International Patient Summary Implementation Guide
2.0.0 - STU 2 International flag

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

Resource Profile: Composition (IPS)

Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips Version: 2.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: CompositionUvIps

Copyright/Legal: HL7 International

Clinical document used to represent the International Patient Summary (IPS) data set. An International Patient Summary (IPS) document is an electronic health record extract containing essential healthcare information about a subject of care. The IPS dataset is minimal and non-exhaustive; specialty-agnostic and condition-independent; but still clinically relevant. As specified in ISO 27269, it is designed for supporting the use case scenario for ‘unplanned, cross border care’, but it is not limited to it. It is intended to be international, i.e., to provide generic solutions for global application beyond a particular region or country.

An International Patient Summary (IPS) document is an electronic health record extract containing essential healthcare information about a subject of care, comprising at least the required elements of the IPS dataset. The IPS dataset is minimal and non-exhaustive; specialty-agnostic and condition-independent; but still clinically relevant. As specified in ISO 27269, it is designed for supporting the use case scenario for ‘unplanned, cross border care’, but it is not limited to it. It is intended to be international, i.e., to provide generic solutions for global application beyond a particular region or country.

In this version of the guide the Medication Summary is expressed as a list of MedicationStatements or MedicationRequests. More information on medications lists are included in the Design Conventions and Principles page.

STU implementers are encouraged to provide their feedback about this design choice.

Usages:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition International Patient Summary composition
... meta Σ 0..1 Meta Metadata about the resource
.... profile SOΣ 0..* canonical(StructureDefinition) The conformance of this Composition to a specific IPS version.
ObligationsActor
MAY:able-to-populate Producer (IPS)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... 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: 60591-5
..... 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
... subject SOΣ 1..1 Reference(Patient (IPS)) Who and/or what the composition is about
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SOΣ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the IPS
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SOΣ 1..1 string International Patient Summary
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SOΣ 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SOΣ 1..1 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.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... 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://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... 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
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for section SOC 3..* BackboneElement Sections composing the IPS
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProblems SOC 1..1 BackboneElement IPS Problems Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(Condition (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement IPS Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(AllergyIntolerance (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement IPS Medication Summary Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 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
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(MedicationStatement (IPS) | MedicationRequest (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionImmunizations SOC 0..1 BackboneElement IPS Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(Immunization (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionResults SOC 0..1 BackboneElement IPS Results Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(Observation Results - Laboratory/Pathology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SOC 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SOC 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProceduresHx SOC 0..1 BackboneElement IPS History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SOC 0..* Reference(Procedure (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedicalDevices SOC 0..1 BackboneElement IPS Medical Devices Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use.
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SOC 0..* Reference(DeviceUseStatement (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAdvanceDirectives SOC 0..1 BackboneElement IPS Advance Directives Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent C 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SOC 0..1 BackboneElement IPS Alerts Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Flag | DocumentReference) Alert information.
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag C 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SOC 0..1 BackboneElement IPS Functional Status
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | ClinicalImpression | DocumentReference) Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability C 0..* Reference(Condition (IPS)) A reference to data that supports this section
...... entry:functionalAssessment C 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastIllnessHx SOC 0..1 BackboneElement IPS History of Past Illness Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem C 0..* Reference(Condition (IPS)) A reference to data that supports this section
.... section:sectionPregnancyHx SOC 0..1 BackboneElement IPS History of Pregnancy Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus C 0..* Reference(Observation Pregnancy - Status (IPS)) A reference to data that supports this section
...... entry:pregnancyOutcome C 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SOC 0..1 BackboneElement IPS Patient Story Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... entry C 0..* Reference(Resource) Patient Story resources.
.... section:sectionPlanOfCare SOC 0..1 BackboneElement IPS Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan C 0..* Reference(CarePlan) A reference to data that supports this section
...... entry:immunizationRecommendation C 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionSocialHistory SOC 0..1 BackboneElement IPS Social History Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse C 0..1 Reference(Observation Social History - Tobacco Use (IPS)) A reference to data that supports this section
...... entry:alcoholUse C 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SOC 0..1 BackboneElement IPS Vital Signs Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign C 0..* Reference(Vital Signs Profile) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typepreferredPattern Value: LOINC Code 60591-5
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.event:careProvisioningEvent.codeexamplePattern Value: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section:sectionProblems.codeexamplePattern Value: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAllergies.codeexamplePattern Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedications.codeexamplePattern Value: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionImmunizations.codeexamplePattern Value: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.codeexamplePattern Value: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexamplePattern Value: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedicalDevices.codeexamplePattern Value: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexamplePattern Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAlerts.codeexamplePattern Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionFunctionalStatus.codeexamplePattern Value: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPastIllnessHx.codeexamplePattern Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPregnancyHx.codeexamplePattern Value: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPatientStory.codeexamplePattern Value: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPlanOfCare.codeexamplePattern Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionSocialHistory.codeexamplePattern Value: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionVitalSigns.codeexamplePattern Value: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastIllnessHx, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastIllnessHx, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ips-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedicationsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition International Patient Summary composition
... meta
.... profile SO 0..* canonical(StructureDefinition) The conformance of this Composition to a specific IPS version.
ObligationsActor
MAY:able-to-populate Producer (IPS)
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... identifier SO 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... type SO 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Required Pattern: At least the following
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... 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: 60591-5
... subject SO 1..1 Reference(Patient (IPS)) Who and/or what the composition is about
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... date SO 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SO 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the IPS
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SO 1..1 string International Patient Summary
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... mode SO 1..1 code personal | professional | legal | official
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SO 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... relatesTo
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (IPS))
... Slices for event 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:careProvisioningEvent SO 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code SO 1..1 CodeableConcept Code(s) that apply to the event being documented
Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
..... period SO 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for section SO 3..* BackboneElement Sections composing the IPS
Slice: Unordered, Open by pattern:code
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... section 0..0
.... section:sectionProblems SOC 1..1 BackboneElement IPS Problems Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... Slices for entry 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SO 0..* Reference(Condition (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement IPS Allergies and Intolerances Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... Slices for entry 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SO 0..* Reference(AllergyIntolerance (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement IPS Medication Summary Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
..... Slices for entry 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SO 0..* Reference(MedicationStatement (IPS) | MedicationRequest (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionImmunizations SO 0..1 BackboneElement IPS Immunizations Section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
..... Slices for entry 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SO 0..* Reference(Immunization (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionResults SO 0..1 BackboneElement IPS Results Section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
..... Slices for entry 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SO 0..* Reference(Observation Results - Laboratory/Pathology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SO 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SO 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProceduresHx SO 0..1 BackboneElement IPS History of Procedures Section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
..... Slices for entry 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SO 0..* Reference(Procedure (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedicalDevices SO 0..1 BackboneElement IPS Medical Devices Section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
..... Slices for entry 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use.
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SO 0..* Reference(DeviceUseStatement (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAdvanceDirectives SO 0..1 BackboneElement IPS Advance Directives Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
..... Slices for entry 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SO 0..1 BackboneElement IPS Alerts Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
..... Slices for entry 0..* Reference(Flag | DocumentReference) Alert information.
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SO 0..1 BackboneElement IPS Functional Status
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
..... Slices for entry 0..* Reference(Condition | ClinicalImpression | DocumentReference) Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability 0..* Reference(Condition (IPS)) A reference to data that supports this section
...... entry:functionalAssessment 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastIllnessHx SO 0..1 BackboneElement IPS History of Past Illness Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
..... Slices for entry 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem 0..* Reference(Condition (IPS)) A reference to data that supports this section
.... section:sectionPregnancyHx SO 0..1 BackboneElement IPS History of Pregnancy Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
..... Slices for entry 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus 0..* Reference(Observation Pregnancy - Status (IPS)) A reference to data that supports this section
...... entry:pregnancyOutcome 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SO 0..1 BackboneElement IPS Patient Story Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
..... entry 0..* Reference(Resource) Patient Story resources.
.... section:sectionPlanOfCare SO 0..1 BackboneElement IPS Plan of Care Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... Slices for entry 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan 0..* Reference(CarePlan) A reference to data that supports this section
...... entry:immunizationRecommendation 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionSocialHistory SO 0..1 BackboneElement IPS Social History Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
..... Slices for entry 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse 0..1 Reference(Observation Social History - Tobacco Use (IPS)) A reference to data that supports this section
...... entry:alcoholUse 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SO 0..1 BackboneElement IPS Vital Signs Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
..... Slices for entry 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign 0..* Reference(Vital Signs Profile) A reference to data that supports this section

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ips-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedicationsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition International Patient Summary composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SOΣ 0..* canonical(StructureDefinition) The conformance of this Composition to a specific IPS version.
ObligationsActor
MAY:able-to-populate Producer (IPS)
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... 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: 60591-5
..... 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
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject SOΣ 1..1 Reference(Patient (IPS)) Who and/or what the composition is about
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SOΣ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the IPS
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SOΣ 1..1 string International Patient Summary
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... 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 SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... 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 SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SOΣ 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... 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 | Composition (IPS))
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 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
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... 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 SOΣ 1..1 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.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... 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://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... 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
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section SOC 3..* BackboneElement Sections composing the IPS
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... 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:sectionProblems SOC 1..1 BackboneElement IPS Problems Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(Condition (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement IPS Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(AllergyIntolerance (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement IPS Medication Summary Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(MedicationStatement (IPS) | MedicationRequest (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionImmunizations SOC 0..1 BackboneElement IPS Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(Immunization (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionResults SOC 0..1 BackboneElement IPS Results Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(Observation Results - Laboratory/Pathology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SOC 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SOC 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionProceduresHx SOC 0..1 BackboneElement IPS History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SOC 0..* Reference(Procedure (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionMedicalDevices SOC 0..1 BackboneElement IPS Medical Devices Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use.
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SOC 0..* Reference(DeviceUseStatement (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionAdvanceDirectives SOC 0..1 BackboneElement IPS Advance Directives Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent C 0..* Reference(Consent) 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:sectionAlerts SOC 0..1 BackboneElement IPS Alerts Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Flag | DocumentReference) Alert information.
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag C 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionFunctionalStatus SOC 0..1 BackboneElement IPS Functional Status
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | ClinicalImpression | DocumentReference) Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability C 0..* Reference(Condition (IPS)) A reference to data that supports this section
...... entry:functionalAssessment C 0..* Reference(ClinicalImpression) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPastIllnessHx SOC 0..1 BackboneElement IPS History of Past Illness Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem C 0..* Reference(Condition (IPS)) 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:sectionPregnancyHx SOC 0..1 BackboneElement IPS History of Pregnancy Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
....... 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus C 0..* Reference(Observation Pregnancy - Status (IPS)) A reference to data that supports this section
...... entry:pregnancyOutcome C 0..* Reference(Observation Pregnancy - Outcome (IPS)) 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:sectionPatientStory SOC 0..1 BackboneElement IPS Patient Story Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
....... 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... 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) Patient Story resources.
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPlanOfCare SOC 0..1 BackboneElement IPS Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan C 0..* Reference(CarePlan) A reference to data that supports this section
...... entry:immunizationRecommendation C 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionSocialHistory SOC 0..1 BackboneElement IPS Social History Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse C 0..1 Reference(Observation Social History - Tobacco Use (IPS)) A reference to data that supports this section
...... entry:alcoholUse C 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionVitalSigns SOC 0..1 BackboneElement IPS Vital Signs Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign C 0..* Reference(Vital Signs Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
Composition.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typepreferredPattern Value: LOINC Code 60591-5
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
Composition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.event:careProvisioningEvent.codeexamplePattern Value: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionProblems.codeexamplePattern Value: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAllergies.codeexamplePattern Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedications.codeexamplePattern Value: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionImmunizations.codeexamplePattern Value: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionImmunizations.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionImmunizations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionImmunizations.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionResults.codeexamplePattern Value: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionResults.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexamplePattern Value: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProceduresHx.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedicalDevices.codeexamplePattern Value: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedicalDevices.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedicalDevices.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedicalDevices.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexamplePattern Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAlerts.codeexamplePattern Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAlerts.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAlerts.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAlerts.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionFunctionalStatus.codeexamplePattern Value: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionFunctionalStatus.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionFunctionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionFunctionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPastIllnessHx.codeexamplePattern Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPastIllnessHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPastIllnessHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPastIllnessHx.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPregnancyHx.codeexamplePattern Value: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPregnancyHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPregnancyHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPregnancyHx.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPatientStory.codeexamplePattern Value: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPatientStory.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPatientStory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPatientStory.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPlanOfCare.codeexamplePattern Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPlanOfCare.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPlanOfCare.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionSocialHistory.codeexamplePattern Value: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionSocialHistory.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionSocialHistory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionSocialHistory.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionVitalSigns.codeexamplePattern Value: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionVitalSigns.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionVitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionVitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastIllnessHx, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastIllnessHx, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ips-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedicationsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())

This structure is derived from Composition

Summary

Mandatory: 8 elements(16 nested mandatory elements)
Must-Support: 49 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.event
  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.entry
  • The element 2 is sliced based on the values of Composition.section.entry

Maturity: 2

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition International Patient Summary composition
... meta Σ 0..1 Meta Metadata about the resource
.... profile SOΣ 0..* canonical(StructureDefinition) The conformance of this Composition to a specific IPS version.
ObligationsActor
MAY:able-to-populate Producer (IPS)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... 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: 60591-5
..... 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
... subject SOΣ 1..1 Reference(Patient (IPS)) Who and/or what the composition is about
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SOΣ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the IPS
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SOΣ 1..1 string International Patient Summary
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SOΣ 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SOΣ 1..1 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.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... 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://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... 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
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for section SOC 3..* BackboneElement Sections composing the IPS
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProblems SOC 1..1 BackboneElement IPS Problems Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(Condition (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement IPS Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(AllergyIntolerance (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement IPS Medication Summary Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 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
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(MedicationStatement (IPS) | MedicationRequest (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionImmunizations SOC 0..1 BackboneElement IPS Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(Immunization (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionResults SOC 0..1 BackboneElement IPS Results Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(Observation Results - Laboratory/Pathology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SOC 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SOC 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProceduresHx SOC 0..1 BackboneElement IPS History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SOC 0..* Reference(Procedure (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedicalDevices SOC 0..1 BackboneElement IPS Medical Devices Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use.
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SOC 0..* Reference(DeviceUseStatement (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAdvanceDirectives SOC 0..1 BackboneElement IPS Advance Directives Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent C 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SOC 0..1 BackboneElement IPS Alerts Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Flag | DocumentReference) Alert information.
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag C 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SOC 0..1 BackboneElement IPS Functional Status
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | ClinicalImpression | DocumentReference) Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability C 0..* Reference(Condition (IPS)) A reference to data that supports this section
...... entry:functionalAssessment C 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastIllnessHx SOC 0..1 BackboneElement IPS History of Past Illness Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem C 0..* Reference(Condition (IPS)) A reference to data that supports this section
.... section:sectionPregnancyHx SOC 0..1 BackboneElement IPS History of Pregnancy Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus C 0..* Reference(Observation Pregnancy - Status (IPS)) A reference to data that supports this section
...... entry:pregnancyOutcome C 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SOC 0..1 BackboneElement IPS Patient Story Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... entry C 0..* Reference(Resource) Patient Story resources.
.... section:sectionPlanOfCare SOC 0..1 BackboneElement IPS Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan C 0..* Reference(CarePlan) A reference to data that supports this section
...... entry:immunizationRecommendation C 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionSocialHistory SOC 0..1 BackboneElement IPS Social History Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse C 0..1 Reference(Observation Social History - Tobacco Use (IPS)) A reference to data that supports this section
...... entry:alcoholUse C 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SOC 0..1 BackboneElement IPS Vital Signs Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign C 0..* Reference(Vital Signs Profile) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typepreferredPattern Value: LOINC Code 60591-5
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.event:careProvisioningEvent.codeexamplePattern Value: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section:sectionProblems.codeexamplePattern Value: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAllergies.codeexamplePattern Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedications.codeexamplePattern Value: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionImmunizations.codeexamplePattern Value: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.codeexamplePattern Value: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexamplePattern Value: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedicalDevices.codeexamplePattern Value: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexamplePattern Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAlerts.codeexamplePattern Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionFunctionalStatus.codeexamplePattern Value: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPastIllnessHx.codeexamplePattern Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPregnancyHx.codeexamplePattern Value: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPatientStory.codeexamplePattern Value: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPlanOfCare.codeexamplePattern Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionSocialHistory.codeexamplePattern Value: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionVitalSigns.codeexamplePattern Value: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastIllnessHx, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastIllnessHx, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ips-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedicationsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition International Patient Summary composition
... meta
.... profile SO 0..* canonical(StructureDefinition) The conformance of this Composition to a specific IPS version.
ObligationsActor
MAY:able-to-populate Producer (IPS)
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... identifier SO 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... type SO 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Required Pattern: At least the following
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... 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: 60591-5
... subject SO 1..1 Reference(Patient (IPS)) Who and/or what the composition is about
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... date SO 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SO 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the IPS
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SO 1..1 string International Patient Summary
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... mode SO 1..1 code personal | professional | legal | official
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SO 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... relatesTo
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (IPS))
... Slices for event 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:careProvisioningEvent SO 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code SO 1..1 CodeableConcept Code(s) that apply to the event being documented
Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
..... period SO 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for section SO 3..* BackboneElement Sections composing the IPS
Slice: Unordered, Open by pattern:code
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... section 0..0
.... section:sectionProblems SOC 1..1 BackboneElement IPS Problems Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... Slices for entry 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SO 0..* Reference(Condition (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement IPS Allergies and Intolerances Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... Slices for entry 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SO 0..* Reference(AllergyIntolerance (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement IPS Medication Summary Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
..... Slices for entry 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SO 0..* Reference(MedicationStatement (IPS) | MedicationRequest (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionImmunizations SO 0..1 BackboneElement IPS Immunizations Section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
..... Slices for entry 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SO 0..* Reference(Immunization (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionResults SO 0..1 BackboneElement IPS Results Section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
..... Slices for entry 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SO 0..* Reference(Observation Results - Laboratory/Pathology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SO 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SO 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProceduresHx SO 0..1 BackboneElement IPS History of Procedures Section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
..... Slices for entry 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SO 0..* Reference(Procedure (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedicalDevices SO 0..1 BackboneElement IPS Medical Devices Section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
..... Slices for entry 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use.
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SO 0..* Reference(DeviceUseStatement (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAdvanceDirectives SO 0..1 BackboneElement IPS Advance Directives Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
..... Slices for entry 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SO 0..1 BackboneElement IPS Alerts Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
..... Slices for entry 0..* Reference(Flag | DocumentReference) Alert information.
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SO 0..1 BackboneElement IPS Functional Status
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
..... Slices for entry 0..* Reference(Condition | ClinicalImpression | DocumentReference) Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability 0..* Reference(Condition (IPS)) A reference to data that supports this section
...... entry:functionalAssessment 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastIllnessHx SO 0..1 BackboneElement IPS History of Past Illness Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
..... Slices for entry 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem 0..* Reference(Condition (IPS)) A reference to data that supports this section
.... section:sectionPregnancyHx SO 0..1 BackboneElement IPS History of Pregnancy Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
..... Slices for entry 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus 0..* Reference(Observation Pregnancy - Status (IPS)) A reference to data that supports this section
...... entry:pregnancyOutcome 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SO 0..1 BackboneElement IPS Patient Story Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
..... entry 0..* Reference(Resource) Patient Story resources.
.... section:sectionPlanOfCare SO 0..1 BackboneElement IPS Plan of Care Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... Slices for entry 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan 0..* Reference(CarePlan) A reference to data that supports this section
...... entry:immunizationRecommendation 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionSocialHistory SO 0..1 BackboneElement IPS Social History Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
..... Slices for entry 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse 0..1 Reference(Observation Social History - Tobacco Use (IPS)) A reference to data that supports this section
...... entry:alcoholUse 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SO 0..1 BackboneElement IPS Vital Signs Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
..... Slices for entry 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign 0..* Reference(Vital Signs Profile) A reference to data that supports this section

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ips-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedicationsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition International Patient Summary composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SOΣ 0..* canonical(StructureDefinition) The conformance of this Composition to a specific IPS version.
ObligationsActor
MAY:able-to-populate Producer (IPS)
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... 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: 60591-5
..... 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
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject SOΣ 1..1 Reference(Patient (IPS)) Who and/or what the composition is about
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SOΣ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the IPS
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SOΣ 1..1 string International Patient Summary
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... 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 SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... 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 SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SOΣ 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... 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 | Composition (IPS))
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 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
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... 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 SOΣ 1..1 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.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... 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://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... 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
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section SOC 3..* BackboneElement Sections composing the IPS
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... 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:sectionProblems SOC 1..1 BackboneElement IPS Problems Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(Condition (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement IPS Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(AllergyIntolerance (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement IPS Medication Summary Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(MedicationStatement (IPS) | MedicationRequest (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionImmunizations SOC 0..1 BackboneElement IPS Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(Immunization (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionResults SOC 0..1 BackboneElement IPS Results Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | 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 SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(Observation Results - Laboratory/Pathology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SOC 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SOC 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionProceduresHx SOC 0..1 BackboneElement IPS History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..1 Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:able-to-populate Producer (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus