Antapartum Summary - Antepartum Summary v0.0.1-current

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Text summary of the resource, for human interpretation

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

versionNumber

0..*

Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber

0..*

Extensions that cannot be ignored

SΣ

0..1

Version-independent identifier for the Composition

status

?!SΣ

1..1

preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

1..1

Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 60591-5

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

Slices for category

1..*

category:pregnancySummaryDocument

Categorization of Composition
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

1..1

Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 90767-5

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

subject

SΣ

0..1

Reference(Patient (IPS))

Who and/or what the composition is about

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

reference

SΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

encounter

SΣ

0..1

Reference(Encounter)

Context of the Composition

date

SΣ

1..1

Composition editing time

SΣ

1..*

Who and/or what authored the IPS

SΣ

1..1

International Patient Summary

confidentiality

SΣ

0..1

As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

attester

0..*

Attests to accuracy of composition

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

time

0..1

When the composition was attested

party

0..1

Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)

Who attested the composition

custodian

SΣ

0..1

Reference(Organization)

Organization which maintains the composition

relatesTo

0..*

Relationships to other compositions/documents

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

target[x]

1..1

Target of the relationship

targetIdentifier

targetReference

Reference(Composition | Composition (IPS))

Slices for event

SΣ

0..*

The clinical service(s) being documented
Slice: Unordered, Open by pattern:code

event:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

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.

0..1

The period covered by the documentation

0..*

event:careProvisioningEvent

The event(s) being documented

SΣ

0..1

The care provisioning being documented

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

SΣ

1..*

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

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: PCPR

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

SΣ

0..1

The period covered by the documentation

0..*

The event(s) being documented

Slices for section

19..*

Sections composing the IPS
Slice: Unordered, Open by pattern:code

section:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

section:sectionMedications

Nested Section

1..1

IPS Medication Summary Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Medication Summary section

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 10160-0

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

entry:medicationStatement

Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:$this.resolve()

1..*

Reference(Medication Statement (IPS))

A reference to data that supports this section

section:sectionAllergies

1..1

IPS Allergies and Intolerances Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 48765-2

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

entry:allergyOrIntolerance

Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by profile:$this.resolve()

1..*

Reference(Allergy Intolerance (IPS))

A reference to data that supports this section

section:sectionProblems

1..1

IPS Problems Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 11450-4

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:$this.resolve()

entry:problem

1..*

section:sectionProceduresHx

A reference to data that supports this section

1..1

IPS History of Procedures Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 47519-4

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Reference(Procedure (IPS))

Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:$this.resolve()

entry:procedure

1..*

A reference to data that supports this section

section:sectionImmunizations

1..1

IPS Immunizations Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 11369-6

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Reference(Immunization (IPS))

Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:$this.resolve()

entry:immunization

1..*

A reference to data that supports this section

section:sectionMedicalDevices

0..1

IPS Medical Devices Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 46264-8

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Reference(Device Use Statement (IPS))

Patient history of medical device use.
Slice: Unordered, Open by profile:$this.resolve()

entry:deviceStatement

1..*

A reference to data that supports this section

section:sectionResults

1..1

IPS Results Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 30954-2

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

entry:results-observation

Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:$this.resolve(), profile:$this.resolve()

0..*

Reference(Observation Results: laboratory (IPS) | Observation Results: pathology (IPS) | Observation Results: radiology (IPS) | Observation Results (IPS))

A reference to data that supports this section

entry:results-diagnosticReport

0..*

Reference(DiagnosticReport (IPS))

A reference to data that supports this section

section:sectionVitalSigns

1..1

IPS Vital Signs Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 8716-3

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Vital Signs Profile)

Notable vital signs or physical findings.
Slice: Unordered, Open by profile:$this.resolve()

entry:vitalSign

0..*

A reference to data that supports this section

section:sectionPastIllnessHx

1..1

IPS History of Past Illness Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 11348-0

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:$this.resolve()

entry:pastProblem

1..*

section:sectionFunctionalStatus

A reference to data that supports this section

0..1

IPS Functional Status

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 47420-5

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:$this.resolve()

entry:disability

0..*

entry:functionalAssessment

A reference to data that supports this section

0..*

Reference(ClinicalImpression)

A reference to data that supports this section

section:sectionPlanOfCare

1..1

IPS Plan of Care Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 18776-5

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:$this.resolve()

entry:carePlan

0..*

Reference(CarePlan)

A reference to data that supports this section

entry:birthPlan

0..1

section:sectionSocialHistory

Optional entry used to represent structured care plans

1..1

IPS Social History Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 29762-2

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Observation (SH: tobacco use))

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:$this.resolve()

entry:smokingTobaccoUse

0..1

A reference to data that supports this section

entry:alcoholUse

0..1

Reference(Observation (SH: alcohol use))

A reference to data that supports this section

entry:drugUse

0..1

Reference(Drug Use | Observation)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:smokingTobaccoUseFrequency

0..1

Reference(Smoking and Tobacco Use Frequency)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:alcoholUseFrequency

0..1

Reference(alcohol Use)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:exercise

0..1

Reference(Exercise | Observation)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:diet

0..1

Reference(Diet | Observation)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:toxicExposure

0..1

Reference(Toxic Exposure | Observation)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:sdohObservations

0..1

Reference(Homelessness | At risk of domestic violence | Observation)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:occupationalDataForHealth

0..1

Reference(Employment Status)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

section:sectionPregnancyHx

1..1

IPS History of Pregnancy Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 10162-6

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Reference(Observation (Pregnancy: status))

Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:$this.resolve()

entry:pregnancyStatus

0..*

A reference to data that supports this section

entry:pregnancyOutcomeSummary

0..*

Reference(Observation (Pregnancy: outcome))

A reference to data that supports this section

entry:currentPregnancyObservations

1..*

Reference(Observation | Multiple Pregnancy | Gestational Age | Date Of Last Menstral Period)

Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.

entry:historicalPregnancyObservations

0..*

Reference(Observation | Pregnancy History Observations)

Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.

section:sectionAdvanceDirectives

1..1

IPS Advance Directives Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 42348-3

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

entry:advanceDirectivesConsent

Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:$this.resolve()

0..*

Reference(Consent)

A reference to data that supports this section

entry:advanceDirectivesObservation

0..*

Reference(Advance Directives Observation)

Narrative description of the patient's advance directive.

section:ChiefComplaint

1..1

Cheif Complaint

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 10154-3

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

section:FamilyMedicalHistory

Nested Section

1..1

Family Medical History

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 10157-6

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

Nested Section

section:ReviewOfSystems

1..1

Review of Systems

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 10187-3

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

section:HistoryOfInfection

Nested Section

1..1

History of Infection

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 56838-6

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Condition)

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

Nested Section

section:PhysicalExams

1..1

Physical Exams

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 29545-1

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

Nested Section

section:Payors

0..1

Payors

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 48768-6

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Coverage)

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

section:AntepartumVisitSummaryFlowsheet

Nested Section

1..1

Antepartum Visit Summary Flowsheet

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 57059-8

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

section:AntepartumEducation

Nested Section

1..1

AntepartumEducation

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 34895-3

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Procedure | Pregnancy Education Observation | DocumentReference)

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

Documentation for this format

Nested Section

Terminology Bindings

Path

Conformance

ValueSet / Code

Composition.language

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

Composition.status

CompositionStatus

Composition.type

Pattern: LOINC code 60591-5

Composition.category

DocumentClassValueSet

Composition.category:pregnancySummaryDocument

Pattern: LOINC code 90767-5

Composition.subject.type

extensible

ResourceType

Composition.confidentiality

v3.ConfidentialityClassification

Composition.attester.mode

CompositionAttestationMode

Composition.relatesTo.code

DocumentRelationshipType

Composition.event.code

ActCode

Composition.event:careProvisioningEvent.code

Pattern: PCPR

Composition.section.code

DocumentSectionCodes

Composition.section.mode

Composition.section.orderedBy

Composition.section.emptyReason

Composition.section:sectionMedications.code

Pattern: LOINC code 10160-0

Composition.section:sectionMedications.mode

Composition.section:sectionMedications.orderedBy

Composition.section:sectionAllergies.code

Pattern: LOINC code 48765-2

Composition.section:sectionAllergies.mode

Composition.section:sectionAllergies.orderedBy

Composition.section:sectionProblems.code

Pattern: LOINC code 11450-4

Composition.section:sectionProblems.mode

Composition.section:sectionProblems.orderedBy

Composition.section:sectionProceduresHx.code

Pattern: LOINC code 47519-4

Composition.section:sectionProceduresHx.mode

Composition.section:sectionProceduresHx.orderedBy

Composition.section:sectionImmunizations.code

Pattern: LOINC code 11369-6

Composition.section:sectionImmunizations.mode

Composition.section:sectionImmunizations.orderedBy

Composition.section:sectionMedicalDevices.code

Pattern: LOINC code 46264-8

Composition.section:sectionMedicalDevices.mode

Composition.section:sectionMedicalDevices.orderedBy

Composition.section:sectionResults.code

Pattern: LOINC code 30954-2

Composition.section:sectionResults.mode

Composition.section:sectionResults.orderedBy

Composition.section:sectionVitalSigns.code

Pattern: LOINC code 8716-3

Composition.section:sectionVitalSigns.mode

Composition.section:sectionVitalSigns.orderedBy

Composition.section:sectionPastIllnessHx.code

Pattern: LOINC code 11348-0

Composition.section:sectionPastIllnessHx.mode

Composition.section:sectionPastIllnessHx.orderedBy

Composition.section:sectionFunctionalStatus.code

Pattern: LOINC code 47420-5

Composition.section:sectionFunctionalStatus.mode

Composition.section:sectionFunctionalStatus.orderedBy

Composition.section:sectionPlanOfCare.code

Pattern: LOINC code 18776-5

Composition.section:sectionPlanOfCare.mode

Composition.section:sectionPlanOfCare.orderedBy

Composition.section:sectionSocialHistory.code

Pattern: LOINC code 29762-2

Composition.section:sectionSocialHistory.mode

Composition.section:sectionSocialHistory.orderedBy

Composition.section:sectionPregnancyHx.code

Pattern: LOINC code 10162-6

Composition.section:sectionPregnancyHx.mode

Composition.section:sectionPregnancyHx.orderedBy

Composition.section:sectionAdvanceDirectives.code

Pattern: LOINC code 42348-3

Composition.section:sectionAdvanceDirectives.mode

Composition.section:sectionAdvanceDirectives.orderedBy

Composition.section:ChiefComplaint.code

Pattern: LOINC code 10154-3

Composition.section:ChiefComplaint.mode

Composition.section:ChiefComplaint.orderedBy

Composition.section:ChiefComplaint.emptyReason

Composition.section:FamilyMedicalHistory.code

Pattern: LOINC code 10157-6

Composition.section:FamilyMedicalHistory.mode

Composition.section:FamilyMedicalHistory.orderedBy

Composition.section:FamilyMedicalHistory.emptyReason

Composition.section:ReviewOfSystems.code

Pattern: LOINC code 10187-3

Composition.section:ReviewOfSystems.mode

Composition.section:ReviewOfSystems.orderedBy

Composition.section:ReviewOfSystems.emptyReason

Composition.section:HistoryOfInfection.code

Pattern: LOINC code 56838-6

Composition.section:HistoryOfInfection.mode

Composition.section:HistoryOfInfection.orderedBy

Composition.section:HistoryOfInfection.emptyReason

Composition.section:PhysicalExams.code

Pattern: LOINC code 29545-1

Composition.section:PhysicalExams.mode

Composition.section:PhysicalExams.orderedBy

Composition.section:PhysicalExams.emptyReason

Composition.section:Payors.code

Pattern: LOINC code 48768-6

Composition.section:Payors.mode

Composition.section:Payors.orderedBy

Composition.section:Payors.emptyReason

Composition.section:AntepartumVisitSummaryFlowsheet.code

Pattern: LOINC code 57059-8

Composition.section:AntepartumVisitSummaryFlowsheet.mode

Composition.section:AntepartumVisitSummaryFlowsheet.orderedBy

Composition.section:AntepartumVisitSummaryFlowsheet.emptyReason

Composition.section:AntepartumEducation.code

Pattern: LOINC code 34895-3

Composition.section:AntepartumEducation.mode

Composition.section:AntepartumEducation.orderedBy

Composition.section:AntepartumEducation.emptyReason

Description & Constraints

This structure is derived from CompositionUvIps

Summary

Mandatory: 28 elements (1 nested mandatory element)
Must-Support: 21 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

The element Composition.category is sliced based on the value of value:$this

Differential View

This structure is derived from CompositionUvIps

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionUvIps	International Patient Summary composition
Slices for category		1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by value:$this
category:pregnancySummaryDocument		1..1	CodeableConcept	Categorization of Composition Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 90767-5
section		19..*	BackboneElement	Sections composing the IPS
section:sectionProceduresHx		1..1	BackboneElement	IPS History of Procedures Section
section:sectionImmunizations		1..1	BackboneElement	IPS Immunizations Section
section:sectionResults		1..1	BackboneElement	IPS Results Section
section:sectionVitalSigns		1..1	BackboneElement	IPS Vital Signs Section
section:sectionPastIllnessHx		1..1	BackboneElement	IPS History of Past Illness Section
section:sectionPlanOfCare		1..1	BackboneElement	IPS Plan of Care Section
entry:birthPlan		0..1	Reference(Resource)	Optional entry used to represent structured care plans
section:sectionSocialHistory		1..1	BackboneElement	IPS Social History Section
entry:drugUse		0..1	Reference(Drug Use \| Observation)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:smokingTobaccoUseFrequency	S	0..1	Reference(Smoking and Tobacco Use Frequency)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:alcoholUseFrequency	S	0..1	Reference(alcohol Use)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:exercise		0..1	Reference(Exercise \| Observation)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:diet		0..1	Reference(Diet \| Observation)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:toxicExposure		0..1	Reference(Toxic Exposure \| Observation)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:sdohObservations	S	0..1	Reference(Homelessness \| At risk of domestic violence \| Observation)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:occupationalDataForHealth		0..1	Reference(Employment Status)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
section:sectionPregnancyHx		1..1	BackboneElement	IPS History of Pregnancy Section
entry		1..*	Reference(Resource)	Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
entry:currentPregnancyObservations	S	1..*	Reference(Observation \| Multiple Pregnancy \| Gestational Age \| Date Of Last Menstral Period)	Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
entry:historicalPregnancyObservations	S	0..*	Reference(Observation \| Pregnancy History Observations)	Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
section:sectionAdvanceDirectives		1..1	BackboneElement	IPS Advance Directives Section
entry:advanceDirectivesObservation	S	0..*	Reference(Advance Directives Observation)	Narrative description of the patient's advance directive.
section:ChiefComplaint	S	1..1	BackboneElement	Cheif Complaint
code	S	1..1	CodeableConcept	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: 10154-3
text		1..1	Narrative	Text summary of the section, for human interpretation
section:FamilyMedicalHistory	S	1..1	BackboneElement	Family Medical History
code	S	1..1	CodeableConcept	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: 10157-6
entry		0..*	Reference(Observation)	A reference to data that supports this section
section:ReviewOfSystems	S	1..1	BackboneElement	Review of Systems
code	S	1..1	CodeableConcept	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: 10187-3
section:HistoryOfInfection	S	1..1	BackboneElement	History of Infection
code	S	1..1	CodeableConcept	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: 56838-6
entry		0..*	Reference(Condition)	A reference to data that supports this section
section:PhysicalExams	S	1..1	BackboneElement	Physical Exams
code	S	1..1	CodeableConcept	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: 29545-1
entry		0..*	Reference(Observation)	A reference to data that supports this section
section:Payors		0..1	BackboneElement	Payors
code	S	1..1	CodeableConcept	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: 48768-6
entry		0..*	Reference(Coverage)	A reference to data that supports this section
section:AntepartumVisitSummaryFlowsheet	S	1..1	BackboneElement	Antepartum Visit Summary Flowsheet
code	S	1..1	CodeableConcept	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: 57059-8
entry		0..*	Reference(Observation)	A reference to data that supports this section
section:AntepartumEducation	S	1..1	BackboneElement	AntepartumEducation
code	S	1..1	CodeableConcept	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: 34895-3
entry		0..*	Reference(Procedure \| Pregnancy Education Observation \| DocumentReference)	A reference to data that supports this section
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	CompositionUvIps	International Patient Summary composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	Text summary of the resource, for human interpretation
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	S	1..1	CodeableConceptIPS	Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60591-5
Slices for category	Σ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by value:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:pregnancySummaryDocument	Σ	1..1	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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: 90767-5
subject	SΣ	0..1	Reference(Patient (IPS))	Who and/or what the composition is about
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	SΣ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the IPS
title	SΣ	1..1	string	International Patient Summary
confidentiality	SΣ	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	S	0..*	BackboneElement	Attests to accuracy of composition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	When the composition was attested
party	S	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole \| Organization)	Who attested the composition
custodian	SΣ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces \| transforms \| signs \| appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	S	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition \| Composition (IPS))
Slices for event	SΣ	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	SΣ	0..1	BackboneElement	The care provisioning being documented
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	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
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	SΣ	0..1	Period	The period covered by the documentation
Slices for section	SC	19..*	BackboneElement	Sections composing the IPS Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:sectionMedications	SC	1..1	BackboneElement	IPS Medication Summary Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Medication Summary section
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	1..*	Reference(Resource)	Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:$this.resolve()
entry:medicationStatement	SC	1..*	Reference(Medication Statement (IPS))	A reference to data that supports this section
section:sectionAllergies	SC	1..1	BackboneElement	IPS Allergies and Intolerances Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	1..*	Reference(Resource)	Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by profile:$this.resolve()
entry:allergyOrIntolerance	SC	1..*	Reference(Allergy Intolerance (IPS))	A reference to data that supports this section
section:sectionProblems	SC	1..1	BackboneElement	IPS Problems Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	1..*	Reference(Resource)	Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by profile:$this.resolve()
entry:problem	SC	1..*	Reference(Condition (IPS))	A reference to data that supports this section
section:sectionProceduresHx	SC	1..1	BackboneElement	IPS History of Procedures Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	1..*	Reference(Resource)	Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by profile:$this.resolve()
entry:procedure	SC	1..*	Reference(Procedure (IPS))	A reference to data that supports this section
section:sectionImmunizations	SC	1..1	BackboneElement	IPS Immunizations Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	1..*	Reference(Resource)	Patient's immunization status and pertinent history. Slice: Unordered, Open by profile:$this.resolve()
entry:immunization	SC	1..*	Reference(Immunization (IPS))	A reference to data that supports this section
section:sectionMedicalDevices	SC	0..1	BackboneElement	IPS Medical Devices Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 46264-8
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	1..*	Reference(Resource)	Patient history of medical device use. Slice: Unordered, Open by profile:$this.resolve()
entry:deviceStatement	SC	1..*	Reference(Device Use Statement (IPS))	A reference to data that supports this section
section:sectionResults	SC	1..1	BackboneElement	IPS Results Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	1..*	Reference(Resource)	Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Slice: Unordered, Open by type:$this.resolve(), profile:$this.resolve()
entry:results-observation	SC	0..*	Reference(Observation Results: laboratory (IPS) \| Observation Results: pathology (IPS) \| Observation Results: radiology (IPS) \| Observation Results (IPS))	A reference to data that supports this section
entry:results-diagnosticReport	SC	0..*	Reference(DiagnosticReport (IPS))	A reference to data that supports this section
section:sectionVitalSigns	SC	1..1	BackboneElement	IPS Vital Signs Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	0..*	Reference(Resource)	Notable vital signs or physical findings. Slice: Unordered, Open by profile:$this.resolve()
entry:vitalSign	SC	0..*	Reference(Vital Signs Profile)	A reference to data that supports this section
section:sectionPastIllnessHx	SC	1..1	BackboneElement	IPS History of Past Illness Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	1..*	Reference(Resource)	Conditions the patient suffered in the past. Slice: Unordered, Open by profile:$this.resolve()
entry:pastProblem	SC	1..*	Reference(Condition (IPS))	A reference to data that supports this section
section:sectionFunctionalStatus	SC	0..1	BackboneElement	IPS Functional Status
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47420-5
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	0..*	Reference(Resource)	Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by profile:$this.resolve()
entry:disability	SC	0..*	Reference(Condition (IPS))	A reference to data that supports this section
entry:functionalAssessment	SC	0..*	Reference(ClinicalImpression)	A reference to data that supports this section
section:sectionPlanOfCare	SC	1..1	BackboneElement	IPS Plan of Care Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	C	0..*	Reference(Resource)	Optional entry used to represent structured care plans Slice: Unordered, Open by profile:$this.resolve()
entry:carePlan	C	0..*	Reference(CarePlan)	A reference to data that supports this section
entry:birthPlan	C	0..1	Reference(Resource)	Optional entry used to represent structured care plans
section:sectionSocialHistory	SC	1..1	BackboneElement	IPS Social History Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29762-2
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	0..*	Reference(Resource)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve()
entry:smokingTobaccoUse	SC	0..1	Reference(Observation (SH: tobacco use))	A reference to data that supports this section
entry:alcoholUse	SC	0..1	Reference(Observation (SH: alcohol use))	A reference to data that supports this section
entry:drugUse	SC	0..1	Reference(Drug Use \| Observation)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:smokingTobaccoUseFrequency	SC	0..1	Reference(Smoking and Tobacco Use Frequency)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:alcoholUseFrequency	SC	0..1	Reference(alcohol Use)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:exercise	SC	0..1	Reference(Exercise \| Observation)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:diet	SC	0..1	Reference(Diet \| Observation)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:toxicExposure	SC	0..1	Reference(Toxic Exposure \| Observation)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:sdohObservations	SC	0..1	Reference(Homelessness \| At risk of domestic violence \| Observation)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
entry:occupationalDataForHealth	SC	0..1	Reference(Employment Status)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
section:sectionPregnancyHx	SC	1..1	BackboneElement	IPS History of Pregnancy Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10162-6
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	1..*	Reference(Resource)	Current pregnancy status and, optionally, information about the outcome of earlier pregnancies. Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyStatus	SC	0..*	Reference(Observation (Pregnancy: status))	A reference to data that supports this section
entry:pregnancyOutcomeSummary	SC	0..*	Reference(Observation (Pregnancy: outcome))	A reference to data that supports this section
entry:currentPregnancyObservations	SC	1..*	Reference(Observation \| Multiple Pregnancy \| Gestational Age \| Date Of Last Menstral Period)	Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
entry:historicalPregnancyObservations	SC	0..*	Reference(Observation \| Pregnancy History Observations)	Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
section:sectionAdvanceDirectives	SC	1..1	BackboneElement	IPS Advance Directives Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	SC	0..*	Reference(Resource)	Narrative description of the patient's advance directive. Slice: Unordered, Open by profile:$this.resolve()
entry:advanceDirectivesConsent	SC	0..*	Reference(Consent)	A reference to data that supports this section
entry:advanceDirectivesObservation	SC	0..*	Reference(Advance Directives Observation)	Narrative description of the patient's advance directive.
section:ChiefComplaint	SC	1..1	BackboneElement	Cheif Complaint
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10154-3
text	C	1..1	Narrative	Text summary of the section, for human interpretation
section:FamilyMedicalHistory	SC	1..1	BackboneElement	Family Medical History
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10157-6
entry	C	0..*	Reference(Observation)	A reference to data that supports this section
section:ReviewOfSystems	SC	1..1	BackboneElement	Review of Systems
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10187-3
section:HistoryOfInfection	SC	1..1	BackboneElement	History of Infection
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56838-6
entry	C	0..*	Reference(Condition)	A reference to data that supports this section
section:PhysicalExams	SC	1..1	BackboneElement	Physical Exams
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29545-1
entry	C	0..*	Reference(Observation)	A reference to data that supports this section
section:Payors	SC	0..1	BackboneElement	Payors
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48768-6
entry	C	0..*	Reference(Coverage)	A reference to data that supports this section
section:AntepartumVisitSummaryFlowsheet	SC	1..1	BackboneElement	Antepartum Visit Summary Flowsheet
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57059-8
entry	C	0..*	Reference(Observation)	A reference to data that supports this section
section:AntepartumEducation	SC	1..1	BackboneElement	AntepartumEducation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 34895-3
entry	C	0..*	Reference(Procedure \| Pregnancy Education Observation \| DocumentReference)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.status	required	CompositionStatus
Composition.type	preferred	Pattern: LOINC code 60591-5
Composition.category	example	DocumentClassValueSet
Composition.category:pregnancySummaryDocument	example	Pattern: LOINC code 90767-5
Composition.confidentiality	required	v3.ConfidentialityClassification
Composition.attester.mode	required	CompositionAttestationMode
Composition.relatesTo.code	required	DocumentRelationshipType
Composition.event:careProvisioningEvent.code	example	Pattern: PCPR
Composition.section:sectionMedications.code	example	Pattern: LOINC code 10160-0
Composition.section:sectionAllergies.code	example	Pattern: LOINC code 48765-2
Composition.section:sectionProblems.code	example	Pattern: LOINC code 11450-4
Composition.section:sectionProceduresHx.code	example	Pattern: LOINC code 47519-4
Composition.section:sectionImmunizations.code	example	Pattern: LOINC code 11369-6
Composition.section:sectionMedicalDevices.code	example	Pattern: LOINC code 46264-8
Composition.section:sectionResults.code	example	Pattern: LOINC code 30954-2
Composition.section:sectionVitalSigns.code	example	Pattern: LOINC code 8716-3
Composition.section:sectionPastIllnessHx.code	example	Pattern: LOINC code 11348-0
Composition.section:sectionFunctionalStatus.code	example	Pattern: LOINC code 47420-5
Composition.section:sectionPlanOfCare.code	example	Pattern: LOINC code 18776-5
Composition.section:sectionSocialHistory.code	example	Pattern: LOINC code 29762-2
Composition.section:sectionPregnancyHx.code	example	Pattern: LOINC code 10162-6
Composition.section:sectionAdvanceDirectives.code	example	Pattern: LOINC code 42348-3
Composition.section:ChiefComplaint.code	example	Pattern: LOINC code 10154-3
Composition.section:FamilyMedicalHistory.code	example	Pattern: LOINC code 10157-6
Composition.section:ReviewOfSystems.code	example	Pattern: LOINC code 10187-3
Composition.section:HistoryOfInfection.code	example	Pattern: LOINC code 56838-6
Composition.section:PhysicalExams.code	example	Pattern: LOINC code 29545-1
Composition.section:Payors.code	example	Pattern: LOINC code 48768-6
Composition.section:AntepartumVisitSummaryFlowsheet.code	example	Pattern: LOINC code 57059-8
Composition.section:AntepartumEducation.code	example	Pattern: LOINC code 34895-3

Snapshot View

Composition

0..*

CompositionUvIps

International Patient Summary composition

0..1

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Text summary of the resource, for human interpretation

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

versionNumber

0..*

Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber

0..*

Extensions that cannot be ignored

SΣ

0..1

Version-independent identifier for the Composition

status

?!SΣ

1..1

preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

1..1

Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 60591-5

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

Slices for category

1..*

category:pregnancySummaryDocument

Categorization of Composition
Slice: Unordered, Open by value:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

1..1

Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 90767-5

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

subject

SΣ

0..1

Reference(Patient (IPS))

Who and/or what the composition is about

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

reference

SΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

encounter

SΣ

0..1

Reference(Encounter)

Context of the Composition

date

SΣ

1..1

Composition editing time

SΣ

1..*

Who and/or what authored the IPS

SΣ

1..1

International Patient Summary

confidentiality

SΣ

0..1

As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

attester

0..*

Attests to accuracy of composition

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

time

0..1

When the composition was attested

party

0..1

Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)

Who attested the composition

custodian

SΣ

0..1

Reference(Organization)

Organization which maintains the composition

relatesTo

0..*

Relationships to other compositions/documents

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

target[x]

1..1

Target of the relationship

targetIdentifier

targetReference

Reference(Composition | Composition (IPS))

Slices for event

SΣ

0..*

The clinical service(s) being documented
Slice: Unordered, Open by pattern:code

event:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

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.

0..1

The period covered by the documentation

0..*

event:careProvisioningEvent

The event(s) being documented

SΣ

0..1

The care provisioning being documented

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

SΣ

1..*

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: PCPR

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

SΣ

0..1

The period covered by the documentation

0..*

The event(s) being documented

Slices for section

19..*

Sections composing the IPS
Slice: Unordered, Open by pattern:code

section:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

section:sectionMedications

Nested Section

1..1

IPS Medication Summary Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Medication Summary section

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 10160-0

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

entry:medicationStatement

Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:$this.resolve()

1..*

Reference(Medication Statement (IPS))

A reference to data that supports this section

section:sectionAllergies

1..1

IPS Allergies and Intolerances Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 48765-2

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

entry:allergyOrIntolerance

Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by profile:$this.resolve()

1..*

Reference(Allergy Intolerance (IPS))

A reference to data that supports this section

section:sectionProblems

1..1

IPS Problems Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 11450-4

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:$this.resolve()

entry:problem

1..*

section:sectionProceduresHx

A reference to data that supports this section

1..1

IPS History of Procedures Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 47519-4

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Reference(Procedure (IPS))

Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:$this.resolve()

entry:procedure

1..*

A reference to data that supports this section

section:sectionImmunizations

1..1

IPS Immunizations Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 11369-6

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Reference(Immunization (IPS))

Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:$this.resolve()

entry:immunization

1..*

A reference to data that supports this section

section:sectionMedicalDevices

0..1

IPS Medical Devices Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 46264-8

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Reference(Device Use Statement (IPS))

Patient history of medical device use.
Slice: Unordered, Open by profile:$this.resolve()

entry:deviceStatement

1..*

A reference to data that supports this section

section:sectionResults

1..1

IPS Results Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 30954-2

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

entry:results-observation

Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:$this.resolve(), profile:$this.resolve()

0..*

Reference(Observation Results: laboratory (IPS) | Observation Results: pathology (IPS) | Observation Results: radiology (IPS) | Observation Results (IPS))

A reference to data that supports this section

entry:results-diagnosticReport

0..*

Reference(DiagnosticReport (IPS))

A reference to data that supports this section

section:sectionVitalSigns

1..1

IPS Vital Signs Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 8716-3

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Vital Signs Profile)

Notable vital signs or physical findings.
Slice: Unordered, Open by profile:$this.resolve()

entry:vitalSign

0..*

A reference to data that supports this section

section:sectionPastIllnessHx

1..1

IPS History of Past Illness Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 11348-0

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:$this.resolve()

entry:pastProblem

1..*

section:sectionFunctionalStatus

A reference to data that supports this section

0..1

IPS Functional Status

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 47420-5

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:$this.resolve()

entry:disability

0..*

entry:functionalAssessment

A reference to data that supports this section

0..*

Reference(ClinicalImpression)

A reference to data that supports this section

section:sectionPlanOfCare

1..1

IPS Plan of Care Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 18776-5

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:$this.resolve()

entry:carePlan

0..*

Reference(CarePlan)

A reference to data that supports this section

entry:birthPlan

0..1

section:sectionSocialHistory

Optional entry used to represent structured care plans

1..1

IPS Social History Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 29762-2

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Observation (SH: tobacco use))

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:$this.resolve()

entry:smokingTobaccoUse

0..1

A reference to data that supports this section

entry:alcoholUse

0..1

Reference(Observation (SH: alcohol use))

A reference to data that supports this section

entry:drugUse

0..1

Reference(Drug Use | Observation)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:smokingTobaccoUseFrequency

0..1

Reference(Smoking and Tobacco Use Frequency)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:alcoholUseFrequency

0..1

Reference(alcohol Use)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:exercise

0..1

Reference(Exercise | Observation)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:diet

0..1

Reference(Diet | Observation)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:toxicExposure

0..1

Reference(Toxic Exposure | Observation)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:sdohObservations

0..1

Reference(Homelessness | At risk of domestic violence | Observation)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

entry:occupationalDataForHealth

0..1

Reference(Employment Status)

Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)

section:sectionPregnancyHx

1..1

IPS History of Pregnancy Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 10162-6

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

1..*

Reference(Observation (Pregnancy: status))

Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:$this.resolve()

entry:pregnancyStatus

0..*

A reference to data that supports this section

entry:pregnancyOutcomeSummary

0..*

Reference(Observation (Pregnancy: outcome))

A reference to data that supports this section

entry:currentPregnancyObservations

1..*

Reference(Observation | Multiple Pregnancy | Gestational Age | Date Of Last Menstral Period)

Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.

entry:historicalPregnancyObservations

0..*

Reference(Observation | Pregnancy History Observations)

Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.

section:sectionAdvanceDirectives

1..1

IPS Advance Directives Section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 42348-3

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

entry:advanceDirectivesConsent

Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:$this.resolve()

0..*

Reference(Consent)

A reference to data that supports this section

entry:advanceDirectivesObservation

0..*

Reference(Advance Directives Observation)

Narrative description of the patient's advance directive.

section:ChiefComplaint

1..1

Cheif Complaint

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 10154-3

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

1..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

section:FamilyMedicalHistory

Nested Section

1..1

Family Medical History

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 10157-6

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

Nested Section

section:ReviewOfSystems

1..1

Review of Systems

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 10187-3

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

section:HistoryOfInfection

Nested Section

1..1

History of Infection

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 56838-6

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Condition)

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

Nested Section

section:PhysicalExams

1..1

Physical Exams

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 29545-1

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

Nested Section

section:Payors

0..1

Payors

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 48768-6

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Coverage)

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

section:AntepartumVisitSummaryFlowsheet

Nested Section

1..1

Antepartum Visit Summary Flowsheet

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 57059-8

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

section:AntepartumEducation

Nested Section

1..1

AntepartumEducation

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 34895-3

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(Procedure | Pregnancy Education Observation | DocumentReference)

A reference to data that supports this section

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

0..*

Documentation for this format

Nested Section

Terminology Bindings

Path

Conformance

ValueSet / Code

Composition.language

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

Composition.status

CompositionStatus

Composition.type

Pattern: LOINC code 60591-5

Composition.category

DocumentClassValueSet

Composition.category:pregnancySummaryDocument

Pattern: LOINC code 90767-5

Composition.subject.type

extensible

ResourceType

Composition.confidentiality

v3.ConfidentialityClassification

Composition.attester.mode

CompositionAttestationMode

Composition.relatesTo.code

DocumentRelationshipType

Composition.event.code

ActCode

Composition.event:careProvisioningEvent.code

Pattern: PCPR

Composition.section.code

DocumentSectionCodes

Composition.section.mode

Composition.section.orderedBy

Composition.section.emptyReason

Composition.section:sectionMedications.code

Pattern: LOINC code 10160-0

Composition.section:sectionMedications.mode

Composition.section:sectionMedications.orderedBy

Composition.section:sectionAllergies.code

Pattern: LOINC code 48765-2

Composition.section:sectionAllergies.mode

Composition.section:sectionAllergies.orderedBy

Composition.section:sectionProblems.code

Pattern: LOINC code 11450-4

Composition.section:sectionProblems.mode

Composition.section:sectionProblems.orderedBy

Composition.section:sectionProceduresHx.code

Pattern: LOINC code 47519-4

Composition.section:sectionProceduresHx.mode

Composition.section:sectionProceduresHx.orderedBy

Composition.section:sectionImmunizations.code

Pattern: LOINC code 11369-6

Composition.section:sectionImmunizations.mode

Composition.section:sectionImmunizations.orderedBy

Composition.section:sectionMedicalDevices.code

Pattern: LOINC code 46264-8

Composition.section:sectionMedicalDevices.mode

Composition.section:sectionMedicalDevices.orderedBy

Composition.section:sectionResults.code

Pattern: LOINC code 30954-2

Composition.section:sectionResults.mode

Composition.section:sectionResults.orderedBy

Composition.section:sectionVitalSigns.code

Pattern: LOINC code 8716-3

Composition.section:sectionVitalSigns.mode

Composition.section:sectionVitalSigns.orderedBy

Composition.section:sectionPastIllnessHx.code

Pattern: LOINC code 11348-0

Composition.section:sectionPastIllnessHx.mode

Composition.section:sectionPastIllnessHx.orderedBy

Composition.section:sectionFunctionalStatus.code

Pattern: LOINC code 47420-5

Composition.section:sectionFunctionalStatus.mode

Composition.section:sectionFunctionalStatus.orderedBy

Composition.section:sectionPlanOfCare.code

Pattern: LOINC code 18776-5

Composition.section:sectionPlanOfCare.mode

Composition.section:sectionPlanOfCare.orderedBy

Composition.section:sectionSocialHistory.code

Pattern: LOINC code 29762-2

Composition.section:sectionSocialHistory.mode

Composition.section:sectionSocialHistory.orderedBy

Composition.section:sectionPregnancyHx.code

Pattern: LOINC code 10162-6

Composition.section:sectionPregnancyHx.mode

Composition.section:sectionPregnancyHx.orderedBy

Composition.section:sectionAdvanceDirectives.code

Pattern: LOINC code 42348-3

Composition.section:sectionAdvanceDirectives.mode

Composition.section:sectionAdvanceDirectives.orderedBy

Composition.section:ChiefComplaint.code

Pattern: LOINC code 10154-3

Composition.section:ChiefComplaint.mode

Composition.section:ChiefComplaint.orderedBy

Composition.section:ChiefComplaint.emptyReason

Composition.section:FamilyMedicalHistory.code

Pattern: LOINC code 10157-6

Composition.section:FamilyMedicalHistory.mode

Composition.section:FamilyMedicalHistory.orderedBy

Composition.section:FamilyMedicalHistory.emptyReason

Composition.section:ReviewOfSystems.code

Pattern: LOINC code 10187-3

Composition.section:ReviewOfSystems.mode

Composition.section:ReviewOfSystems.orderedBy

Composition.section:ReviewOfSystems.emptyReason

Composition.section:HistoryOfInfection.code

Pattern: LOINC code 56838-6

Composition.section:HistoryOfInfection.mode

Composition.section:HistoryOfInfection.orderedBy

Composition.section:HistoryOfInfection.emptyReason

Composition.section:PhysicalExams.code

Pattern: LOINC code 29545-1

Composition.section:PhysicalExams.mode

Composition.section:PhysicalExams.orderedBy

Composition.section:PhysicalExams.emptyReason

Composition.section:Payors.code

Pattern: LOINC code 48768-6

Composition.section:Payors.mode

Composition.section:Payors.orderedBy

Composition.section:Payors.emptyReason

Composition.section:AntepartumVisitSummaryFlowsheet.code

Pattern: LOINC code 57059-8

Composition.section:AntepartumVisitSummaryFlowsheet.mode

Composition.section:AntepartumVisitSummaryFlowsheet.orderedBy

Composition.section:AntepartumVisitSummaryFlowsheet.emptyReason

Composition.section:AntepartumEducation.code

Pattern: LOINC code 34895-3

Composition.section:AntepartumEducation.mode

Composition.section:AntepartumEducation.orderedBy

Composition.section:AntepartumEducation.emptyReason