International Patient Summary Implementation Guide (Release 0.3.0 STU1 Ballot)

International Patient Summary Implementation Guide, published by Health Level Seven International - Patient Care Work Group. This is not an authorized publication; it is the continuous build for version 0.3.0). This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

SD.5 StructureDefinition-Composition-uv-ips

Figure 1: The IPS Composition
IPS_composition.png

A complete list of the IPS sections, with description and used profiles is available in the International Patient Summary Structure page.

SD.5.1 Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips

Published on Wed Aug 29 00:00:00 UTC 2018 as a draft by HL7 International.

This profile builds on Clinical Document

Summary

Mandatory: 19 elements (43 nested mandatory elements)
Must-Support: 118 elements
Prohibited: 28 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Composition.event is sliced based on the value of pattern:code
  • The element Composition.section is sliced based on the value of pattern:code
  • The element Composition.section.entry is sliced based on the value of profile:$this.resolve()

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition S0..*Clinical DocumentInternational Patient Summary composition
... id S0..1string
... meta S0..1Meta
... text S0..1Narrative
... identifier S0..1Identifier
... status S1..1code
... type S1..1CodeableConceptIPSKind of composition ("Patient Summary")
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 60591-5
... subject S0..1Reference(Patient (IPS))
.... reference S1..1string
... encounter
.... reference S0..1string
... date S1..1dateTime
... author S1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the IPS
.... reference S0..1string
... title S1..1stringInternational Patient Summary
... confidentiality S0..1code
... attester S0..*BackboneElement
.... mode S1..1code
.... time S0..1dateTime
.... party S0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
..... reference S0..1string
... custodian S0..1Reference(Organization)
.... reference S0..1string
... relatesTo S0..*BackboneElement
.... code S1..1code
.... target[x] S1..1
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition | Composition (IPS))
... event S0..*(Slice Definition)Slice: Unordered, Open by pattern:code
.... event:careProvisioningEvent S0..1BackboneElementThe care provisioning being documented
..... code S1..*CodeableConceptRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PCPR
..... period S0..1Period
... section S1..*(Slice Definition)Sections composing the IPS
Slice: Unordered, Open by pattern:code
.... section:sectionMedications S1..1BackboneElementIPS Medication Summary Section
..... title S1..1stringMedication Summary section
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
..... text S1..1Narrative
..... entry S1..*(Slice Definition)Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:$this.resolve()
...... entry:medicationStatement S1..*Reference(Medication Statement (IPS))
..... emptyReason 0..0
..... section 0..0
.... section:sectionAllergies S1..1BackboneElementIPS Allergies and Intolerances Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48765-2
..... text S1..1Narrative
..... entry S1..*(Slice Definition)Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:allergyOrIntolerance S1..*Reference(Allergy Intolerance (IPS))
..... emptyReason 0..0
..... section 0..0
.... section:sectionProblems S1..1BackboneElementIPS Problems Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
..... text S1..1Narrative
..... entry S1..*(Slice Definition)Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:problem S1..*Reference(Condition (IPS))
..... emptyReason 0..0
..... section 0..0
.... section:sectionProceduresHx S0..1BackboneElementIPS History of Procedures Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 47519-4
..... text S1..1Narrative
..... entry S1..*(Slice Definition)Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:procedure S1..*Reference(Procedure (IPS))
..... emptyReason 0..0
..... section 0..0
.... section:sectionImmunizations S0..1BackboneElementIPS Immunizations Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11369-6
..... text S1..1Narrative
..... entry S1..*(Slice Definition)Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:immunization S1..*Reference(Immunization (IPS))
..... emptyReason 0..0
..... section 0..0
.... section:sectionMedicalDevices S0..1BackboneElementIPS Medical Devices Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 46264-8
..... text S1..1Narrative
..... entry S1..*(Slice Definition)Patient history of medical device use.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:deviceStatement S1..*Reference(Device Use Statement (IPS))
..... emptyReason 0..0
..... section 0..0
.... section:sectionResults S0..1BackboneElementIPS Results Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
..... text S1..1Narrative
..... entry S1..*(Slice Definition)Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:observation-laboratory S0..*Reference(Observation (Results: laboratory))
...... entry:observation-pathology S0..*Reference(Observation (Results: pathology))
...... entry:observation-imaging S0..*Reference(Observation (Results: imaging))
...... entry:observation S0..*Reference(Observation (Results: generic))
...... entry:diagnosticReport S0..*Reference(DiagnosticReport (IPS))
..... emptyReason 0..0
..... section 0..0
.... section:sectionVitalSigns S0..1BackboneElementIPS Vital Signs Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 8716-3
..... text S1..1Narrative
..... entry S0..*(Slice Definition)Notable vital signs or physical findings.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:vitalSign S0..*Reference(Vital Signs Profile)
..... emptyReason 0..0
..... section 0..0
.... section:sectionPastIllnessHx S0..1BackboneElementIPS History of Past Illness Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11348-0
..... text S1..1Narrative
..... entry S0..*(Slice Definition)Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pastProblem S1..*Reference(Condition (IPS))
..... emptyReason 0..0
..... section 0..0
.... section:sectionFunctionalStatus S0..1BackboneElementIPS Functional Status
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 47420-5
..... text S1..1Narrative
..... entry S0..*(Slice Definition)Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:$this.resolve()
...... entry:disability S0..*Reference(Condition (IPS))
...... entry:functionalAssessment S0..*Reference(ClinicalImpression)
..... emptyReason 0..0
..... section 0..0
.... section:sectionPlanOfCare S0..1BackboneElementIPS Plan of Care Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 18776-5
..... text S1..1Narrative
..... emptyReason 0..0
..... section 0..0
.... section:sectionSocialHistory S0..1BackboneElementIPS Social History Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 29762-2
..... text S1..1Narrative
..... entry S0..*(Slice Definition)Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:$this.resolve()
...... entry:smokingTobaccoUse S0..1Reference(Observation (SH: tobacco use))
...... entry:alcoholUse S0..1Reference(Observation (SH: alcohol use))
..... emptyReason 0..0
..... section 0..0
.... section:sectionPregnancyHx S0..1BackboneElementIPS History of Pregnancy Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10162-6
..... text S1..1Narrative
..... entry S0..*(Slice Definition)Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyStatus S0..*Reference(Observation (Pregnancy: status))
...... entry:pregnancyOutcomeSummary S0..*Reference(Observation (Pregnancy: outcome))
..... emptyReason 0..0
..... section 0..0
.... section:sectionAdvanceDirectives S0..1BackboneElementIPS Advance Directives Section
..... title S1..1string
..... code S1..1CodeableConceptIPSRequired Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 42348-3
..... text S1..1Narrative
..... entry S0..*(Slice Definition)Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:advanceDirectivesConsent S0..*Reference(Consent)
..... emptyReason 0..0
..... section 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition SI0..*Clinical DocumentInternational Patient Summary composition
... id SΣ0..1stringLogical id of this artifact
... meta SΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text SI0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... composition-clinicaldocument-versionNumber I0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier SΣI0..1IdentifierVersion-independent identifier for the Composition
... status ?!SΣI1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type SI1..1CodeableConceptIPSKind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 60591-5
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category ΣI0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example)
... subject SΣI0..1Reference(Patient (IPS))Who and/or what the composition is about
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣI1..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... encounter ΣI0..1Reference(Encounter)Context of the Composition
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... date SΣI1..1dateTimeComposition editing time
... author SΣI1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the IPS
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... title SΣI1..1stringInternational Patient Summary
... confidentiality SΣI0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required)
... attester SI0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode SI1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required)
.... time SI0..1dateTimeWhen the composition was attested
.... party SI0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣI0..1stringLiteral reference, Relative, internal or absolute URL
..... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
..... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
..... display ΣI0..1stringText alternative for the resource
... custodian SΣI0..1Reference(Organization)Organization which maintains the composition
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... relatesTo SI0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SI1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required)
.... target[x] SI1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition | Composition (IPS))
... event SΣI0..*(Slice Definition)The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code ΣI0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example)
..... period ΣI0..1PeriodThe period covered by the documentation
..... detail ΣI0..*Reference(Resource)The event(s) being documented
.... event:careProvisioningEvent SΣI0..1BackboneElementThe care provisioning being documented
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣI1..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example)

Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PCPR
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... period SΣI0..1PeriodThe period covered by the documentation
..... detail ΣI0..*Reference(Resource)The event(s) being documented
... section SI1..*(Slice Definition)Sections composing the IPS
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title I0..1stringLabel for section (e.g. for ToC)
..... code I0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
..... author I0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus I0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode I0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy I0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*Unknown reference to #Composition.section
Nested Section
.... section:sectionMedications SI1..1BackboneElementIPS Medication Summary Section
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title SI1..1stringMedication Summary section
..... code SI1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author I0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus I0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode I0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy I0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry SI1..*(Slice Definition)Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:$this.resolve()
...... entry:medicationStatement SI1..*Reference(Medication Statement (IPS))A reference to data that supports this section
.... section:sectionAllergies SI1..1BackboneElementIPS Allergies and Intolerances Section
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title SI1..1stringLabel for section (e.g. for ToC)
..... code SI1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48765-2
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author I0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus I0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode I0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy I0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry SI1..*(Slice Definition)Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:allergyOrIntolerance SI1..*Reference(Allergy Intolerance (IPS))A reference to data that supports this section
.... section:sectionProblems SI1..1BackboneElementIPS Problems Section
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title SI1..1stringLabel for section (e.g. for ToC)
..... code SI1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author I0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus I0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode I0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy I0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry SI1..*(Slice Definition)Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:problem SI1..*Reference(Condition (IPS))A reference to data that supports this section
.... section:sectionProceduresHx SI0..1BackboneElementIPS History of Procedures Section
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title SI1..1stringLabel for section (e.g. for ToC)
..... code SI1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 47519-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author I0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus I0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode I0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy I0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry SI1..*(Slice Definition)Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:procedure SI1..*Reference(Procedure (IPS))A reference to data that supports this section
.... section:sectionImmunizations SI0..1BackboneElementIPS Immunizations Section
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title SI1..1stringLabel for section (e.g. for ToC)
..... code SI1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11369-6
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author I0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus I0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode I0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy I0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry SI1..*(Slice Definition)Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:immunization SI1..*Reference(Immunization (IPS))A reference to data that supports this section
.... section:sectionMedicalDevices SI0..1BackboneElementIPS Medical Devices Section
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title SI1..1stringLabel for section (e.g. for ToC)
..... code SI1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 46264-8
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author I0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus I0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode I0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy I0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry SI1..*(Slice Definition)Patient history of medical device use.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:deviceStatement SI1..*Reference(Device Use Statement (IPS))A reference to data that supports this section
.... section:sectionResults SI0..1BackboneElementIPS Results Section
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title SI1..1stringLabel for section (e.g. for ToC)
..... code SI1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author I0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus I0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode I0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy I0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry SI1..*(Slice Definition)Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by profile:$this.resolve()
...... entry:observation-laboratory SI0..*Reference(Observation (Results: laboratory))A reference to data that supports this section
...... entry:observation-pathology SI0..*Reference(Observation (Results: pathology))A reference to data that supports this section
...... entry:observation-imaging SI0..*Reference(Observation (Results: imaging))A reference to data that supports this section
...... entry:observation SI0..*Reference(Observation (Results: generic))A reference to data that supports this section
...... entry:diagnosticReport SI0..*Reference(DiagnosticReport (IPS))A reference to data that supports this section
.... section:sectionVitalSigns SI0..1BackboneElementIPS Vital Signs Section
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title SI1..1stringLabel for section (e.g. for ToC)
..... code SI1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1