Patient Cost Transparency Implementation Guide
2.0.0 - STU 2 United States of America flag

Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

Resource Profile: PCT GFE Composition

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-composition Version: 2.0.0
Standards status: Trial-use Maturity Level: 1 Computable Name: PCTGFEComposition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.57

PCT GFE Composition that assembles the contents of a GFE (represented by one or more individual GFE Bundles) into a single logical package. A Composition for the document type Bundle that enables versioning, signing and being referenced by a DocumentReference for searching and subscription notifications.

Example Usage

This profile does not include directly linked examples (available in an "Examples" tab at the top of this page) because the profile requires that referenced resources be included in the same bundle in which they exist.

As such, the example of this profile is included in PCT GFE Packet Institutional Example 1 and PCT GFE Packet Professional Example 1

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.1.0:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Composition C 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
    Constraints: pct-gfe-packet-composition-1
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension 2..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant (instance service was scheduled or estimate requested)
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier. Scheduled services SHALL have a plannedPeriodOfService valueDate or ValuePeriod
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:requestOriginationType S 1..1 CodeableConcept Indicator as to whether the request for estimate originated from a scheduled or unscheduled service.
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType
    Binding: PCT GFE Request Type Codes ValueSet (required)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 1..1 Identifier Version-independent identifier for the Composition
    .... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    .... system Σ 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    .... value Σ 1..1 string The value that is unique
    Example General: 123456
    ... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
    Binding: CompositionStatus (required): The workflow/clinical status of the composition.
    ... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
    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: 111480-0
    ..... 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
    ... Slices for category Σ 1..* CodeableConcept Categorization of Composition
    Slice: Unordered, Open by value:coding
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    .... category:estimate SΣ 1..1 CodeableConcept Categorization of Composition
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    ..... Slices for coding Σ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:$this
    ...... coding:estimate-coding SΣ 1..1 Coding Code defined by a terminology system

    Required Pattern: At least the following
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ... subject SΣ 1..1 Reference(US Core Patient Profile(7.0.0)) Who and/or what the composition is about
    ... date ΣC 1..1 dateTime Composition editing time
    Constraints: pct-datetime-to-seconds
    ... author Σ 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... title SΣ 1..1 string Human Readable name/title
    ... Slices for relatesTo 0..* BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:All Slices Content/Rules for all slices
    ..... 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)
    .... relatesTo:replaces S 0..1 BackboneElement The identifier of the document (Composition.identifier) this estimate replaces
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 1..1 code replaces | transforms | signs | appends
    Binding: DocumentRelationshipType (required): The type of relationship between documents.
    Required Pattern: replaces
    ..... Slices for target[x] 1..1 Identifier Target of the relationship
    Slice: Unordered, Closed by type:$this
    ...... target[x]:targetIdentifier S 1..1 Identifier Target of the relationship
    ....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    ....... system Σ 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    ....... value Σ 1..1 string The value that is unique
    Example General: 123456
    ... Slices for section C 2..* BackboneElement Sections Individual GFE Bundles
    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
    .... section:coverage SC 1..1 BackboneElement SHALL have a reference to a PCTCoverage resource, contained within the document bundle
    Constraints: cmp-1, cmp-2
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: coverage-section
    ....... 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
    ..... entry SC 1..1 Reference(PCT Coverage) {b} A reference to data that supports this section
    .... section:gfeBundle SC 1..* BackboneElement SHALL reference one PCTGFEBundle or PCTGFEMissingBundle resource, which SHALL be contained in the document bundle, and the associated author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle.
    Constraints: cmp-1, cmp-2
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-section
    ....... 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 S 1..1 Reference(PCT Practitioner | PCT Organization) {b} Associated GFE author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle
    ..... entry SC 1..1 Reference(PCT GFE Bundle | PCT GFE Missing Bundle) {b} A reference to data that supports this section

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Composition.identifier.userequiredIdentifierUse
    http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    From the FHIR Standard
    Composition.statusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status|4.0.1
    From the FHIR Standard
    Composition.typepreferredPattern Value: LOINC Code 111480-0
    http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1
    From the FHIR Standard
    Composition.categoryexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
    From the FHIR Standard
    Composition.category:estimateexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
    From the FHIR Standard
    Composition.relatesTo.coderequiredDocumentRelationshipType
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    Composition.relatesTo:replaces.coderequiredPattern Value: replaces
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    Composition.relatesTo:replaces.target[x]:targetIdentifier.userequiredIdentifierUse
    http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    From the FHIR Standard
    Composition.section:coverage.codeexamplePattern Value: coverage-section
    http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    From the FHIR Standard
    Composition.section:gfeBundle.codeexamplePattern Value: gfe-section
    http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    cmp-1errorComposition.section, Composition.section:coverage, Composition.section:gfeBundleA section must contain at least one of text, entries, or sub-sections
    : text.exists() or entry.exists() or section.exists()
    cmp-2errorComposition.section, Composition.section:coverage, Composition.section:gfeBundleA section can only have an emptyReason if it is empty
    : emptyReason.empty() or entry.empty()
    dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceCompositionA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    pct-datetime-to-secondserrorComposition.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-gfe-packet-composition-1errorCompositionScheduled service requests require a planned period of service
    : extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType' and value.ofType(CodeableConcept).coding.where(code='scheduled-request').exists()).exists() implies extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo' and extension.where(url = 'plannedPeriodOfService').exists()).exists()

    This structure is derived from Composition

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Composition C 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
    Constraints: pct-gfe-packet-composition-1
    ... Slices for extension 2..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant (instance service was scheduled or estimate requested)
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier. Scheduled services SHALL have a plannedPeriodOfService valueDate or ValuePeriod
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:requestOriginationType S 1..1 CodeableConcept Indicator as to whether the request for estimate originated from a scheduled or unscheduled service.
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType
    Binding: PCT GFE Request Type Codes ValueSet (required)
    ... identifier 1..1 Identifier Version-independent identifier for the Composition
    .... system 1..1 uri The namespace for the identifier value
    .... value 1..1 string The value that is unique
    ... type 1..1 CodeableConcept Kind of composition (LOINC if possible)
    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: 111480-0
    ... Slices for category 1..* CodeableConcept Categorization of Composition
    Slice: Unordered, Open by value:coding
    .... category:estimate S 1..1 CodeableConcept Categorization of Composition
    ..... Slices for coding 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:$this
    ...... coding:estimate-coding S 1..1 Coding Code defined by a terminology system
    Required Pattern: At least the following
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ... subject S 1..1 Reference(US Core Patient Profile(7.0.0)) Who and/or what the composition is about
    ... date C 1..1 dateTime Composition editing time
    Constraints: pct-datetime-to-seconds
    ... author 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... title S 1..1 string Human Readable name/title
    ... Slices for relatesTo 0..* BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:replaces S 0..1 BackboneElement The identifier of the document (Composition.identifier) this estimate replaces
    ..... code 1..1 code replaces | transforms | signs | appends
    Required Pattern: replaces
    ..... Slices for target[x] 1..1 Identifier Target of the relationship
    Slice: Unordered, Open by type:$this
    ...... target[x]:targetIdentifier S 1..1 Identifier Target of the relationship
    ....... system 1..1 uri The namespace for the identifier value
    ....... value 1..1 string The value that is unique
    ... Slices for section 2..* BackboneElement Sections Individual GFE Bundles
    Slice: Unordered, Open by value:code
    .... section:coverage S 1..1 BackboneElement SHALL have a reference to a PCTCoverage resource, contained within the document bundle
    ..... 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://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: coverage-section
    ..... entry S 1..1 Reference(PCT Coverage) {b} A reference to data that supports this section
    .... section:gfeBundle S 1..* BackboneElement SHALL reference one PCTGFEBundle or PCTGFEMissingBundle resource, which SHALL be contained in the document bundle, and the associated author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle.
    ..... 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://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-section
    ..... author S 1..1 Reference(PCT Practitioner | PCT Organization) {b} Associated GFE author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle
    ..... entry S 1..1 Reference(PCT GFE Bundle | PCT GFE Missing Bundle) {b} A reference to data that supports this section

    doco Documentation for this format

    Constraints

    IdGradePath(s)DetailsRequirements
    pct-datetime-to-secondserrorComposition.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-gfe-packet-composition-1errorCompositionScheduled service requests require a planned period of service
    : extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType' and value.ofType(CodeableConcept).coding.where(code='scheduled-request').exists()).exists() implies extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo' and extension.where(url = 'plannedPeriodOfService').exists()).exists()
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Composition C 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
    Constraints: pct-gfe-packet-composition-1
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... 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 2..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant (instance service was scheduled or estimate requested)
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier. Scheduled services SHALL have a plannedPeriodOfService valueDate or ValuePeriod
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:requestOriginationType S 1..1 CodeableConcept Indicator as to whether the request for estimate originated from a scheduled or unscheduled service.
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType
    Binding: PCT GFE Request Type Codes ValueSet (required)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 1..1 Identifier Version-independent identifier for the Composition
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    .... type Σ 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    .... system Σ 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    .... value Σ 1..1 string The value that is unique
    Example General: 123456
    .... period Σ 0..1 Period Time period when id is/was valid for use
    .... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
    ... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
    Binding: CompositionStatus (required): The workflow/clinical status of the composition.
    ... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
    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: 111480-0
    ..... 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
    ... Slices for category Σ 1..* CodeableConcept Categorization of Composition
    Slice: Unordered, Open by value:coding
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    .... category:estimate SΣ 1..1 CodeableConcept Categorization of Composition
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... Slices for coding Σ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:$this
    ...... coding:estimate-coding SΣ 1..1 Coding Code defined by a terminology system

    Required Pattern: At least the following
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ..... text Σ 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(US Core Patient Profile(7.0.0)) Who and/or what the composition is about
    ... encounter Σ 0..1 Reference(Encounter) Context of the Composition
    ... date ΣC 1..1 dateTime Composition editing time
    Constraints: pct-datetime-to-seconds
    ... author Σ 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... title SΣ 1..1 string Human Readable name/title
    ... confidentiality Σ 0..1 code As defined by affinity domain
    Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
    ... attester 0..* BackboneElement Attests to accuracy of composition
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... mode 1..1 code personal | professional | legal | official
    Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
    .... time 0..1 dateTime When the composition was attested
    .... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
    ... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
    ... Slices for relatesTo 0..* BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:All Slices Content/Rules for all slices
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 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)
    .... relatesTo:replaces S 0..1 BackboneElement The identifier of the document (Composition.identifier) this estimate replaces
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 1..1 code replaces | transforms | signs | appends
    Binding: DocumentRelationshipType (required): The type of relationship between documents.
    Required Pattern: replaces
    ..... Slices for target[x] 1..1 Identifier Target of the relationship
    Slice: Unordered, Closed by type:$this
    ...... target[x]:targetIdentifier S 1..1 Identifier Target of the relationship
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    ....... type Σ 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    ....... system Σ 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    ....... value Σ 1..1 string The value that is unique
    Example General: 123456
    ....... period Σ 0..1 Period Time period when id is/was valid for use
    ....... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
    ... 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 2..* BackboneElement Sections Individual GFE Bundles
    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 | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
    ..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
    ..... text C 0..1 Narrative Text summary of the section, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... mode 0..1 code working | snapshot | changes
    Binding: ListMode (required): The processing mode that applies to this section.
    ..... orderedBy 0..1 CodeableConcept Order of section entries
    Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
    ..... entry C 0..* Reference(Resource) A reference to data that supports this section
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
    ..... section C 0..* See section (Composition) Nested Section
    .... section:coverage SC 1..1 BackboneElement SHALL have a reference to a PCTCoverage resource, contained within the document bundle
    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 CodeableConcept Classification of section (recommended)
    Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: coverage-section
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 0..1 string Plain text representation of the concept
    ..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
    ..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
    ..... text C 0..1 Narrative Text summary of the section, for human interpretation
    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 SC 1..1 Reference(PCT Coverage) {b} 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:gfeBundle SC 1..* BackboneElement SHALL reference one PCTGFEBundle or PCTGFEMissingBundle resource, which SHALL be contained in the document bundle, and the associated author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle.
    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 CodeableConcept Classification of section (recommended)
    Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-section
    ....... 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 S 1..1 Reference(PCT Practitioner | PCT Organization) {b} Associated GFE author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle
    ..... 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 SC 1..1 Reference(PCT GFE Bundle | PCT GFE Missing Bundle) {b} A reference to data that supports this section
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
    ..... section C 0..* See section (Composition) Nested Section

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Composition.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages|4.0.1
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Composition.identifier.userequiredIdentifierUse
    http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    From the FHIR Standard
    Composition.identifier.typeextensibleIdentifier Type Codes
    http://hl7.org/fhir/ValueSet/identifier-type|4.0.1
    From the FHIR Standard
    Composition.statusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status|4.0.1
    From the FHIR Standard
    Composition.typepreferredPattern Value: LOINC Code 111480-0
    http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1
    From the FHIR Standard
    Composition.categoryexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
    From the FHIR Standard
    Composition.category:estimateexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
    From the FHIR Standard
    Composition.confidentialityrequiredv3.ConfidentialityClassification
    http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
    From the FHIR Standard
    Composition.attester.moderequiredCompositionAttestationMode
    http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
    From the FHIR Standard
    Composition.relatesTo.coderequiredDocumentRelationshipType
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    Composition.relatesTo:replaces.coderequiredPattern Value: replaces
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    Composition.relatesTo:replaces.target[x]:targetIdentifier.userequiredIdentifierUse
    http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    From the FHIR Standard
    Composition.relatesTo:replaces.target[x]:targetIdentifier.typeextensibleIdentifier Type Codes
    http://hl7.org/fhir/ValueSet/identifier-type|4.0.1
    From the FHIR Standard
    Composition.event.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0
    Composition.section.codeexampleDocumentSectionCodes
    http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    From the FHIR Standard
    Composition.section.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    From the FHIR Standard
    Composition.section.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order|4.0.1
    From the FHIR Standard
    Composition.section.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    From the FHIR Standard
    Composition.section:coverage.codeexamplePattern Value: coverage-section
    http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    From the FHIR Standard
    Composition.section:coverage.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    From the FHIR Standard
    Composition.section:coverage.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order|4.0.1
    From the FHIR Standard
    Composition.section:coverage.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    From the FHIR Standard
    Composition.section:gfeBundle.codeexamplePattern Value: gfe-section
    http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    From the FHIR Standard
    Composition.section:gfeBundle.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    From the FHIR Standard
    Composition.section:gfeBundle.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order|4.0.1
    From the FHIR Standard
    Composition.section:gfeBundle.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    cmp-1errorComposition.section, Composition.section:coverage, Composition.section:gfeBundleA section must contain at least one of text, entries, or sub-sections
    : text.exists() or entry.exists() or section.exists()
    cmp-2errorComposition.section, Composition.section:coverage, Composition.section:gfeBundleA section can only have an emptyReason if it is empty
    : emptyReason.empty() or entry.empty()
    dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceCompositionA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    pct-datetime-to-secondserrorComposition.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-gfe-packet-composition-1errorCompositionScheduled service requests require a planned period of service
    : extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType' and value.ofType(CodeableConcept).coding.where(code='scheduled-request').exists()).exists() implies extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo' and extension.where(url = 'plannedPeriodOfService').exists()).exists()

    This structure is derived from Composition

    Summary

    Mandatory: 17 elements(3 nested mandatory elements)
    Must-Support: 14 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.category
    • The element 1 is sliced based on the value of Composition.category.coding
    • The element 1 is sliced based on the value of Composition.relatesTo
    • The element 1 is sliced based on the value of Composition.relatesTo.target[x]
    • The element 1 is sliced based on the value of Composition.section

    Maturity: 1

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Composition C 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
    Constraints: pct-gfe-packet-composition-1
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension 2..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant (instance service was scheduled or estimate requested)
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier. Scheduled services SHALL have a plannedPeriodOfService valueDate or ValuePeriod
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:requestOriginationType S 1..1 CodeableConcept Indicator as to whether the request for estimate originated from a scheduled or unscheduled service.
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType
    Binding: PCT GFE Request Type Codes ValueSet (required)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 1..1 Identifier Version-independent identifier for the Composition
    .... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    .... system Σ 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    .... value Σ 1..1 string The value that is unique
    Example General: 123456
    ... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
    Binding: CompositionStatus (required): The workflow/clinical status of the composition.
    ... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
    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: 111480-0
    ..... 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
    ... Slices for category Σ 1..* CodeableConcept Categorization of Composition
    Slice: Unordered, Open by value:coding
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    .... category:estimate SΣ 1..1 CodeableConcept Categorization of Composition
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    ..... Slices for coding Σ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:$this
    ...... coding:estimate-coding SΣ 1..1 Coding Code defined by a terminology system

    Required Pattern: At least the following
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ... subject SΣ 1..1 Reference(US Core Patient Profile(7.0.0)) Who and/or what the composition is about
    ... date ΣC 1..1 dateTime Composition editing time
    Constraints: pct-datetime-to-seconds
    ... author Σ 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... title SΣ 1..1 string Human Readable name/title
    ... Slices for relatesTo 0..* BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:All Slices Content/Rules for all slices
    ..... 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)
    .... relatesTo:replaces S 0..1 BackboneElement The identifier of the document (Composition.identifier) this estimate replaces
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 1..1 code replaces | transforms | signs | appends
    Binding: DocumentRelationshipType (required): The type of relationship between documents.
    Required Pattern: replaces
    ..... Slices for target[x] 1..1 Identifier Target of the relationship
    Slice: Unordered, Closed by type:$this
    ...... target[x]:targetIdentifier S 1..1 Identifier Target of the relationship
    ....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    ....... system Σ 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    ....... value Σ 1..1 string The value that is unique
    Example General: 123456
    ... Slices for section C 2..* BackboneElement Sections Individual GFE Bundles
    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
    .... section:coverage SC 1..1 BackboneElement SHALL have a reference to a PCTCoverage resource, contained within the document bundle
    Constraints: cmp-1, cmp-2
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: coverage-section
    ....... 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
    ..... entry SC 1..1 Reference(PCT Coverage) {b} A reference to data that supports this section
    .... section:gfeBundle SC 1..* BackboneElement SHALL reference one PCTGFEBundle or PCTGFEMissingBundle resource, which SHALL be contained in the document bundle, and the associated author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle.
    Constraints: cmp-1, cmp-2
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-section
    ....... 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 S 1..1 Reference(PCT Practitioner | PCT Organization) {b} Associated GFE author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle
    ..... entry SC 1..1 Reference(PCT GFE Bundle | PCT GFE Missing Bundle) {b} A reference to data that supports this section

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Composition.identifier.userequiredIdentifierUse
    http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    From the FHIR Standard
    Composition.statusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status|4.0.1
    From the FHIR Standard
    Composition.typepreferredPattern Value: LOINC Code 111480-0
    http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1
    From the FHIR Standard
    Composition.categoryexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
    From the FHIR Standard
    Composition.category:estimateexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
    From the FHIR Standard
    Composition.relatesTo.coderequiredDocumentRelationshipType
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    Composition.relatesTo:replaces.coderequiredPattern Value: replaces
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    Composition.relatesTo:replaces.target[x]:targetIdentifier.userequiredIdentifierUse
    http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    From the FHIR Standard
    Composition.section:coverage.codeexamplePattern Value: coverage-section
    http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    From the FHIR Standard
    Composition.section:gfeBundle.codeexamplePattern Value: gfe-section
    http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    cmp-1errorComposition.section, Composition.section:coverage, Composition.section:gfeBundleA section must contain at least one of text, entries, or sub-sections
    : text.exists() or entry.exists() or section.exists()
    cmp-2errorComposition.section, Composition.section:coverage, Composition.section:gfeBundleA section can only have an emptyReason if it is empty
    : emptyReason.empty() or entry.empty()
    dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceCompositionA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    pct-datetime-to-secondserrorComposition.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-gfe-packet-composition-1errorCompositionScheduled service requests require a planned period of service
    : extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType' and value.ofType(CodeableConcept).coding.where(code='scheduled-request').exists()).exists() implies extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo' and extension.where(url = 'plannedPeriodOfService').exists()).exists()

    Differential View

    This structure is derived from Composition

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Composition C 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
    Constraints: pct-gfe-packet-composition-1
    ... Slices for extension 2..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant (instance service was scheduled or estimate requested)
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier. Scheduled services SHALL have a plannedPeriodOfService valueDate or ValuePeriod
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:requestOriginationType S 1..1 CodeableConcept Indicator as to whether the request for estimate originated from a scheduled or unscheduled service.
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType
    Binding: PCT GFE Request Type Codes ValueSet (required)
    ... identifier 1..1 Identifier Version-independent identifier for the Composition
    .... system 1..1 uri The namespace for the identifier value
    .... value 1..1 string The value that is unique
    ... type 1..1 CodeableConcept Kind of composition (LOINC if possible)
    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: 111480-0
    ... Slices for category 1..* CodeableConcept Categorization of Composition
    Slice: Unordered, Open by value:coding
    .... category:estimate S 1..1 CodeableConcept Categorization of Composition
    ..... Slices for coding 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:$this
    ...... coding:estimate-coding S 1..1 Coding Code defined by a terminology system
    Required Pattern: At least the following
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ... subject S 1..1 Reference(US Core Patient Profile(7.0.0)) Who and/or what the composition is about
    ... date C 1..1 dateTime Composition editing time
    Constraints: pct-datetime-to-seconds
    ... author 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... title S 1..1 string Human Readable name/title
    ... Slices for relatesTo 0..* BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:replaces S 0..1 BackboneElement The identifier of the document (Composition.identifier) this estimate replaces
    ..... code 1..1 code replaces | transforms | signs | appends
    Required Pattern: replaces
    ..... Slices for target[x] 1..1 Identifier Target of the relationship
    Slice: Unordered, Open by type:$this
    ...... target[x]:targetIdentifier S 1..1 Identifier Target of the relationship
    ....... system 1..1 uri The namespace for the identifier value
    ....... value 1..1 string The value that is unique
    ... Slices for section 2..* BackboneElement Sections Individual GFE Bundles
    Slice: Unordered, Open by value:code
    .... section:coverage S 1..1 BackboneElement SHALL have a reference to a PCTCoverage resource, contained within the document bundle
    ..... 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://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: coverage-section
    ..... entry S 1..1 Reference(PCT Coverage) {b} A reference to data that supports this section
    .... section:gfeBundle S 1..* BackboneElement SHALL reference one PCTGFEBundle or PCTGFEMissingBundle resource, which SHALL be contained in the document bundle, and the associated author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle.
    ..... 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://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-section
    ..... author S 1..1 Reference(PCT Practitioner | PCT Organization) {b} Associated GFE author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle
    ..... entry S 1..1 Reference(PCT GFE Bundle | PCT GFE Missing Bundle) {b} A reference to data that supports this section

    doco Documentation for this format

    Constraints

    IdGradePath(s)DetailsRequirements
    pct-datetime-to-secondserrorComposition.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-gfe-packet-composition-1errorCompositionScheduled service requests require a planned period of service
    : extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType' and value.ofType(CodeableConcept).coding.where(code='scheduled-request').exists()).exists() implies extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo' and extension.where(url = 'plannedPeriodOfService').exists()).exists()

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Composition C 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
    Constraints: pct-gfe-packet-composition-1
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... 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 2..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant (instance service was scheduled or estimate requested)
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier. Scheduled services SHALL have a plannedPeriodOfService valueDate or ValuePeriod
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:requestOriginationType S 1..1 CodeableConcept Indicator as to whether the request for estimate originated from a scheduled or unscheduled service.
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType
    Binding: PCT GFE Request Type Codes ValueSet (required)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 1..1 Identifier Version-independent identifier for the Composition
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    .... type Σ 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    .... system Σ 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    .... value Σ 1..1 string The value that is unique
    Example General: 123456
    .... period Σ 0..1 Period Time period when id is/was valid for use
    .... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
    ... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
    Binding: CompositionStatus (required): The workflow/clinical status of the composition.
    ... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
    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: 111480-0
    ..... 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
    ... Slices for category Σ 1..* CodeableConcept Categorization of Composition
    Slice: Unordered, Open by value:coding
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    .... category:estimate SΣ 1..1 CodeableConcept Categorization of Composition
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... Slices for coding Σ 1..* Coding Code defined by a terminology system
    Slice: Unordered, Open by value:$this
    ...... coding:estimate-coding SΣ 1..1 Coding Code defined by a terminology system

    Required Pattern: At least the following
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ..... text Σ 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(US Core Patient Profile(7.0.0)) Who and/or what the composition is about
    ... encounter Σ 0..1 Reference(Encounter) Context of the Composition
    ... date ΣC 1..1 dateTime Composition editing time
    Constraints: pct-datetime-to-seconds
    ... author Σ 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... title SΣ 1..1 string Human Readable name/title
    ... confidentiality Σ 0..1 code As defined by affinity domain
    Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
    ... attester 0..* BackboneElement Attests to accuracy of composition
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... mode 1..1 code personal | professional | legal | official
    Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
    .... time 0..1 dateTime When the composition was attested
    .... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
    ... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
    ... Slices for relatesTo 0..* BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:All Slices Content/Rules for all slices
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 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)
    .... relatesTo:replaces S 0..1 BackboneElement The identifier of the document (Composition.identifier) this estimate replaces
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... code 1..1 code replaces | transforms | signs | appends
    Binding: DocumentRelationshipType (required): The type of relationship between documents.
    Required Pattern: replaces
    ..... Slices for target[x] 1..1 Identifier Target of the relationship
    Slice: Unordered, Closed by type:$this
    ...... target[x]:targetIdentifier S 1..1 Identifier Target of the relationship
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    ....... type Σ 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    ....... system Σ 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    ....... value Σ 1..1 string The value that is unique
    Example General: 123456
    ....... period Σ 0..1 Period Time period when id is/was valid for use
    ....... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
    ... 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 2..* BackboneElement Sections Individual GFE Bundles
    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 | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
    ..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
    ..... text C 0..1 Narrative Text summary of the section, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ..... mode 0..1 code working | snapshot | changes
    Binding: ListMode (required): The processing mode that applies to this section.
    ..... orderedBy 0..1 CodeableConcept Order of section entries
    Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
    ..... entry C 0..* Reference(Resource) A reference to data that supports this section
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
    ..... section C 0..* See section (Composition) Nested Section
    .... section:coverage SC 1..1 BackboneElement SHALL have a reference to a PCTCoverage resource, contained within the document bundle
    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 CodeableConcept Classification of section (recommended)
    Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: coverage-section
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 0..1 string Plain text representation of the concept
    ..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
    ..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
    ..... text C 0..1 Narrative Text summary of the section, for human interpretation
    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 SC 1..1 Reference(PCT Coverage) {b} 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:gfeBundle SC 1..* BackboneElement SHALL reference one PCTGFEBundle or PCTGFEMissingBundle resource, which SHALL be contained in the document bundle, and the associated author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle.
    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 CodeableConcept Classification of section (recommended)
    Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-section
    ....... 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 S 1..1 Reference(PCT Practitioner | PCT Organization) {b} Associated GFE author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle
    ..... 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 SC 1..1 Reference(PCT GFE Bundle | PCT GFE Missing Bundle) {b} A reference to data that supports this section
    ..... emptyReason C 0..1 CodeableConcept Why the section is empty
    Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
    ..... section C 0..* See section (Composition) Nested Section

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Composition.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages|4.0.1
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Composition.identifier.userequiredIdentifierUse
    http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    From the FHIR Standard
    Composition.identifier.typeextensibleIdentifier Type Codes
    http://hl7.org/fhir/ValueSet/identifier-type|4.0.1
    From the FHIR Standard
    Composition.statusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status|4.0.1
    From the FHIR Standard
    Composition.typepreferredPattern Value: LOINC Code 111480-0
    http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1
    From the FHIR Standard
    Composition.categoryexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
    From the FHIR Standard
    Composition.category:estimateexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
    From the FHIR Standard
    Composition.confidentialityrequiredv3.ConfidentialityClassification
    http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
    From the FHIR Standard
    Composition.attester.moderequiredCompositionAttestationMode
    http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
    From the FHIR Standard
    Composition.relatesTo.coderequiredDocumentRelationshipType
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    Composition.relatesTo:replaces.coderequiredPattern Value: replaces
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    Composition.relatesTo:replaces.target[x]:targetIdentifier.userequiredIdentifierUse
    http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    From the FHIR Standard
    Composition.relatesTo:replaces.target[x]:targetIdentifier.typeextensibleIdentifier Type Codes
    http://hl7.org/fhir/ValueSet/identifier-type|4.0.1
    From the FHIR Standard
    Composition.event.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0
    Composition.section.codeexampleDocumentSectionCodes
    http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    From the FHIR Standard
    Composition.section.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    From the FHIR Standard
    Composition.section.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order|4.0.1
    From the FHIR Standard
    Composition.section.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    From the FHIR Standard
    Composition.section:coverage.codeexamplePattern Value: coverage-section
    http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    From the FHIR Standard
    Composition.section:coverage.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    From the FHIR Standard
    Composition.section:coverage.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order|4.0.1
    From the FHIR Standard
    Composition.section:coverage.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    From the FHIR Standard
    Composition.section:gfeBundle.codeexamplePattern Value: gfe-section
    http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    From the FHIR Standard
    Composition.section:gfeBundle.moderequiredListMode
    http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    From the FHIR Standard
    Composition.section:gfeBundle.orderedBypreferredListOrderCodes
    http://hl7.org/fhir/ValueSet/list-order|4.0.1
    From the FHIR Standard
    Composition.section:gfeBundle.emptyReasonpreferredListEmptyReasons
    http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    cmp-1errorComposition.section, Composition.section:coverage, Composition.section:gfeBundleA section must contain at least one of text, entries, or sub-sections
    : text.exists() or entry.exists() or section.exists()
    cmp-2errorComposition.section, Composition.section:coverage, Composition.section:gfeBundleA section can only have an emptyReason if it is empty
    : emptyReason.empty() or entry.empty()
    dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceCompositionA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    pct-datetime-to-secondserrorComposition.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-gfe-packet-composition-1errorCompositionScheduled service requests require a planned period of service
    : extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestOriginationType' and value.ofType(CodeableConcept).coding.where(code='scheduled-request').exists()).exists() implies extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo' and extension.where(url = 'plannedPeriodOfService').exists()).exists()

    This structure is derived from Composition

    Summary

    Mandatory: 17 elements(3 nested mandatory elements)
    Must-Support: 14 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.category
    • The element 1 is sliced based on the value of Composition.category.coding
    • The element 1 is sliced based on the value of Composition.relatesTo
    • The element 1 is sliced based on the value of Composition.relatesTo.target[x]
    • The element 1 is sliced based on the value of Composition.section

    Maturity: 1

     

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