Central Cancer Registry Reporting Content IG
1.0.0 - STU 1 United States of America flag

Central Cancer Registry Reporting Content IG, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-central-cancer-registry-reporting-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Central Cancer Registry Report Composition

Official URL: http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition Version: 1.0.0
Active as of 2024-05-31 Computable Name: CcrrComposition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.40.42.3

This Composition profile is used to organize the central cancer registry report content.

Introduction

This profile is used to represent the Central Cancer Registry Report Composition resource. The Composition resource is used as part of the Central Cancer Registry Reporting Content Bundle. The Composition resource is used to organize the information into different sections so that the receiver of the data can consume the data easily.

Profiles from Other IGs used as part of the Composition

The content is made up data elements from the following profiles from the other IGs as direct references or as base profiles.

From the mCODE IG:

From ODH IG:

Occupation Data for Health Usual Work Profile

From US Core IG:

US Core profiles

Guidance on populating the data for each section:

The following guidance is provided to the implementers to identify the data of interest which needs to be extracted and populated in the various sections.

  • Patient: The Patient who is the subject of the closed encounter
  • Encounter: The encounter that triggered the HDEA (i.e., closed encounter)
  • Primary Cancer Condition: Condition with a category of “encounter-diagnosis” for the closed encounter with a Condition.code value that is on the reportability list.All Conditions with do not have a clinicalStatuses of inactive can be considered to determine the primary cancer condition along with a verificationStatus of confirmed.
  • Secondary Cancer Condition: Condition with a category of “encounter-diagnosis” for the closed encounter with a Condition.code that is present in the Secondary Cancer Disorder Value Set.All Conditions with do not have a clinicalStatuses of inactive can be considered to determine the primary cancer condition along with a verificationStatus of Confirmed.
  • Cancer Stage Group: All Observations with the Cancer Stage Group information and a status of final, amended, or corrected
  • TNM Primary Tumor Category: All Observation with TNM tumor information having a status of final, amended, or corrected
  • TNM Regional Nodes Category: All Observation with TNM Regional Nodes information having a status of final, amended, or corrected
  • TNM Distant Metastases Category: All Observation with TNM Metastases information having a status of final, amended, or corrected
  • Radiotherapy Course Summary: All Procedures with the Radiotherapy course summary information having a status of completed, not-done, stopped, entered-in-error, unknown and a category of 108290001-Radiation Oncology and/or Radiotherapy (Procedure).
  • Cancer-Related Medication Request: Medications requested during the closed encounter with a status of active, completed, cancelled, entered-in-error, stopped, unknown and an intent of order.
  • Cancer-Related Medication Administration: Medications administered during the closed encounter with a status of completed, in-progress, entered-in-error, stopped or unknown.
  • Usual Work: Usual Work information for the patient with a status of final.
  • Laboratory Resul : Results linked to the encounter or ordered during the encounter or results received during the Encounter with a status of final
  • Vital Signs: All vital signs for the encounter with status of final, corrected, unknown or amended
  • Procedure: Procedures performed during the closed encounter limited to status of completed or unknown.
  • DiagnosticReport Profile for Laboratory Results Reporting: Results linked to the encounter or ordered during the encounter or results received during the Encounter and Status of final
  • DiagnosticReport Profile for Report and Note exchange: Results linked to the encounter or ordered during the encounter or results received during the Encounter and Status of final
  • DocumentReference: All notes created during the encounter with a status of current
  • Smoking Status: Smoking Status associated with the patient with status of final.

Usage:

Formal Views of Profile Content

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

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition S 0..* Composition Central Cancer Registry Composition Profile
... identifier S 1..1 Identifier Central Cancelr Registry Report Composition identifier
... status S 1..1 code preliminary | final | amended | entered-in-error
Fixed Value: final
... type S 1..1 CodeableConcept Central Cancer Registry Report
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 72134-0
... encounter S 1..1 Reference(US Core Encounter Profile(5.0.1)) Encounter related to the public health event
... date S 1..1 dateTime Composition editing time
... author S 1..* Reference(US Core PractitionerRole Profile(5.0.1) | US Core Practitioner Profile(5.0.1) | US Core Organization Profile(5.0.1)) The author(s) of the document
... title S 1..1 string Human Readable name/title
Fixed Value: Central Cancer Registry Report
... Slices for section S 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:slicePrimaryCancerCondition S 1..1 BackboneElement Primary Cancer Condition Section
..... code S 1..1 CodeableConcept Primary Cancer Condition code
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 363346000
..... text S 1..1 Narrative Primary Cancer Condition narrative
..... entry S 1..1 Reference(Central Cancer Registry Reporting Primary Cancer Condition) A reference to data that supports this section
.... section:sliceSecondaryCancerCondition S 0..1 BackboneElement Secondary Cancer Condition Section
..... code S 1..1 CodeableConcept Secondary Cancer Condition code
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 128462008
..... text S 1..1 Narrative Secondary Cancer Condition narrative
..... entry S 0..* Reference(Secondary Cancer Condition Profile) A reference to data that supports this section
.... section:sliceCancerStageGroup S 0..1 BackboneElement Cancer Stage Group
..... code S 1..1 CodeableConcept Cancer Stage Group code
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: 21908-9
..... text S 1..1 Narrative Cancer Stage Group narrative
..... entry S 0..1 Reference(TNM Stage Group Profile) A reference to data that supports this section
.... section:sliceRadioTherapyCourseSummary S 0..1 BackboneElement Cancer Radio Therapy Course Summary
..... code S 1..1 CodeableConcept Cancer Radio Therapy Course Summary
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1217123003
..... text S 1..1 Narrative Cancer Radio Therapy Course Summary narrative
..... entry S 0..1 Reference(Radiotherapy Course Summary Profile) A reference to data that supports this section
.... section:sliceProblemSection S 0..1 BackboneElement Problem Section
..... code S 1..1 CodeableConcept Problem Section code
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... text S 1..1 Narrative Problem Section narrative
..... entry S 0..* Reference(US Core Condition Profile) A reference to data that supports this section
.... section:sliceAllergiesSection S 0..1 BackboneElement Allergies Section
..... code S 1..1 CodeableConcept Allergies Section code
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... text S 1..1 Narrative Allergies Section narrative
..... entry S 0..* Reference(US Core AllergyIntolerance Profile(5.0.1)) A reference to data that supports this section
.... section:sliceMedicationsAdministeredSection S 0..1 BackboneElement Medications Administered Section
..... code S 1..1 CodeableConcept Medications Administered Section code
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29549-3
..... text S 1..1 Narrative Medications Administered Section narrative
..... Slices for entry S 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:sliceMedicationAdministration S 0..* Reference(Cancer-Related Medication Administration Profile) Medication Administration Entry
...... entry:sliceMedicationReferences S 0..* Reference(US Core Medication Profile(5.0.1)) Medication Reference Entries
.... section:sliceMedicationsSection S 0..1 BackboneElement Medications Section
..... code S 1..1 CodeableConcept Medications Section code
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
..... text S 1..1 Narrative Medications Section narrative
..... Slices for entry S 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:sliceMedicationAdministration S 0..* Reference(Cancer-Related Medication Administration Profile) Medication Administration Entry
...... entry:sliceMedicationStatement S 0..* Reference(MedicationStatement) Medication Statement Entry
...... entry:sliceMedicationReferences S 0..* Reference(US Core Medication Profile(5.0.1)) Medication Reference Entries
.... section:sliceOdhSection S 0..1 BackboneElement ODH Data
..... code S 1..1 CodeableConcept ODH Data code
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: 74165-2
..... text S 1..1 Narrative ODH Data narrative
..... entry S 0..1 Reference(Usual Work) A reference to data that supports this section
.... section:sliceResultsSection S 0..1 BackboneElement Results Section
..... code S 1..1 CodeableConcept Results Section code
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
..... text S 1..1 Narrative Results Section narrative
..... Slices for entry S 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:sliceLabResultEntry S 0..* Reference(US Core Laboratory Result Observation Profile(5.0.1)) Lab Result Entries
...... entry:sliceDiagnosticResultEntry S 0..* Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting(5.0.1)) Diagnostic Result Entries
.... section:sliceNotesSection S 0..1 BackboneElement Clinical and Diagnostic Reports Section
..... code S 1..1 CodeableConcept Clinical Notes Section code
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: 28650-0
..... text S 1..1 Narrative Notes Section narrative
..... Slices for entry S 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:sliceDocumentReferenceEntry S 0..* Reference(US Core DocumentReference Profile(5.0.1)) Document Reference Entries
...... entry:sliceDiagnosticReportEntry S 0..* Reference(US Core DiagnosticReport Profile for Report and Note Exchange(5.0.1)) Diagnostic Report Entries
.... section:slicePlanOfTreatmentSection S 0..1 BackboneElement Plan of Treatment Section
..... code S 1..1 CodeableConcept Plan of Treatment code
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... text S 1..1 Narrative Plan of Treatment narrative
..... Slices for entry S 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:sliceMedicationRequest S 0..* Reference(Cancer-Related Medication Request Profile) Medication Request Entries
...... entry:sliceMedicationReferences S 0..* Reference(US Core Medication Profile(5.0.1)) Medication Reference Entries
...... entry:sliceProcedureOrders S 0..* Reference(ServiceRequest) Procedure Order Entries
...... entry:sliceCarePlanEntries S 0..* Reference(US Core CarePlan Profile(5.0.1)) CarePlan Entries
.... section:sliceProceduresSection S 0..1 BackboneElement This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
..... code S 1..1 CodeableConcept Procedures Section code
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
..... text S 1..1 Narrative Procedures Section narrative
..... entry S 0..* Reference(US Core Procedure Profile(5.0.1)) A reference to data that supports this section
.... section:sliceVitalSignsSection S 0..1 BackboneElement Vital Signs Section
..... code S 1..1 CodeableConcept Vital Signs code
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
..... text S 1..1 Narrative Vital Signs narrative
..... entry S 0..* Reference(Observation) A reference to data that supports this section
.... section:sliceSocialHistorySection S 0..1 BackboneElement Social History Section
..... code S 1..1 CodeableConcept Social History Section code
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
..... text S 1..1 Narrative Social History Section narrative
..... entry S 0..1 Reference(US Core Smoking Status Observation Profile(5.0.1)) A reference to data that supports this section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition S 0..* Composition Central Cancer Registry Composition Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..1 Identifier Central Cancelr Registry Report Composition identifier
... type SΣ 1..1 CodeableConcept Central Cancer Registry Report
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


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: 72134-0
... subject SΣ 1..1 Reference(US Core Patient Profile(5.0.1)) Patient who is the subject of the report.
... encounter SΣ 1..1 Reference(US Core Encounter Profile(5.0.1)) Encounter related to the public health event
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..* Reference(US Core PractitionerRole Profile(5.0.1) | US Core Practitioner Profile(5.0.1) | US Core Organization Profile(5.0.1)) The author(s) of the document
... title SΣ 1..1 string Human Readable name/title
Fixed Value: Central Cancer Registry Report
... Slices for section SC 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:slicePrimaryCancerCondition SC 1..1 BackboneElement Primary Cancer Condition Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Primary Cancer Condition code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 363346000
..... text SC 1..1 Narrative Primary Cancer Condition narrative
..... entry SC 1..1 Reference(Central Cancer Registry Reporting Primary Cancer Condition) A reference to data that supports this section
.... section:sliceSecondaryCancerCondition SC 0..1 BackboneElement Secondary Cancer Condition Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Secondary Cancer Condition code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 128462008
..... text SC 1..1 Narrative Secondary Cancer Condition narrative
..... entry SC 0..* Reference(Secondary Cancer Condition Profile) A reference to data that supports this section
.... section:sliceCancerStageGroup SC 0..1 BackboneElement Cancer Stage Group
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Cancer Stage Group code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 21908-9
..... text SC 1..1 Narrative Cancer Stage Group narrative
..... entry SC 0..1 Reference(TNM Stage Group Profile) A reference to data that supports this section
.... section:sliceRadioTherapyCourseSummary SC 0..1 BackboneElement Cancer Radio Therapy Course Summary
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Cancer Radio Therapy Course Summary
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1217123003
..... text SC 1..1 Narrative Cancer Radio Therapy Course Summary narrative
..... entry SC 0..1 Reference(Radiotherapy Course Summary Profile) A reference to data that supports this section
.... section:sliceProblemSection SC 0..1 BackboneElement Problem Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Problem Section code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... text SC 1..1 Narrative Problem Section narrative
..... entry SC 0..* Reference(US Core Condition Profile) A reference to data that supports this section
.... section:sliceAllergiesSection SC 0..1 BackboneElement Allergies Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Allergies Section code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... text SC 1..1 Narrative Allergies Section narrative
..... entry SC 0..* Reference(US Core AllergyIntolerance Profile(5.0.1)) A reference to data that supports this section
.... section:sliceMedicationsAdministeredSection SC 0..1 BackboneElement Medications Administered Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Medications Administered Section code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29549-3
..... text SC 1..1 Narrative Medications Administered Section narrative
..... Slices for entry SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:sliceMedicationAdministration SC 0..* Reference(Cancer-Related Medication Administration Profile) Medication Administration Entry
...... entry:sliceMedicationReferences SC 0..* Reference(US Core Medication Profile(5.0.1)) Medication Reference Entries
.... section:sliceMedicationsSection SC 0..1 BackboneElement Medications Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Medications Section code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
..... text SC 1..1 Narrative Medications Section narrative
..... Slices for entry SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:sliceMedicationAdministration SC 0..* Reference(Cancer-Related Medication Administration Profile) Medication Administration Entry
...... entry:sliceMedicationStatement SC 0..* Reference(MedicationStatement) Medication Statement Entry
...... entry:sliceMedicationReferences SC 0..* Reference(US Core Medication Profile(5.0.1)) Medication Reference Entries
.... section:sliceOdhSection SC 0..1 BackboneElement ODH Data
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept ODH Data code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74165-2
..... text SC 1..1 Narrative ODH Data narrative
..... entry SC 0..1 Reference(Usual Work) A reference to data that supports this section
.... section:sliceResultsSection SC 0..1 BackboneElement Results Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Results Section code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
..... text SC 1..1 Narrative Results Section narrative
..... Slices for entry SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:sliceLabResultEntry SC 0..* Reference(US Core Laboratory Result Observation Profile(5.0.1)) Lab Result Entries
...... entry:sliceDiagnosticResultEntry SC 0..* Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting(5.0.1)) Diagnostic Result Entries
.... section:sliceNotesSection SC 0..1 BackboneElement Clinical and Diagnostic Reports Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Clinical Notes Section code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 28650-0
..... text SC 1..1 Narrative Notes Section narrative
..... Slices for entry SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:sliceDocumentReferenceEntry SC 0..* Reference(US Core DocumentReference Profile(5.0.1)) Document Reference Entries
...... entry:sliceDiagnosticReportEntry SC 0..* Reference(US Core DiagnosticReport Profile for Report and Note Exchange(5.0.1)) Diagnostic Report Entries
.... section:slicePlanOfTreatmentSection SC 0..1 BackboneElement Plan of Treatment Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Plan of Treatment code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... text SC 1..1 Narrative Plan of Treatment narrative
..... Slices for entry SC 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:sliceMedicationRequest SC 0..* Reference(Cancer-Related Medication Request Profile) Medication Request Entries
...... entry:sliceMedicationReferences SC 0..* Reference(US Core Medication Profile(5.0.1)) Medication Reference Entries
...... entry:sliceProcedureOrders SC 0..* Reference(ServiceRequest) Procedure Order Entries
...... entry:sliceCarePlanEntries SC 0..* Reference(US Core CarePlan Profile(5.0.1)) CarePlan Entries
.... section:sliceProceduresSection SC 0..1 BackboneElement This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Procedures Section code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
..... text SC 1..1 Narrative Procedures Section narrative
..... entry SC 0..* Reference(US Core Procedure Profile(5.0.1)) A reference to data that supports this section
.... section:sliceVitalSignsSection SC 0..1 BackboneElement Vital Signs Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Vital Signs code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
..... text SC 1..1 Narrative Vital Signs narrative
..... entry SC 0..* Reference(Observation) A reference to data that supports this section
.... section:sliceSocialHistorySection SC 0..1 BackboneElement Social History Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Social History Section code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
..... text SC 1..1 Narrative Social History Section narrative
..... entry SC 0..1 Reference(US Core Smoking Status Observation Profile(5.0.1)) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 72134-0
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.section:slicePrimaryCancerCondition.codeexamplePattern: SNOMED-CT Code 363346000
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceSecondaryCancerCondition.codeexamplePattern: SNOMED-CT Code 128462008
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceCancerStageGroup.codeexamplePattern: LOINC Code 21908-9
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceRadioTherapyCourseSummary.codeexamplePattern: SNOMED-CT Code 1217123003
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceProblemSection.codeexamplePattern: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceAllergiesSection.codeexamplePattern: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceMedicationsAdministeredSection.codeexamplePattern: LOINC Code 29549-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceMedicationsSection.codeexamplePattern: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceOdhSection.codeexamplePattern: LOINC Code 74165-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceResultsSection.codeexamplePattern: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceNotesSection.codeexamplePattern: LOINC Code 28650-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:slicePlanOfTreatmentSection.codeexamplePattern: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceProceduresSection.codeexamplePattern: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceVitalSignsSection.codeexamplePattern: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sliceSocialHistorySection.codeexamplePattern: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceCancerStageGroup, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceOdhSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySectionA 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:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceCancerStageGroup, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceOdhSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySectionA 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition S 0..* Composition Central Cancer Registry Composition Profile
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..1 Identifier Central Cancelr Registry Report Composition identifier
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


Fixed Value: final
... type SΣ 1..1 CodeableConcept Central Cancer Registry Report
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 72134-0
..... 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
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ 1..1 Reference(US Core Patient Profile(5.0.1)) Patient who is the subject of the report.
... encounter SΣ 1..1 Reference(US Core Encounter Profile(5.0.1)) Encounter related to the public health event
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..* Reference(US Core PractitionerRole Profile(5.0.1) | US Core Practitioner Profile(5.0.1) | US Core Organization Profile(5.0.1)) The author(s) of the document
... title SΣ 1..1 string Human Readable name/title
Fixed Value: Central Cancer Registry Report
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..* BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code 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
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

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


.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section SC 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... 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
..... 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:slicePrimaryCancerCondition SC 1..1 BackboneElement Primary Cancer Condition Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Primary Cancer Condition code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 363346000
....... 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 SC 1..1 Narrative Primary Cancer Condition narrative
..... 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(Central Cancer Registry Reporting Primary Cancer Condition) 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:sliceSecondaryCancerCondition SC 0..1 BackboneElement Secondary Cancer Condition Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Secondary Cancer Condition code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 128462008
....... 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 SC 1..1 Narrative Secondary Cancer Condition narrative
..... 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 0..* Reference(Secondary Cancer Condition Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:sliceCancerStageGroup SC 0..1 BackboneElement Cancer Stage Group
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Cancer Stage Group code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 21908-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | 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 SC 1..1 Narrative Cancer Stage Group narrative
..... 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 0..1 Reference(TNM Stage Group Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:sliceRadioTherapyCourseSummary SC 0..1 BackboneElement Cancer Radio Therapy Course Summary
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Cancer Radio Therapy Course Summary
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1217123003
....... 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 SC 1..1 Narrative Cancer Radio Therapy Course Summary narrative
..... 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 0..1 Reference(Radiotherapy Course Summary Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:sliceProblemSection SC 0..1 BackboneElement Problem Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Problem Section code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | 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 SC 1..1 Narrative Problem Section narrative
..... 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 0..*