Health Care Surveys Content Implementation Guide (IG), published by HL7 International - Public Health Work Group. This is not an authorized publication; it is the continuous build for version 1.0.1). This version is based on the current content of https://github.com/HL7/fhir-health-care-surveys-reporting-ig/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/health-care-surveys-reporting/StructureDefinition/hcs-composition | Version: 1.0.1 | |||
Active as of 2023-09-26 | Computable Name: HcsComposition |
This Composition profile is used to organize the healthcare survey report content.
This profile is used to represent the clinical content present within a health care survey report.
Sections and Population Criteria
The following sections and population criteria should be used to create the composition resource below.
Goals: Status = proposed | planned | accepted | active |
The above data has to be populated by the implementers of either the DataSource actors or the MedMorph HDEA (backend services app).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Composition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | S | 0..* | Composition | Hcs Composition Profile |
identifier | S | 1..1 | Identifier | Health Care Survey Report Composition identifier |
status | S | 1..1 | code | preliminary | final | amended | entered-in-error Fixed Value: final |
type | S | 1..1 | CodeableConcept | Health Care Survey 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: 75619-7 | |
subject | S | 1..1 | Reference(US Core Patient Profile | Patient) | Patient who is the subject of the report. |
encounter | S | 1..1 | Reference(US Core Encounter Profile | Encounter) | Encounter related to the public health event |
date | S | 1..1 | dateTime | Composition editing time |
author | S | 1..* | Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | Device | Organization | Practitioner | PractitionerRole) | The author(s) of the document |
title | S | 1..1 | string | Human Readable name/title Fixed Value: Health Care Survey Report |
Slices for section | S | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code |
section:sliceReasonForVisitSection | S | 1..1 | BackboneElement | Reason for Visit Section |
code | S | 1..1 | CodeableConcept | Reason for Visit 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: 29299-5 | |
text | S | 1..1 | Narrative | Reason for Visit narrative |
section:sliceProblemSection | S | 1..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 | Condition) | A reference to data that supports this section |
section:sliceAllergiesSection | S | 1..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 | AllergyIntolerance) | 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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
section:sliceAdmissionMedicationsSection | S | 0..1 | BackboneElement | Admission Medications Section |
code | S | 1..1 | CodeableConcept | Admission 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: 42346-7 | |
text | S | 1..1 | Narrative | Admission 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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationStatement | S | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry |
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
section:sliceMedicationsSection | S | 1..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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationStatement | S | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry |
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
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 | Observation) | Lab Result Entries |
entry:sliceDiagnosticResultEntry | S | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting | DiagnosticReport) | Diagnostic Result Entries |
section:sliceNotesSection | S | 0..* | 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 | DocumentReference) | Document Reference Entries |
entry:sliceDiagnosticReportEntry | S | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note exchange | DiagnosticReport) | 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(US Core MedicationRequest Profile | MedicationRequest) | Medication Request Entries |
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
entry:sliceProcedureOrders | S | 0..* | Reference(HCS Service Request | ServiceRequest) | Procedure Order Entries |
entry:sliceCarePlanEntries | S | 0..* | Reference(US Core CarePlan Profile | CarePlan) | CarePlan Entries |
section:sliceImmunizationsSection | S | 0..1 | BackboneElement | Immunizations Section |
code | S | 1..1 | CodeableConcept | Immunizations 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: 11369-6 | |
text | S | 1..1 | Narrative | Immunizations narrative |
entry | S | 0..* | Reference(US Core Immunization Profile | Immunization) | A reference to data that supports this section |
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 | Procedure) | 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 | Observation) | A reference to data that supports this section |
section:sliceMedicalEquipmentSection | S | 0..1 | BackboneElement | Medical Equipment Section |
code | S | 1..1 | CodeableConcept | Medical Equipment 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: 46264-8 | |
text | S | 1..1 | Narrative | Medical Equipment Section narrative |
entry | S | 0..* | Reference(US Core Implantable Device Profile | Device) | A reference to data that supports this section |
section:sliceCareTeamSection | S | 0..1 | BackboneElement | Care Team Section |
code | S | 1..1 | CodeableConcept | Care Team 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: 85847-2 | |
text | S | 1..1 | Narrative | Care Team Section narrative |
entry | S | 0..* | Reference(US Core CareTeam Profile | CareTeam) | A reference to data that supports this section |
section:sliceGoalsSection | S | 0..1 | BackboneElement | Goals Section |
code | S | 1..1 | CodeableConcept | Goals 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: 61146-7 | |
text | S | 1..1 | Narrative | Goals Section narrative |
entry | S | 0..* | Reference(US Core Goal Profile | Goal) | A reference to data that supports this section |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | S | 0..* | Composition | Hcs 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 | Health Care Survey 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 | Health Care Survey 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: 75619-7 | |
subject | SΣ | 1..1 | Reference(US Core Patient Profile | Patient) | Patient who is the subject of the report. |
encounter | SΣ | 1..1 | Reference(US Core Encounter Profile | Encounter) | Encounter related to the public health event |
date | SΣ | 1..1 | dateTime | Composition editing time |
author | SΣ | 1..* | Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | Device | Organization | Practitioner | PractitionerRole) | The author(s) of the document |
title | SΣ | 1..1 | string | Human Readable name/title Fixed Value: Health Care Survey Report |
Slices for section | SC | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code |
section:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
section:sliceReasonForVisitSection | SC | 1..1 | BackboneElement | Reason for Visit Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Reason for Visit 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: 29299-5 | |
text | SC | 1..1 | Narrative | Reason for Visit narrative |
section:sliceProblemSection | SC | 1..1 | BackboneElement | Problem Section |
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 | Condition) | A reference to data that supports this section |
section:sliceAllergiesSection | SC | 1..1 | BackboneElement | Allergies Section |
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 | AllergyIntolerance) | A reference to data that supports this section |
section:sliceMedicationsAdministeredSection | SC | 0..1 | BackboneElement | Medications Administered Section |
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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
section:sliceAdmissionMedicationsSection | SC | 0..1 | BackboneElement | Admission Medications Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Admission 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: 42346-7 | |
text | SC | 1..1 | Narrative | Admission 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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationStatement | SC | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry |
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
section:sliceMedicationsSection | SC | 1..1 | BackboneElement | Medications Section |
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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationStatement | SC | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry |
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
section:sliceResultsSection | SC | 0..1 | BackboneElement | Results Section |
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 | Observation) | Lab Result Entries |
entry:sliceDiagnosticResultEntry | SC | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting | DiagnosticReport) | Diagnostic Result Entries |
section:sliceNotesSection | SC | 0..* | BackboneElement | Clinical and Diagnostic Reports Section |
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 | DocumentReference) | Document Reference Entries |
entry:sliceDiagnosticReportEntry | SC | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note exchange | DiagnosticReport) | Diagnostic Report Entries |
section:slicePlanOfTreatmentSection | SC | 0..1 | BackboneElement | Plan of Treatment Section |
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(US Core MedicationRequest Profile | MedicationRequest) | Medication Request Entries |
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
entry:sliceProcedureOrders | SC | 0..* | Reference(HCS Service Request | ServiceRequest) | Procedure Order Entries |
entry:sliceCarePlanEntries | SC | 0..* | Reference(US Core CarePlan Profile | CarePlan) | CarePlan Entries |
section:sliceImmunizationsSection | SC | 0..1 | BackboneElement | Immunizations Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Immunizations 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: 11369-6 | |
text | SC | 1..1 | Narrative | Immunizations narrative |
entry | SC | 0..* | Reference(US Core Immunization Profile | Immunization) | A reference to data that supports this section |
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. |
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 | Procedure) | A reference to data that supports this section |
section:sliceVitalSignsSection | SC | 0..1 | BackboneElement | Vital Signs Section |
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 |
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 | Observation) | A reference to data that supports this section |
section:sliceMedicalEquipmentSection | SC | 0..1 | BackboneElement | Medical Equipment Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Medical Equipment 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: 46264-8 | |
text | SC | 1..1 | Narrative | Medical Equipment Section narrative |
entry | SC | 0..* | Reference(US Core Implantable Device Profile | Device) | A reference to data that supports this section |
section:sliceCareTeamSection | SC | 0..1 | BackboneElement | Care Team Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Care Team 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: 85847-2 | |
text | SC | 1..1 | Narrative | Care Team Section narrative |
entry | SC | 0..* | Reference(US Core CareTeam Profile | CareTeam) | A reference to data that supports this section |
section:sliceGoalsSection | SC | 0..1 | BackboneElement | Goals Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Goals 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: 61146-7 | |
text | SC | 1..1 | Narrative | Goals Section narrative |
entry | SC | 0..* | Reference(US Core Goal Profile | Goal) | A reference to data that supports this section |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Composition.status | required | Fixed Value: final |
Composition.type | preferred | Pattern: LOINC code 75619-7 |
Composition.section:sliceReasonForVisitSection.code | example | Pattern: LOINC code 29299-5 |
Composition.section:sliceProblemSection.code | example | Pattern: LOINC code 11450-4 |
Composition.section:sliceAllergiesSection.code | example | Pattern: LOINC code 48765-2 |
Composition.section:sliceMedicationsAdministeredSection.code | example | Pattern: LOINC code 29549-3 |
Composition.section:sliceAdmissionMedicationsSection.code | example | Pattern: LOINC code 42346-7 |
Composition.section:sliceMedicationsSection.code | example | Pattern: LOINC code 10160-0 |
Composition.section:sliceResultsSection.code | example | Pattern: LOINC code 30954-2 |
Composition.section:sliceNotesSection.code | example | Pattern: LOINC code 28650-0 |
Composition.section:slicePlanOfTreatmentSection.code | example | Pattern: LOINC code 18776-5 |
Composition.section:sliceImmunizationsSection.code | example | Pattern: LOINC code 11369-6 |
Composition.section:sliceProceduresSection.code | example | Pattern: LOINC code 47519-4 |
Composition.section:sliceVitalSignsSection.code | example | Pattern: LOINC code 8716-3 |
Composition.section:sliceSocialHistorySection.code | example | Pattern: LOINC code 29762-2 |
Composition.section:sliceMedicalEquipmentSection.code | example | Pattern: LOINC code 46264-8 |
Composition.section:sliceCareTeamSection.code | example | Pattern: LOINC code 85847-2 |
Composition.section:sliceGoalsSection.code | example | Pattern: LOINC code 61146-7 |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:sliceReasonForVisitSection, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceAdmissionMedicationsSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:sliceMedicalEquipmentSection, Composition.section:sliceCareTeamSection, Composition.section:sliceGoalsSection | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:sliceReasonForVisitSection, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceAdmissionMedicationsSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:sliceMedicalEquipmentSection, Composition.section:sliceCareTeamSection, Composition.section:sliceGoalsSection | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | S | 0..* | Composition | Hcs 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 | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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 | Health Care Survey 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 | Health Care Survey 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: 75619-7 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
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 | Patient) | Patient who is the subject of the report. | ||||
encounter | SΣ | 1..1 | Reference(US Core Encounter Profile | Encounter) | Encounter related to the public health event | ||||
date | SΣ | 1..1 | dateTime | Composition editing time | ||||
author | SΣ | 1..* | Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | Device | Organization | Practitioner | PractitionerRole) | The author(s) of the document | ||||
title | SΣ | 1..1 | string | Human Readable name/title Fixed Value: Health Care Survey 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 | ||||
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:sliceReasonForVisitSection | SC | 1..1 | BackboneElement | Reason for Visit Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Reason for Visit 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: 29299-5 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Reason for Visit 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 | 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:sliceProblemSection | SC | 1..1 | BackboneElement | Problem Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 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..* | Reference(US Core Condition Profile | 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:sliceAllergiesSection | SC | 1..1 | BackboneElement | Allergies Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Allergies 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: 48765-2 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Allergies 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..* | Reference(US Core AllergyIntolerance Profile | AllergyIntolerance) | 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:sliceMedicationsAdministeredSection | SC | 0..1 | BackboneElement | Medications Administered Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29549-3 | |||||
display | 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 | Medications Administered 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. | |||||
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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry | ||||
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries | ||||
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:sliceAdmissionMedicationsSection | SC | 0..1 | BackboneElement | Admission Medications Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Admission Medications 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: 42346-7 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Admission Medications 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. | |||||
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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry | ||||
entry:sliceMedicationStatement | SC | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry | ||||
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries | ||||
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:sliceMedicationsSection | SC | 1..1 | BackboneElement | Medications Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Medications 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: 10160-0 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
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 | Medications 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. | |||||
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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry | ||||
entry:sliceMedicationStatement | SC | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry | ||||
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries | ||||
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:sliceResultsSection | SC | 0..1 | BackboneElement | Results Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Results 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: 30954-2 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Results 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. | |||||
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 | Observation) | Lab Result Entries | ||||
entry:sliceDiagnosticResultEntry | SC | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting | DiagnosticReport) | Diagnostic Result Entries | ||||
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:sliceNotesSection | SC | 0..* | BackboneElement | Clinical and Diagnostic Reports Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 28650-0 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Notes 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. | |||||
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 | DocumentReference) | Document Reference Entries | ||||
entry:sliceDiagnosticReportEntry | SC | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note exchange | DiagnosticReport) | Diagnostic Report Entries | ||||
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:slicePlanOfTreatmentSection | SC | 0..1 | BackboneElement | Plan of Treatment Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Plan of Treatment 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. | |||||
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(US Core MedicationRequest Profile | MedicationRequest) | Medication Request Entries | ||||
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries | ||||
entry:sliceProcedureOrders | SC | 0..* | Reference(HCS Service Request | ServiceRequest) | Procedure Order Entries | ||||
entry:sliceCarePlanEntries | SC | 0..* | Reference(US Core CarePlan Profile | CarePlan) | CarePlan Entries | ||||
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:sliceImmunizationsSection | SC | 0..1 | BackboneElement | Immunizations Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Immunizations 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: 11369-6 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Immunizations 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(US Core Immunization Profile | Immunization) | 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: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. | ||||
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 | Procedures 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: 47519-4 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Procedures 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..* | Reference(US Core Procedure Profile | Procedure) | 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:sliceVitalSignsSection | SC | 0..1 | BackboneElement | Vital Signs Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Vital Signs 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: 8716-3 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Vital Signs 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(Observation) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:sliceSocialHistorySection | SC | 0..1 | BackboneElement | Social History Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Social History 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..1 | Reference(US Core Smoking Status Observation Profile | Observation) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:sliceMedicalEquipmentSection | SC | 0..1 | BackboneElement | Medical Equipment Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Medical Equipment 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: 46264-8 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Medical Equipment 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..* | Reference(US Core Implantable Device Profile | Device) | 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:sliceCareTeamSection | SC | 0..1 | BackboneElement | Care Team Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Care Team 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: 85847-2 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Care Team 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..* | Reference(US Core CareTeam Profile | CareTeam) | 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:sliceGoalsSection | SC | 0..1 | BackboneElement | Goals Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Goals 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: 61146-7 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Goals 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..* | Reference(US Core Goal Profile | Goal) | 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 | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
Composition.language | preferred | CommonLanguages
| ||||
Composition.status | required | Fixed Value: final | ||||
Composition.type | preferred | Pattern: LOINC code 75619-7 | ||||
Composition.category | example | DocumentClassValueSet | ||||
Composition.confidentiality | required | v3.ConfidentialityClassification | ||||
Composition.attester.mode | required | CompositionAttestationMode | ||||
Composition.relatesTo.code | required | DocumentRelationshipType | ||||
Composition.event.code | example | ActCode | ||||
Composition.section.code | example | DocumentSectionCodes | ||||
Composition.section.mode | required | ListMode | ||||
Composition.section.orderedBy | preferred | ListOrderCodes | ||||
Composition.section.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceReasonForVisitSection.code | example | Pattern: LOINC code 29299-5 | ||||
Composition.section:sliceReasonForVisitSection.mode | required | ListMode | ||||
Composition.section:sliceReasonForVisitSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceReasonForVisitSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceProblemSection.code | example | Pattern: LOINC code 11450-4 | ||||
Composition.section:sliceProblemSection.mode | required | ListMode | ||||
Composition.section:sliceProblemSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceProblemSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceAllergiesSection.code | example | Pattern: LOINC code 48765-2 | ||||
Composition.section:sliceAllergiesSection.mode | required | ListMode | ||||
Composition.section:sliceAllergiesSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceAllergiesSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceMedicationsAdministeredSection.code | example | Pattern: LOINC code 29549-3 | ||||
Composition.section:sliceMedicationsAdministeredSection.mode | required | ListMode | ||||
Composition.section:sliceMedicationsAdministeredSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceMedicationsAdministeredSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceAdmissionMedicationsSection.code | example | Pattern: LOINC code 42346-7 | ||||
Composition.section:sliceAdmissionMedicationsSection.mode | required | ListMode | ||||
Composition.section:sliceAdmissionMedicationsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceAdmissionMedicationsSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceMedicationsSection.code | example | Pattern: LOINC code 10160-0 | ||||
Composition.section:sliceMedicationsSection.mode | required | ListMode | ||||
Composition.section:sliceMedicationsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceMedicationsSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceResultsSection.code | example | Pattern: LOINC code 30954-2 | ||||
Composition.section:sliceResultsSection.mode | required | ListMode | ||||
Composition.section:sliceResultsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceResultsSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceNotesSection.code | example | Pattern: LOINC code 28650-0 | ||||
Composition.section:sliceNotesSection.mode | required | ListMode | ||||
Composition.section:sliceNotesSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceNotesSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:slicePlanOfTreatmentSection.code | example | Pattern: LOINC code 18776-5 | ||||
Composition.section:slicePlanOfTreatmentSection.mode | required | ListMode | ||||
Composition.section:slicePlanOfTreatmentSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:slicePlanOfTreatmentSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceImmunizationsSection.code | example | Pattern: LOINC code 11369-6 | ||||
Composition.section:sliceImmunizationsSection.mode | required | ListMode | ||||
Composition.section:sliceImmunizationsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceImmunizationsSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceProceduresSection.code | example | Pattern: LOINC code 47519-4 | ||||
Composition.section:sliceProceduresSection.mode | required | ListMode | ||||
Composition.section:sliceProceduresSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceProceduresSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceVitalSignsSection.code | example | Pattern: LOINC code 8716-3 | ||||
Composition.section:sliceVitalSignsSection.mode | required | ListMode | ||||
Composition.section:sliceVitalSignsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceVitalSignsSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceSocialHistorySection.code | example | Pattern: LOINC code 29762-2 | ||||
Composition.section:sliceSocialHistorySection.mode | required | ListMode | ||||
Composition.section:sliceSocialHistorySection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceSocialHistorySection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceMedicalEquipmentSection.code | example | Pattern: LOINC code 46264-8 | ||||
Composition.section:sliceMedicalEquipmentSection.mode | required | ListMode | ||||
Composition.section:sliceMedicalEquipmentSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceMedicalEquipmentSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceCareTeamSection.code | example | Pattern: LOINC code 85847-2 | ||||
Composition.section:sliceCareTeamSection.mode | required | ListMode | ||||
Composition.section:sliceCareTeamSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceCareTeamSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceGoalsSection.code | example | Pattern: LOINC code 61146-7 | ||||
Composition.section:sliceGoalsSection.mode | required | ListMode | ||||
Composition.section:sliceGoalsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceGoalsSection.emptyReason | preferred | ListEmptyReasons |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:sliceReasonForVisitSection, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceAdmissionMedicationsSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:sliceMedicalEquipmentSection, Composition.section:sliceCareTeamSection, Composition.section:sliceGoalsSection | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:sliceReasonForVisitSection, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceAdmissionMedicationsSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:sliceMedicalEquipmentSection, Composition.section:sliceCareTeamSection, Composition.section:sliceGoalsSection | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Composition
Summary
Mandatory: 15 elements (24 nested mandatory elements)
Must-Support: 88 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Composition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | S | 0..* | Composition | Hcs Composition Profile |
identifier | S | 1..1 | Identifier | Health Care Survey Report Composition identifier |
status | S | 1..1 | code | preliminary | final | amended | entered-in-error Fixed Value: final |
type | S | 1..1 | CodeableConcept | Health Care Survey 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: 75619-7 | |
subject | S | 1..1 | Reference(US Core Patient Profile | Patient) | Patient who is the subject of the report. |
encounter | S | 1..1 | Reference(US Core Encounter Profile | Encounter) | Encounter related to the public health event |
date | S | 1..1 | dateTime | Composition editing time |
author | S | 1..* | Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | Device | Organization | Practitioner | PractitionerRole) | The author(s) of the document |
title | S | 1..1 | string | Human Readable name/title Fixed Value: Health Care Survey Report |
Slices for section | S | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code |
section:sliceReasonForVisitSection | S | 1..1 | BackboneElement | Reason for Visit Section |
code | S | 1..1 | CodeableConcept | Reason for Visit 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: 29299-5 | |
text | S | 1..1 | Narrative | Reason for Visit narrative |
section:sliceProblemSection | S | 1..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 | Condition) | A reference to data that supports this section |
section:sliceAllergiesSection | S | 1..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 | AllergyIntolerance) | 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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
section:sliceAdmissionMedicationsSection | S | 0..1 | BackboneElement | Admission Medications Section |
code | S | 1..1 | CodeableConcept | Admission 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: 42346-7 | |
text | S | 1..1 | Narrative | Admission 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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationStatement | S | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry |
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
section:sliceMedicationsSection | S | 1..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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationStatement | S | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry |
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
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 | Observation) | Lab Result Entries |
entry:sliceDiagnosticResultEntry | S | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting | DiagnosticReport) | Diagnostic Result Entries |
section:sliceNotesSection | S | 0..* | 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 | DocumentReference) | Document Reference Entries |
entry:sliceDiagnosticReportEntry | S | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note exchange | DiagnosticReport) | 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(US Core MedicationRequest Profile | MedicationRequest) | Medication Request Entries |
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
entry:sliceProcedureOrders | S | 0..* | Reference(HCS Service Request | ServiceRequest) | Procedure Order Entries |
entry:sliceCarePlanEntries | S | 0..* | Reference(US Core CarePlan Profile | CarePlan) | CarePlan Entries |
section:sliceImmunizationsSection | S | 0..1 | BackboneElement | Immunizations Section |
code | S | 1..1 | CodeableConcept | Immunizations 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: 11369-6 | |
text | S | 1..1 | Narrative | Immunizations narrative |
entry | S | 0..* | Reference(US Core Immunization Profile | Immunization) | A reference to data that supports this section |
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 | Procedure) | 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 | Observation) | A reference to data that supports this section |
section:sliceMedicalEquipmentSection | S | 0..1 | BackboneElement | Medical Equipment Section |
code | S | 1..1 | CodeableConcept | Medical Equipment 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: 46264-8 | |
text | S | 1..1 | Narrative | Medical Equipment Section narrative |
entry | S | 0..* | Reference(US Core Implantable Device Profile | Device) | A reference to data that supports this section |
section:sliceCareTeamSection | S | 0..1 | BackboneElement | Care Team Section |
code | S | 1..1 | CodeableConcept | Care Team 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: 85847-2 | |
text | S | 1..1 | Narrative | Care Team Section narrative |
entry | S | 0..* | Reference(US Core CareTeam Profile | CareTeam) | A reference to data that supports this section |
section:sliceGoalsSection | S | 0..1 | BackboneElement | Goals Section |
code | S | 1..1 | CodeableConcept | Goals 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: 61146-7 | |
text | S | 1..1 | Narrative | Goals Section narrative |
entry | S | 0..* | Reference(US Core Goal Profile | Goal) | A reference to data that supports this section |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | S | 0..* | Composition | Hcs 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 | Health Care Survey 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 | Health Care Survey 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: 75619-7 | |
subject | SΣ | 1..1 | Reference(US Core Patient Profile | Patient) | Patient who is the subject of the report. |
encounter | SΣ | 1..1 | Reference(US Core Encounter Profile | Encounter) | Encounter related to the public health event |
date | SΣ | 1..1 | dateTime | Composition editing time |
author | SΣ | 1..* | Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | Device | Organization | Practitioner | PractitionerRole) | The author(s) of the document |
title | SΣ | 1..1 | string | Human Readable name/title Fixed Value: Health Care Survey Report |
Slices for section | SC | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code |
section:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
section:sliceReasonForVisitSection | SC | 1..1 | BackboneElement | Reason for Visit Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Reason for Visit 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: 29299-5 | |
text | SC | 1..1 | Narrative | Reason for Visit narrative |
section:sliceProblemSection | SC | 1..1 | BackboneElement | Problem Section |
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 | Condition) | A reference to data that supports this section |
section:sliceAllergiesSection | SC | 1..1 | BackboneElement | Allergies Section |
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 | AllergyIntolerance) | A reference to data that supports this section |
section:sliceMedicationsAdministeredSection | SC | 0..1 | BackboneElement | Medications Administered Section |
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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
section:sliceAdmissionMedicationsSection | SC | 0..1 | BackboneElement | Admission Medications Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Admission 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: 42346-7 | |
text | SC | 1..1 | Narrative | Admission 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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationStatement | SC | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry |
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
section:sliceMedicationsSection | SC | 1..1 | BackboneElement | Medications Section |
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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry |
entry:sliceMedicationStatement | SC | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry |
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
section:sliceResultsSection | SC | 0..1 | BackboneElement | Results Section |
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 | Observation) | Lab Result Entries |
entry:sliceDiagnosticResultEntry | SC | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting | DiagnosticReport) | Diagnostic Result Entries |
section:sliceNotesSection | SC | 0..* | BackboneElement | Clinical and Diagnostic Reports Section |
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 | DocumentReference) | Document Reference Entries |
entry:sliceDiagnosticReportEntry | SC | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note exchange | DiagnosticReport) | Diagnostic Report Entries |
section:slicePlanOfTreatmentSection | SC | 0..1 | BackboneElement | Plan of Treatment Section |
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(US Core MedicationRequest Profile | MedicationRequest) | Medication Request Entries |
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries |
entry:sliceProcedureOrders | SC | 0..* | Reference(HCS Service Request | ServiceRequest) | Procedure Order Entries |
entry:sliceCarePlanEntries | SC | 0..* | Reference(US Core CarePlan Profile | CarePlan) | CarePlan Entries |
section:sliceImmunizationsSection | SC | 0..1 | BackboneElement | Immunizations Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Immunizations 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: 11369-6 | |
text | SC | 1..1 | Narrative | Immunizations narrative |
entry | SC | 0..* | Reference(US Core Immunization Profile | Immunization) | A reference to data that supports this section |
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. |
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 | Procedure) | A reference to data that supports this section |
section:sliceVitalSignsSection | SC | 0..1 | BackboneElement | Vital Signs Section |
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 |
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 | Observation) | A reference to data that supports this section |
section:sliceMedicalEquipmentSection | SC | 0..1 | BackboneElement | Medical Equipment Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Medical Equipment 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: 46264-8 | |
text | SC | 1..1 | Narrative | Medical Equipment Section narrative |
entry | SC | 0..* | Reference(US Core Implantable Device Profile | Device) | A reference to data that supports this section |
section:sliceCareTeamSection | SC | 0..1 | BackboneElement | Care Team Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Care Team 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: 85847-2 | |
text | SC | 1..1 | Narrative | Care Team Section narrative |
entry | SC | 0..* | Reference(US Core CareTeam Profile | CareTeam) | A reference to data that supports this section |
section:sliceGoalsSection | SC | 0..1 | BackboneElement | Goals Section |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Goals 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: 61146-7 | |
text | SC | 1..1 | Narrative | Goals Section narrative |
entry | SC | 0..* | Reference(US Core Goal Profile | Goal) | A reference to data that supports this section |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Composition.status | required | Fixed Value: final |
Composition.type | preferred | Pattern: LOINC code 75619-7 |
Composition.section:sliceReasonForVisitSection.code | example | Pattern: LOINC code 29299-5 |
Composition.section:sliceProblemSection.code | example | Pattern: LOINC code 11450-4 |
Composition.section:sliceAllergiesSection.code | example | Pattern: LOINC code 48765-2 |
Composition.section:sliceMedicationsAdministeredSection.code | example | Pattern: LOINC code 29549-3 |
Composition.section:sliceAdmissionMedicationsSection.code | example | Pattern: LOINC code 42346-7 |
Composition.section:sliceMedicationsSection.code | example | Pattern: LOINC code 10160-0 |
Composition.section:sliceResultsSection.code | example | Pattern: LOINC code 30954-2 |
Composition.section:sliceNotesSection.code | example | Pattern: LOINC code 28650-0 |
Composition.section:slicePlanOfTreatmentSection.code | example | Pattern: LOINC code 18776-5 |
Composition.section:sliceImmunizationsSection.code | example | Pattern: LOINC code 11369-6 |
Composition.section:sliceProceduresSection.code | example | Pattern: LOINC code 47519-4 |
Composition.section:sliceVitalSignsSection.code | example | Pattern: LOINC code 8716-3 |
Composition.section:sliceSocialHistorySection.code | example | Pattern: LOINC code 29762-2 |
Composition.section:sliceMedicalEquipmentSection.code | example | Pattern: LOINC code 46264-8 |
Composition.section:sliceCareTeamSection.code | example | Pattern: LOINC code 85847-2 |
Composition.section:sliceGoalsSection.code | example | Pattern: LOINC code 61146-7 |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:sliceReasonForVisitSection, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceAdmissionMedicationsSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:sliceMedicalEquipmentSection, Composition.section:sliceCareTeamSection, Composition.section:sliceGoalsSection | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:sliceReasonForVisitSection, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceAdmissionMedicationsSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:sliceMedicalEquipmentSection, Composition.section:sliceCareTeamSection, Composition.section:sliceGoalsSection | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | S | 0..* | Composition | Hcs 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 | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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 | Health Care Survey 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 | Health Care Survey 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: 75619-7 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
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 | Patient) | Patient who is the subject of the report. | ||||
encounter | SΣ | 1..1 | Reference(US Core Encounter Profile | Encounter) | Encounter related to the public health event | ||||
date | SΣ | 1..1 | dateTime | Composition editing time | ||||
author | SΣ | 1..* | Reference(US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | Device | Organization | Practitioner | PractitionerRole) | The author(s) of the document | ||||
title | SΣ | 1..1 | string | Human Readable name/title Fixed Value: Health Care Survey 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 | ||||
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:sliceReasonForVisitSection | SC | 1..1 | BackboneElement | Reason for Visit Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Reason for Visit 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: 29299-5 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Reason for Visit 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 | 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:sliceProblemSection | SC | 1..1 | BackboneElement | Problem Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 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..* | Reference(US Core Condition Profile | 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:sliceAllergiesSection | SC | 1..1 | BackboneElement | Allergies Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Allergies 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: 48765-2 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Allergies 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..* | Reference(US Core AllergyIntolerance Profile | AllergyIntolerance) | 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:sliceMedicationsAdministeredSection | SC | 0..1 | BackboneElement | Medications Administered Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29549-3 | |||||
display | 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 | Medications Administered 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. | |||||
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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry | ||||
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries | ||||
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:sliceAdmissionMedicationsSection | SC | 0..1 | BackboneElement | Admission Medications Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Admission Medications 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: 42346-7 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Admission Medications 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. | |||||
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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry | ||||
entry:sliceMedicationStatement | SC | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry | ||||
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries | ||||
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:sliceMedicationsSection | SC | 1..1 | BackboneElement | Medications Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Medications 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: 10160-0 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
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 | Medications 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. | |||||
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(HCS Medication Administration | MedicationAdministration) | Medication Administration Entry | ||||
entry:sliceMedicationStatement | SC | 0..* | Reference(HCS Medication Statement | MedicationStatement) | Medication Statement Entry | ||||
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries | ||||
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:sliceResultsSection | SC | 0..1 | BackboneElement | Results Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Results 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: 30954-2 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Results 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. | |||||
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 | Observation) | Lab Result Entries | ||||
entry:sliceDiagnosticResultEntry | SC | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting | DiagnosticReport) | Diagnostic Result Entries | ||||
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:sliceNotesSection | SC | 0..* | BackboneElement | Clinical and Diagnostic Reports Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 28650-0 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Notes 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. | |||||
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 | DocumentReference) | Document Reference Entries | ||||
entry:sliceDiagnosticReportEntry | SC | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note exchange | DiagnosticReport) | Diagnostic Report Entries | ||||
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:slicePlanOfTreatmentSection | SC | 0..1 | BackboneElement | Plan of Treatment Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Plan of Treatment 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. | |||||
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(US Core MedicationRequest Profile | MedicationRequest) | Medication Request Entries | ||||
entry:sliceMedicationReferences | SC | 0..* | Reference(US Core Medication Profile | Medication) | Medication Reference Entries | ||||
entry:sliceProcedureOrders | SC | 0..* | Reference(HCS Service Request | ServiceRequest) | Procedure Order Entries | ||||
entry:sliceCarePlanEntries | SC | 0..* | Reference(US Core CarePlan Profile | CarePlan) | CarePlan Entries | ||||
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:sliceImmunizationsSection | SC | 0..1 | BackboneElement | Immunizations Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Immunizations 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: 11369-6 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Immunizations 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(US Core Immunization Profile | Immunization) | 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: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. | ||||
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 | Procedures 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: 47519-4 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Procedures 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..* | Reference(US Core Procedure Profile | Procedure) | 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:sliceVitalSignsSection | SC | 0..1 | BackboneElement | Vital Signs Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Vital Signs 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: 8716-3 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Vital Signs 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(Observation) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:sliceSocialHistorySection | SC | 0..1 | BackboneElement | Social History Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Social History 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..1 | Reference(US Core Smoking Status Observation Profile | Observation) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:sliceMedicalEquipmentSection | SC | 0..1 | BackboneElement | Medical Equipment Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Medical Equipment 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: 46264-8 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Medical Equipment 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..* | Reference(US Core Implantable Device Profile | Device) | 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:sliceCareTeamSection | SC | 0..1 | BackboneElement | Care Team Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Care Team 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: 85847-2 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Care Team 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..* | Reference(US Core CareTeam Profile | CareTeam) | 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:sliceGoalsSection | SC | 0..1 | BackboneElement | Goals Section | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Goals 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: 61146-7 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | 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 | Goals 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..* | Reference(US Core Goal Profile | Goal) | 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 | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
Composition.language | preferred | CommonLanguages
| ||||
Composition.status | required | Fixed Value: final | ||||
Composition.type | preferred | Pattern: LOINC code 75619-7 | ||||
Composition.category | example | DocumentClassValueSet | ||||
Composition.confidentiality | required | v3.ConfidentialityClassification | ||||
Composition.attester.mode | required | CompositionAttestationMode | ||||
Composition.relatesTo.code | required | DocumentRelationshipType | ||||
Composition.event.code | example | ActCode | ||||
Composition.section.code | example | DocumentSectionCodes | ||||
Composition.section.mode | required | ListMode | ||||
Composition.section.orderedBy | preferred | ListOrderCodes | ||||
Composition.section.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceReasonForVisitSection.code | example | Pattern: LOINC code 29299-5 | ||||
Composition.section:sliceReasonForVisitSection.mode | required | ListMode | ||||
Composition.section:sliceReasonForVisitSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceReasonForVisitSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceProblemSection.code | example | Pattern: LOINC code 11450-4 | ||||
Composition.section:sliceProblemSection.mode | required | ListMode | ||||
Composition.section:sliceProblemSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceProblemSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceAllergiesSection.code | example | Pattern: LOINC code 48765-2 | ||||
Composition.section:sliceAllergiesSection.mode | required | ListMode | ||||
Composition.section:sliceAllergiesSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceAllergiesSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceMedicationsAdministeredSection.code | example | Pattern: LOINC code 29549-3 | ||||
Composition.section:sliceMedicationsAdministeredSection.mode | required | ListMode | ||||
Composition.section:sliceMedicationsAdministeredSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceMedicationsAdministeredSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceAdmissionMedicationsSection.code | example | Pattern: LOINC code 42346-7 | ||||
Composition.section:sliceAdmissionMedicationsSection.mode | required | ListMode | ||||
Composition.section:sliceAdmissionMedicationsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceAdmissionMedicationsSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceMedicationsSection.code | example | Pattern: LOINC code 10160-0 | ||||
Composition.section:sliceMedicationsSection.mode | required | ListMode | ||||
Composition.section:sliceMedicationsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceMedicationsSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceResultsSection.code | example | Pattern: LOINC code 30954-2 | ||||
Composition.section:sliceResultsSection.mode | required | ListMode | ||||
Composition.section:sliceResultsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceResultsSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceNotesSection.code | example | Pattern: LOINC code 28650-0 | ||||
Composition.section:sliceNotesSection.mode | required | ListMode | ||||
Composition.section:sliceNotesSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceNotesSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:slicePlanOfTreatmentSection.code | example | Pattern: LOINC code 18776-5 | ||||
Composition.section:slicePlanOfTreatmentSection.mode | required | ListMode | ||||
Composition.section:slicePlanOfTreatmentSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:slicePlanOfTreatmentSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceImmunizationsSection.code | example | Pattern: LOINC code 11369-6 | ||||
Composition.section:sliceImmunizationsSection.mode | required | ListMode | ||||
Composition.section:sliceImmunizationsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceImmunizationsSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceProceduresSection.code | example | Pattern: LOINC code 47519-4 | ||||
Composition.section:sliceProceduresSection.mode | required | ListMode | ||||
Composition.section:sliceProceduresSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceProceduresSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceVitalSignsSection.code | example | Pattern: LOINC code 8716-3 | ||||
Composition.section:sliceVitalSignsSection.mode | required | ListMode | ||||
Composition.section:sliceVitalSignsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceVitalSignsSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceSocialHistorySection.code | example | Pattern: LOINC code 29762-2 | ||||
Composition.section:sliceSocialHistorySection.mode | required | ListMode | ||||
Composition.section:sliceSocialHistorySection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceSocialHistorySection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceMedicalEquipmentSection.code | example | Pattern: LOINC code 46264-8 | ||||
Composition.section:sliceMedicalEquipmentSection.mode | required | ListMode | ||||
Composition.section:sliceMedicalEquipmentSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceMedicalEquipmentSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceCareTeamSection.code | example | Pattern: LOINC code 85847-2 | ||||
Composition.section:sliceCareTeamSection.mode | required | ListMode | ||||
Composition.section:sliceCareTeamSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceCareTeamSection.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sliceGoalsSection.code | example | Pattern: LOINC code 61146-7 | ||||
Composition.section:sliceGoalsSection.mode | required | ListMode | ||||
Composition.section:sliceGoalsSection.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sliceGoalsSection.emptyReason | preferred | ListEmptyReasons |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:sliceReasonForVisitSection, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceAdmissionMedicationsSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:sliceMedicalEquipmentSection, Composition.section:sliceCareTeamSection, Composition.section:sliceGoalsSection | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:sliceReasonForVisitSection, Composition.section:sliceProblemSection, Composition.section:sliceAllergiesSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceAdmissionMedicationsSection, Composition.section:sliceMedicationsSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceImmunizationsSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection, Composition.section:sliceMedicalEquipmentSection, Composition.section:sliceCareTeamSection, Composition.section:sliceGoalsSection | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Composition
Summary
Mandatory: 15 elements (24 nested mandatory elements)
Must-Support: 88 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron