionDiagnosticSummary C 0..1 BackboneElement Problem specification in narrative form
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: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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)) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionSignificantProcedures C 0..1 BackboneElement Significant procedures
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: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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 1..* Reference(Procedure (HDR CZ)) A reference to data that supports this section
.... section:sectionMedicalDevices C 0..1 BackboneElement Medical devices and implants
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: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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) | Procedure (HDR CZ)) A reference to data that supports this section
.... section:sectionPharmacotherapy C 0..1 BackboneElement Pharmacotherapy
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: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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(MedicationDispense (HDR) | Medication Statement (CZ) | MedicationRequest (HDR CZ) | Medication (CZ)) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionSignificantResults C 0..1 BackboneElement Significant Observation Results
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: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) significant results
Slice: Unordered, Open by type:resolve()
...... entry:labResult C 0..* Reference(Observation Laboratory (CZ)) Laboratory Result
...... entry:radResult C 0..* Reference(Observation: Imaging Report (CZ)) Radiology Result
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionSynthesis C 0..1 BackboneElement Synthesis
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionDischargeDetails C 0..1 BackboneElement Discharge details
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: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for section C 0..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... 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
...... section:sectionAnthropometry C 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
...... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
....... 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: 8716-3
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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 1..* Reference(Observation) Entry used to represent vital sign measurements
...... section:sectionPhysicalExamination 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)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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 | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
...... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
....... 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: 47420-5
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
.... section:sectionPatientHx C 0..1 BackboneElement Patient History Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for section C 0..* BackboneElement Patient History
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... 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
...... section:sectionInfectiousContacts C 0..1 BackboneElement Infectious contacts
....... 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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)) Exposure to an infectious agent.
...... section:sectionTravelHx C 0..1 BackboneElement Travel History 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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
...... section:sectionSocialHistory C 0..1 BackboneElement Social History 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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:sectionPastIllnessHx C 0..1 BackboneElement HDR History of Past Illness 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 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (History of Past illness note)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
...... section:sectionProceduresHx C 0..1 BackboneElement History of Procedures 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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
....... Slices for entry C 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
........ entry:procedure C 0..* Reference(Procedure (HDR CZ)) Past Procedure entry
...... section:sectionImmunizations C 0..1 BackboneElement Immunizations 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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
....... Slices for entry C 1..* Reference(Immunization (HDR CZ) | ImmunizationRecommendation (HDR) | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
........ entry:immunization C 0..* Reference(Immunization (HDR CZ)) Immunization entry
...... section:sectionFamilyHistory C 0..1 BackboneElement Family History 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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)) Family History
...... section:sectionSubstanceUse C 0..1 BackboneElement Use of Substances 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: substance-use
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) A reference to data that supports this section
...... section:sectionAlcoholUse C 0..1 BackboneElement Alcohol use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) A reference to data that supports this section
...... section:sectionTobaccoUse C 0..1 BackboneElement Tobacco use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) A reference to data that supports this section
...... section:sectionDrugUse C 0..1 BackboneElement Drug use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) A reference to data that supports this section
...... section:sectionHistoryMedicalDevices C 0..1 BackboneElement History of Medical devices and implants
....... 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... 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) | Procedure (HDR CZ)) A reference to data that supports this section
.... section:sectionProblemList C 0..1 BackboneElement Problem List Section
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: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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)) Conditions the patient suffered in the past.
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionCareTeam C 0..1 BackboneElement Care Team Section
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: 85847-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... Slices for entry C 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam C 0..* Reference(CareTeam) Care Team
.... section:sectionPlanOfCare C 0..1 BackboneElement Plan of Care Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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) | DocumentReference) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionDischargeMedications C 0..1 BackboneElement Hospital discharge medications
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: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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 1..* Reference(Medication Statement (CZ) | MedicationRequest (HDR CZ) | Medication (CZ)) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionDischargeInstructions C 0..1 BackboneElement Hospital Discharge instructions
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: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAdvanceDirectives C 0..1 BackboneElement Advance Directives Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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) | DocumentReference) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAttachments C 0..1 BackboneElement Attachments
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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 1..* Reference(DocumentReference | Binary) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionPayers C 0..1 BackboneElement Health insurance and payment information.
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: 48768-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... 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(Coverage (CZ)) A reference to data that supports this section
..... section C 0..* BackboneElement Nested Section
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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:sectionAdmissionEvaluation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​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:sectionAlert.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionPastIllnessHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​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:sectionDischargeMedications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​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.
Composition.section:sectionPayers.​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:sectionAdmissionEvaluation, Composition.section:sectionPhysicalFindings, Composition.section:sectionPhysicalExamination, Composition.section:sectionVitalSigns, Composition.section:sectionFunctionalStatus, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionDischargeDetails, Composition.section:sectionPatientHx, Composition.section:sectionProblemList, Composition.section:sectionCareTeam, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionDischargeInstructions, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAttachments, Composition.section:sectionPayers 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:sectionAdmissionEvaluation, Composition.section:sectionPhysicalFindings, Composition.section:sectionPhysicalExamination, Composition.section:sectionVitalSigns, Composition.section:sectionFunctionalStatus, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionDischargeDetails, Composition.section:sectionPatientHx, Composition.section:sectionProblemList, Composition.section:sectionCareTeam, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionDischargeInstructions, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAttachments, Composition.section:sectionPayers 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 Hospital Discharge Report composition
This profile also imposes the profile Composition (HDR)
... 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
.... extension:compositionVersionR5 0..* (Complex) An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
..... value[x] 0..1 string Business version
.... extension:information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... value[x] 0..1 Reference(Practitioner (CZ core) | Medical Device (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) Value of extension
... identifier 0..1 Identifier HDR business identifier
... status 1..1 code HDR status
.... 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: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
... subject 1..1 Reference(Patient (CZ core)) Who and/or what the composition is about
... encounter 1..1 Reference(Encounter (HDR CZ)) Context of the Composition
... date 1..1 dateTime HDR date
... author 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Medical Device (CZ) | Organization (CZ core)) Who and/or what authored the Hospital Discharge Report
... title 1..1 string Hospital Discharge Report
... attester
.... mode 1..1 code The type of attestation
.... time 0..1 dateTime When the composition was attested.
.... party 0..1 Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) Who attested the composition.
... Slices for section 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) Who and/or what authored the section
.... section:sectionAdmissionEvaluation 0..1 BackboneElement Composition is broken into sections
..... code 1..1 CodeableConceptIPS(2.0.0) 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
..... Slices for section 0..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... title 1..1 string Label for section (e.g. for ToC)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... section 0..0 Nested Section
...... section:sectionAnthropometry 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
....... entry 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
....... section 0..0 BackboneElement Nested Section
...... section:sectionVitalSigns 0..1 BackboneElement Vital signs
....... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... entry 1..* Reference(Observation) Entry used to represent vital sign measurements
....... section 0..0 BackboneElement Nested Section
...... section:sectionPhysicalExamination 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... entry 0..* Reference(ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
...... section:sectionFunctionalStatus 0..1 BackboneElement Functional status
....... 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: 47420-5
....... entry 0..* Reference(Condition (HDR CZ) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
....... section 0..0 BackboneElement Nested Section
.... section:sectionPhysicalFindings 0..1 BackboneElement Physical findings
..... 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: 29545-1
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionPhysicalExamination 0..1 BackboneElement Physical examination
..... 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: 55286-9
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionVitalSigns 0..1 BackboneElement Vital signs
..... 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: 8716-3
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..* Reference(DocumentReference | Vital Signs Profile) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionFunctionalStatus 0..1 BackboneElement Functional status
..... 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: 47420-5
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Condition (HDR CZ) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionAllergies 0..1 BackboneElement Allergies and Intolerances 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: 48765-2
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 1..* Reference(Allergy Intolerance (HDR CZ) | DocumentReference | AllergyIntolerance) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance 0..* Reference(Allergy Intolerance (HDR CZ)) Allergy entry
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionAlert 0..1 BackboneElement Alert 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: 104605-1
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag 0..* Reference(Flag) Flags
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionHospitalCourse 1..1 BackboneElement Significant information about course of hospital stay
..... 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: 8648-8
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionDiagnosticSummary 0..1 BackboneElement Problem specification in narrative form
..... 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: 11535-2
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Condition (HDR CZ)) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionSignificantProcedures 0..1 BackboneElement Significant procedures
..... 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: 10185-7
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..* Reference(Procedure (HDR CZ)) A reference to data that supports this section
..... section 0..0 Nested Section
.... section:sectionMedicalDevices 0..1 BackboneElement Medical devices and implants
..... 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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(DeviceUseStatement (HDR) | Procedure (HDR CZ)) A reference to data that supports this section
..... section 0..0 Nested Section
.... section:sectionPharmacotherapy 0..1 BackboneElement Pharmacotherapy
..... 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: 87232-5
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(MedicationDispense (HDR) | Medication Statement (CZ) | MedicationRequest (HDR CZ) | Medication (CZ)) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionSignificantResults 0..1 BackboneElement Significant Observation Results
..... 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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Observation | DiagnosticReport | DocumentReference) significant results
Slice: Unordered, Open by type:resolve()
...... entry:labResult 0..* Reference(Observation Laboratory (CZ)) Laboratory Result
...... entry:radResult 0..* Reference(Observation: Imaging Report (CZ)) Radiology Result
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionSynthesis 0..1 BackboneElement Synthesis
..... 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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionDischargeDetails 0..1 BackboneElement Discharge details
..... 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: 8650-4
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for section 0..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... title 1..1 string Label for section (e.g. for ToC)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... section 0..0 Nested Section
...... section:sectionAnthropometry 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
....... entry 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
....... section 0..0 BackboneElement Nested Section
...... section:sectionVitalSigns 0..1 BackboneElement Vital signs
....... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... entry 1..* Reference(Observation) Entry used to represent vital sign measurements
....... section 0..0 BackboneElement Nested Section
...... section:sectionPhysicalExamination 0..1 BackboneElement Nested Section
....... title 1..1 string Label for section (e.g. for ToC)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... entry 0..* Reference(ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
...... section:sectionFunctionalStatus 0..1 BackboneElement Functional status
....... 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: 47420-5
....... entry 0..* Reference(Condition (HDR CZ) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
....... section 0..0 BackboneElement Nested Section
.... section:sectionPatientHx 0..1 BackboneElement Patient History 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: 35090-0
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for section 0..* BackboneElement Patient History
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... title 1..1 string Label for section (e.g. for ToC)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... section 0..0 Nested Section
...... section:sectionInfectiousContacts 0..1 BackboneElement Infectious contacts
....... 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
....... entry 0..* Reference(Observation: Infectious Contact (HDR CZ)) Exposure to an infectious agent.
....... section 0..0 BackboneElement Nested Section
...... section:sectionTravelHx 0..1 BackboneElement Travel History Section
....... 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
....... section 0..0 BackboneElement Nested Section
...... section:sectionSocialHistory 0..1 BackboneElement Social History Section
....... 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
....... entry 0..* Reference(Observation: SDOH (HDR CZ) | DocumentReference) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
...... section:sectionPastIllnessHx 0..1 BackboneElement HDR History of Past Illness Section
....... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Fixed Value: As shown (History of Past illness note)
........ coding 1..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
....... entry 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
...... section:sectionProceduresHx 0..1 BackboneElement History of Procedures Section
....... 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
....... Slices for entry 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
........ entry:procedure 0..* Reference(Procedure (HDR CZ)) Past Procedure entry
....... section 0..0 BackboneElement Nested Section
...... section:sectionImmunizations 0..1 BackboneElement Immunizations Section
....... 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
....... Slices for entry 1..* Reference(Immunization (HDR CZ) | ImmunizationRecommendation (HDR) | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
........ entry:immunization 0..* Reference(Immunization (HDR CZ)) Immunization entry
....... section 0..0 BackboneElement Nested Section
...... section:sectionFamilyHistory 0..1 BackboneElement Family History Section
....... 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
....... entry 0..* Reference(FamilyMemberHistory (HDR CZ)) Family History
....... section 0..0 BackboneElement Nested Section
...... section:sectionSubstanceUse 0..1 BackboneElement Use of Substances Section
....... 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: substance-use
....... entry 0..* Reference(Observation) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
...... section:sectionAlcoholUse 0..1 BackboneElement Alcohol use Section
....... 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
....... entry 0..* Reference(Observation) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
...... section:sectionTobaccoUse 0..1 BackboneElement Tobacco use Section
....... 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
....... entry 0..* Reference(Observation) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
...... section:sectionDrugUse 0..1 BackboneElement Drug use Section
....... 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
....... entry 0..* Reference(Observation) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
...... section:sectionHistoryMedicalDevices 0..1 BackboneElement History of Medical devices and implants
....... 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
....... entry 0..* Reference(DeviceUseStatement (HDR) | Procedure (HDR CZ)) A reference to data that supports this section
....... section 0..0 BackboneElement Nested Section
.... section:sectionProblemList 0..1 BackboneElement Problem List 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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Condition (HDR)) Conditions the patient suffered in the past.
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionCareTeam 0..1 BackboneElement Care Team 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: 85847-2
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam 0..* Reference(CareTeam) Care Team
..... section 0..0 Nested Section
.... section:sectionPlanOfCare 0..1 BackboneElement Plan of Care 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: 18776-5
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Care Plan (HDR CZ) | DocumentReference) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionDischargeMedications 0..1 BackboneElement Hospital discharge medications
..... 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: 75311-1
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..* Reference(Medication Statement (CZ) | MedicationRequest (HDR CZ) | Medication (CZ)) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionDischargeInstructions 0..1 BackboneElement Hospital Discharge instructions
..... 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: 8653-8
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionAdvanceDirectives 0..1 BackboneElement Advance Directives 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: 42348-3
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Consent (Advance Directives) (HDR CZ) | DocumentReference) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionAttachments 0..1 BackboneElement Attachments
..... 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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..* Reference(DocumentReference | Binary) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section
.... section:sectionPayers 0..1 BackboneElement Health insurance and payment information.
..... 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: 48768-6
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Coverage (CZ)) A reference to data that supports this section
..... section 0..* BackboneElement Nested Section
...... section 0..0 Nested Section

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition Hospital Discharge Report composition
This profile also imposes the profile Composition (HDR)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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 id 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
.... extension:compositionVersionR5 0..* (Complex) An explicitly assigned identifer of a variation of the content in the Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
..... value[x] 0..1 string Business version
.... extension:information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... 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.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(Practitioner (CZ core) | Medical Device (CZ) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier HDR business identifier
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 1..1 CodeableConceptIPS(2.0.0) Kind of composition ("Hospital Discharge 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: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
..... 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 1..1 Reference(Encounter (HDR CZ)) Context of the Composition
... date Σ 1..1 dateTime HDR date
... author Σ 1..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Medical Device (CZ) | Organization (CZ core)) Who and/or what authored the Hospital Discharge Report
... title Σ 1..1 string Hospital Discharge Report
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code The type of attestation
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(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core)) Who attested the composition.
... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value: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 (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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: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 0..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) 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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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 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(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:sectionAnthropometry C 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
....... 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: 8716-3
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text 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 1..* Reference(Observation) Entry used to represent vital sign measurements
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionPhysicalExamination 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)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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 | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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: 47420-5
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
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: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* 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 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:sectionPhysicalExamination C 0..1 BackboneElement Physical examination
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: 55286-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* 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 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:sectionVitalSigns C 0..1 BackboneElement Vital signs
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: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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 1..* Reference(DocumentReference | Vital Signs Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* 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 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:sectionFunctionalStatus C 0..1 BackboneElement Functional status
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: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
..... 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..* 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 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:sectionAllergies C 0..1 BackboneElement Allergies and Intolerances Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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.
..... Slices for entry C 1..* Reference(Allergy Intolerance (HDR CZ) | DocumentReference | AllergyIntolerance) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance C 0..* Reference(Allergy Intolerance (HDR CZ)) Allergy entry
..... 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..* 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 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:sectionAlert C 0..1 BackboneElement Alert Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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.
..... Slices for entry C 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..* Reference(Flag) Flags
..... 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..* 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 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:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
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: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* 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 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:sectionDiagnosticSummary C 0..1 BackboneElement Problem specification in narrative form
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: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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)) 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..* 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 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:sectionSignificantProcedures C 0..1 BackboneElement Significant procedures
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: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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 1..* Reference(Procedure (HDR 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:sectionMedicalDevices C 0..1 BackboneElement Medical devices and implants
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: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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) | Procedure (HDR 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:sectionPharmacotherapy C 0..1 BackboneElement Pharmacotherapy
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: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(MedicationDispense (HDR) | Medication Statement (CZ) | MedicationRequest (HDR CZ) | 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..* 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 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:sectionSignificantResults C 0..1 BackboneElement Significant Observation Results
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: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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.
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) significant results
Slice: Unordered, Open by type:resolve()
...... entry:labResult C 0..* Reference(Observation Laboratory (CZ)) Laboratory Result
...... entry:radResult C 0..* Reference(Observation: Imaging Report (CZ)) Radiology Result
..... 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..* 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 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:sectionSynthesis C 0..1 BackboneElement Synthesis
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* 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 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:sectionDischargeDetails C 0..1 BackboneElement Discharge details
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: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* BackboneElement Objective findings
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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 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(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:sectionAnthropometry C 0..1 BackboneElement Anthropometric observations
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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 1..* Reference(Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference | Observation: Anthropometric Data (HDR CZ) - Height | Observation: Anthropometric Data (HDR CZ) | Observation: Anthropometric Data (HDR CZ) - BMI | Observation: Anthropometric Data (HDR CZ) - Head Circumference | Observation: Anthropometric Data (HDR CZ) - Chest Circumference | Observation) Entry used to represent anthropometric measurements
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
....... 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: 8716-3
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text 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 1..* Reference(Observation) Entry used to represent vital sign measurements
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionPhysicalExamination 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)
Required Pattern: Somatické vyšetření
....... 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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 | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent physical examination findings
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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: 47420-5
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text 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) | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPatientHx C 0..1 BackboneElement Patient History Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* BackboneElement Patient History
Slice: Unordered, Open by value:code
...... section:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..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 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(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:sectionInfectiousContacts C 0..1 BackboneElement Infectious contacts
....... 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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)) Exposure to an infectious agent.
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionTravelHx C 0..1 BackboneElement Travel History Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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(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:sectionSocialHistory C 0..1 BackboneElement Social History Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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:sectionPastIllnessHx C 0..1 BackboneElement HDR History of Past Illness Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (History of Past illness note)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionProceduresHx C 0..1 BackboneElement History of Procedures Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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.
....... Slices for entry C 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
........ entry:procedure C 0..* Reference(Procedure (HDR CZ)) Past Procedure entry
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionImmunizations C 0..1 BackboneElement Immunizations Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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.
....... Slices for entry C 1..* Reference(Immunization (HDR CZ) | ImmunizationRecommendation (HDR) | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
........ entry:immunization C 0..* Reference(Immunization (HDR CZ)) Immunization entry
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionFamilyHistory C 0..1 BackboneElement Family History Section
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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)) Family History
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section:sectionSubstanceUse C 0..1 BackboneElement Use of Substances 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: substance-use
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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) 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:sectionAlcoholUse C 0..1 BackboneElement Alcohol use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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) 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:sectionTobaccoUse C 0..1 BackboneElement Tobacco use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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) 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:sectionDrugUse C 0..1 BackboneElement Drug use 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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) 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:sectionHistoryMedicalDevices C 0..1 BackboneElement History of Medical devices and implants
....... 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 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
........ text 0..1 string Plain text representation of the concept
....... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
....... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
....... text C 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) | Procedure (HDR 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:sectionProblemList C 0..1 BackboneElement Problem List Section
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: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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)) Conditions the patient suffered in the past.
..... 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..* 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 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:sectionCareTeam C 0..1 BackboneElement Care Team Section
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: 85847-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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.
..... Slices for entry C 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam C 0..* Reference(CareTeam) Care Team
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPlanOfCare C 0..1 BackboneElement Plan of Care Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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) | 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..* 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 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:sectionDischargeMedications C 0..1 BackboneElement Hospital discharge medications
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: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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 1..* Reference(Medication Statement (CZ) | MedicationRequest (HDR CZ) | 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..* 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 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:sectionDischargeInstructions C 0..1 BackboneElement Hospital Discharge instructions
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: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(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..* 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 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:sectionAdvanceDirectives C 0..1 BackboneElement Advance Directives Section
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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) | 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..* 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 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:sectionAttachments C 0..1 BackboneElement Attachments
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 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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 1..* Reference(DocumentReference | Binary) 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..* 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 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:sectionPayers C 0..1 BackboneElement Health insurance and payment information.
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: 48768-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) 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(Coverage (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..* 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 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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: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:sectionAdmissionEvaluation.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionAnthropometry.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionVitalSigns.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionPhysicalExamination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionPhysicalExamination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionPhysicalExamination.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​section:sectionFunctionalStatus.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalExamination.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​section.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:sectionAllergies.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionAnthropometry.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionVitalSigns.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionPhysicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionPhysicalExamination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionPhysicalExamination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionPhysicalExamination.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​section:sectionFunctionalStatus.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionInfectiousContacts.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTravelHx.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSocialHistory.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionPastIllnessHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionPastIllnessHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionPastIllnessHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionPastIllnessHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionProceduresHx.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionImmunizations.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionFamilyHistory.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionSubstanceUse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionAlcoholUse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionTobaccoUse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionDrugUse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​section:sectionHistoryMedicalDevices.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblemList.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionCareTeam.​section.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:sectionPlanOfCare.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​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:sectionAdvanceDirectives.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​section.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.
Composition.section:sectionAttachments.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPayers.​section.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:sectionAdmissionEvaluation, Composition.section:sectionPhysicalFindings, Composition.section:sectionPhysicalExamination, Composition.section:sectionVitalSigns, Composition.section:sectionFunctionalStatus, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionDischargeDetails, Composition.section:sectionPatientHx, Composition.section:sectionProblemList, Composition.section:sectionCareTeam, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionDischargeInstructions, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAttachments, Composition.section:sectionPayers 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:sectionAdmissionEvaluation, Composition.section:sectionPhysicalFindings, Composition.section:sectionPhysicalExamination, Composition.section:sectionVitalSigns, Composition.section:sectionFunctionalStatus, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionDischargeDetails, Composition.section:sectionPatientHx, Composition.section:sectionProblemList, Composition.section:sectionCareTeam, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionDischargeInstructions, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAttachments, Composition.section:sectionPayers 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: 9 elements(105 nested mandatory elements)
Fixed: 1 element
Prohibited: 44 elements

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

 

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