NHSN Reporting: Adverse Drug Events - Glycemic Control
0.1.0 - CI Build

NHSN Reporting: Adverse Drug Events - Glycemic Control, published by HL7 International - Public Health Work Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7/fhir-nhsn-ade-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Composition - ADE Hypoglycemia

Defining URL:http://hl7.org/fhir/us/nhsn-ade/StructureDefinition/Composition-ade-hypoglycemia
Version:0.1.0
Name:CompositionAdeHypoglycemia
Title:Composition - ADE Hypoglycemia
Status:Active as of 1/10/22, 5:39 AM
Definition:

This profile supports the electronic submission of adverse drug event (ADE) data relating to hypoglycemia to the National Healthcare Safety Network (NHSN).

Publisher:HL7 International - Public Health Work Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/nhsn-ade/StructureDefinition/Composition-ade-hypoglycemia

The data reported in this Composition should be primarily based on linked eMAR (antidiabetic medication administration) and laboratory (blood glucose) data, however, it should contain all conditions, procedures, results, and medications relevant to and generated during the encounter.

The composition also contains a count of all patients hospitalized during a specified time period who meet the criteria of ESRD/ESLD diagnoses (primary or secondary position), irrespective of whether they have experienced an adverse event.

Formal Views of Profile Content

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

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... identifier S1..1IdentifierVersion-independent identifier for the Composition
... type S1..1CodeableConceptAdverse event note
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 85893-6
... subject S1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... date S1..1dateTimeComposition editing time
... author S1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title S1..1stringHuman Readable name/title
... Slices for section S1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by value:code
.... section:populationSection S1..1BackboneElementThe Population Section contains Observations with a count of all patients hospitalized during a specified time period who meet specific diagnosis critera, irrespective of whether they have experienced an adverse event.
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptPopulation group
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 95715-9
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:DiagnosisERSDorESLDCount S0..*Reference(Observation - Diagnosis ERSD/ESLD Count)A reference to data that supports this section
.... section:problemSection S0..1BackboneElementThe Problem Section lists and describes the patient's current problems.
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptProblem list
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:USCoreCondition S0..*Reference(US Core Condition Profile)A reference to data that supports this section
.... section:procedureSection S0..1BackboneElementThe Procedures Section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptHistory of procedures
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 47519-4
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:USCoreProcedure S1..*Reference(US Core Procedure Profile)A reference to data that supports this section
.... section:resultSection S1..1BackboneElementThe Results Section contains observations of results generated by laboratories, imaging procedures, and other procedures. All results for the encounter should be documented.
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptRelevant diagnostic tests &or laboratory data
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:ObservationLabBloodGlucose S1..*Reference(Observation Laboratory Blood Glucose)A reference to data that supports this section
.... section:medicationSection S1..1BackboneElementThe Medications Section defines both medications administered and prescribed during the encounter.
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptMedication use
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:medicationAdministrationAntidiabetics S0..*Reference(MedicationAdministration Antidiabetic Drugs)A reference to data that supports this section
...... entry:USCoreMedicationRequest S0..*Reference(US Core MedicationRequest Profile)A reference to data that supports this section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptAdverse event note
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 85893-6
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter SΣ1..1Reference(US Core Encounter Profile)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title SΣ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(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 Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... Slices for section SI1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification 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..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:populationSection SI1..1BackboneElementThe Population Section contains Observations with a count of all patients hospitalized during a specified time period who meet specific diagnosis critera, irrespective of whether they have experienced an adverse event.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptPopulation group
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 95715-9
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SI1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:DiagnosisERSDorESLDCount SI0..*Reference(Observation - Diagnosis ERSD/ESLD Count)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:problemSection SI0..1BackboneElementThe Problem Section lists and describes the patient's current problems.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptProblem list
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SI1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:USCoreCondition SI0..*Reference(US Core Condition Profile)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:procedureSection SI0..1BackboneElementThe Procedures Section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptHistory of procedures
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 47519-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SI1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:USCoreProcedure SI1..*Reference(US Core Procedure Profile)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:resultSection SI1..1BackboneElementThe Results Section contains observations of results generated by laboratories, imaging procedures, and other procedures. All results for the encounter should be documented.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptRelevant diagnostic tests &or laboratory data
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SI1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:ObservationLabBloodGlucose SI1..*Reference(Observation Laboratory Blood Glucose)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:medicationSection SI1..1BackboneElementThe Medications Section defines both medications administered and prescribed during the encounter.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptMedication use
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SI1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:medicationAdministrationAntidiabetics SI0..*Reference(MedicationAdministration Antidiabetic Drugs)A reference to data that supports this section
...... entry:USCoreMedicationRequest SI0..*Reference(US Core MedicationRequest Profile)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... identifier Σ1..1IdentifierVersion-independent identifier for the Composition
... type Σ1..1CodeableConceptAdverse event note
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 85893-6
... subject Σ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... date Σ1..1dateTimeComposition editing time
... author Σ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title Σ1..1stringHuman Readable name/title
... Slices for section I1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by value:code
.... section:populationSection I1..1BackboneElementThe Population Section contains Observations with a count of all patients hospitalized during a specified time period who meet specific diagnosis critera, irrespective of whether they have experienced an adverse event.
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptPopulation group
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 95715-9
..... text I0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry I1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:DiagnosisERSDorESLDCount I0..*Reference(Observation - Diagnosis ERSD/ESLD Count)A reference to data that supports this section
.... section:problemSection I0..1BackboneElementThe Problem Section lists and describes the patient's current problems.
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptProblem list
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
..... text I0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry I1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:USCoreCondition I0..*Reference(US Core Condition Profile)A reference to data that supports this section
.... section:procedureSection I0..1BackboneElementThe Procedures Section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptHistory of procedures
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 47519-4
..... text I0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry I1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:USCoreProcedure I1..*Reference(US Core Procedure Profile)A reference to data that supports this section
.... section:resultSection I1..1BackboneElementThe Results Section contains observations of results generated by laboratories, imaging procedures, and other procedures. All results for the encounter should be documented.
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptRelevant diagnostic tests &or laboratory data
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
..... text I0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry I1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:ObservationLabBloodGlucose I1..*Reference(Observation Laboratory Blood Glucose)A reference to data that supports this section
.... section:medicationSection I1..1BackboneElementThe Medications Section defines both medications administered and prescribed during the encounter.
..... title 1..1stringLabel for section (e.g. for ToC)
..... code 1..1CodeableConceptMedication use
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
..... text I0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry I1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:medicationAdministrationAntidiabetics I0..*Reference(MedicationAdministration Antidiabetic Drugs)A reference to data that supports this section
...... entry:USCoreMedicationRequest I0..*Reference(US Core MedicationRequest Profile)A reference to data that supports this section

doco Documentation for this format

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... identifier S1..1IdentifierVersion-independent identifier for the Composition
... type S1..1CodeableConceptAdverse event note
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 85893-6
... subject S1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... date S1..1dateTimeComposition editing time
... author S1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title S1..1stringHuman Readable name/title
... Slices for section S1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by value:code
.... section:populationSection S1..1BackboneElementThe Population Section contains Observations with a count of all patients hospitalized during a specified time period who meet specific diagnosis critera, irrespective of whether they have experienced an adverse event.
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptPopulation group
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 95715-9
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:DiagnosisERSDorESLDCount S0..*Reference(Observation - Diagnosis ERSD/ESLD Count)A reference to data that supports this section
.... section:problemSection S0..1BackboneElementThe Problem Section lists and describes the patient's current problems.
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptProblem list
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:USCoreCondition S0..*Reference(US Core Condition Profile)A reference to data that supports this section
.... section:procedureSection S0..1BackboneElementThe Procedures Section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptHistory of procedures
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 47519-4
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:USCoreProcedure S1..*Reference(US Core Procedure Profile)A reference to data that supports this section
.... section:resultSection S1..1BackboneElementThe Results Section contains observations of results generated by laboratories, imaging procedures, and other procedures. All results for the encounter should be documented.
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptRelevant diagnostic tests &or laboratory data
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:ObservationLabBloodGlucose S1..*Reference(Observation Laboratory Blood Glucose)A reference to data that supports this section
.... section:medicationSection S1..1BackboneElementThe Medications Section defines both medications administered and prescribed during the encounter.
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptMedication use
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
..... text S0..1NarrativeText summary of the section, for human interpretation
..... Slices for entry S1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:medicationAdministrationAntidiabetics S0..*Reference(MedicationAdministration Antidiabetic Drugs)A reference to data that supports this section
...... entry:USCoreMedicationRequest S0..*Reference(US Core MedicationRequest Profile)A reference to data that supports this section

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type SΣ1..1CodeableConceptAdverse event note
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 85893-6
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter SΣ1..1Reference(US Core Encounter Profile)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title SΣ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(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 Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... Slices for section SI1..*BackboneElementComposition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification 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..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:populationSection SI1..1BackboneElementThe Population Section contains Observations with a count of all patients hospitalized during a specified time period who meet specific diagnosis critera, irrespective of whether they have experienced an adverse event.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptPopulation group
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 95715-9
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SI1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:DiagnosisERSDorESLDCount SI0..*Reference(Observation - Diagnosis ERSD/ESLD Count)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:problemSection SI0..1BackboneElementThe Problem Section lists and describes the patient's current problems.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptProblem list
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SI1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:USCoreCondition SI0..*Reference(US Core Condition Profile)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:procedureSection SI0..1BackboneElementThe Procedures Section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptHistory of procedures
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 47519-4
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SI1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:USCoreProcedure SI1..*Reference(US Core Procedure Profile)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:resultSection SI1..1BackboneElementThe Results Section contains observations of results generated by laboratories, imaging procedures, and other procedures. All results for the encounter should be documented.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptRelevant diagnostic tests &or laboratory data
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SI1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:ObservationLabBloodGlucose SI1..*Reference(Observation Laboratory Blood Glucose)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:medicationSection SI1..1BackboneElementThe Medications Section defines both medications administered and prescribed during the encounter.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptMedication use
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry SI1..*Reference(Resource)A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:medicationAdministrationAntidiabetics SI0..*Reference(MedicationAdministration Antidiabetic Drugs)A reference to data that supports this section
...... entry:USCoreMedicationRequest SI0..*Reference(US Core MedicationRequest Profile)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Composition.statusrequiredCompositionStatus
Composition.typepreferredPattern: LOINC code 85893-6
Composition.categoryexampleDocumentClassValueSet
Composition.confidentialityrequiredv3.ConfidentialityClassification
Composition.attester.moderequiredCompositionAttestationMode
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexampleActCode
Composition.section.codeexampleDocumentSectionCodes
Composition.section.moderequiredListMode
Composition.section.orderedBypreferredListOrderCodes
Composition.section.emptyReasonpreferredListEmptyReasons
Composition.section:populationSection.codeexamplePattern: LOINC code 95715-9
Composition.section:populationSection.moderequiredListMode
Composition.section:populationSection.orderedBypreferredListOrderCodes
Composition.section:populationSection.emptyReasonpreferredListEmptyReasons
Composition.section:problemSection.codeexamplePattern: LOINC code 11450-4
Composition.section:problemSection.moderequiredListMode
Composition.section:problemSection.orderedBypreferredListOrderCodes
Composition.section:problemSection.emptyReasonpreferredListEmptyReasons
Composition.section:procedureSection.codeexamplePattern: LOINC code 47519-4
Composition.section:procedureSection.moderequiredListMode
Composition.section:procedureSection.orderedBypreferredListOrderCodes
Composition.section:procedureSection.emptyReasonpreferredListEmptyReasons
Composition.section:resultSection.codeexamplePattern: LOINC code 30954-2
Composition.section:resultSection.moderequiredListMode
Composition.section:resultSection.orderedBypreferredListOrderCodes
Composition.section:resultSection.emptyReasonpreferredListEmptyReasons
Composition.section:medicationSection.codeexamplePattern: LOINC code 10160-0
Composition.section:medicationSection.moderequiredListMode
Composition.section:medicationSection.orderedBypreferredListOrderCodes
Composition.section:medicationSection.emptyReasonpreferredListEmptyReasons

Constraints

IdGradePathDetailsRequirements
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-1errorComposition.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.confidentialityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.attesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.attester.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.attester.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.attester.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.attester.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.attester.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.attester.timeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.attester.partyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.custodianAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.relatesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.relatesTo.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.relatesTo.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.relatesTo.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.relatesTo.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.relatesTo.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.relatesTo.target[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.eventAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.event.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.event.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.event.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.event.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.event.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.event.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.event.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1errorComposition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1errorComposition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1errorComposition.section:populationSectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section:populationSectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1errorComposition.section:populationSectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:populationSection.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section:populationSection.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section:populationSection.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section:populationSection.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section:populationSection.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:populationSection.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:populationSection.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:populationSection.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:populationSection.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:populationSection.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:populationSection.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:populationSection.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:populationSection.entry:DiagnosisERSDorESLDCountAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:populationSection.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:populationSection.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1errorComposition.section:problemSectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section:problemSectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1errorComposition.section:problemSectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:problemSection.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section:problemSection.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section:problemSection.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section:problemSection.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section:problemSection.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:problemSection.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:problemSection.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:problemSection.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:problemSection.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:problemSection.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:problemSection.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:problemSection.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:problemSection.entry:USCoreConditionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:problemSection.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:problemSection.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1errorComposition.section:procedureSectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section:procedureSectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1errorComposition.section:procedureSectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:procedureSection.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section:procedureSection.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section:procedureSection.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section:procedureSection.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section:procedureSection.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:procedureSection.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:procedureSection.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:procedureSection.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:procedureSection.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:procedureSection.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:procedureSection.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:procedureSection.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:procedureSection.entry:USCoreProcedureAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:procedureSection.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:procedureSection.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1errorComposition.section:resultSectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section:resultSectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1errorComposition.section:resultSectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:resultSection.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section:resultSection.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section:resultSection.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section:resultSection.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section:resultSection.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:resultSection.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:resultSection.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:resultSection.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:resultSection.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:resultSection.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:resultSection.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:resultSection.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:resultSection.entry:ObservationLabBloodGlucoseAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:resultSection.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:resultSection.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1errorComposition.section:medicationSectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section:medicationSectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1errorComposition.section:medicationSectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section:medicationSection.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section:medicationSection.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorComposition.section:medicationSection.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorComposition.section:medicationSection.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.entry:medicationAdministrationAntidiabeticsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.entry:USCoreMedicationRequestAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorComposition.section:medicationSection.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())