HL7 Europe Patient Summary
1.0.0-ci-build - ci-build
150
HL7 Europe Patient Summary
1.0.0-ci-build - ci-build
150
HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/eps/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps | Version: 1.0.0-ci-build | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: CompositionEuEps | ||
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License |
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Clinical document used to represent a Patient Summary for the scope of this project.
Note about the Functional Status Section
The Functional Status model used by the (Xt-EHR) European Patient Summary identifies, as part of that model, a set of assessment results that appear to be more appropriately represented by an Observation rather than by a ClinicalImpression.
However, Observation is not included among the allowed target resources for this section.
Considering that:
it has been agreed, for this version, to maintain conformance with the IPS.
Adopters should nevertheless be aware that this section may be subject to substantial changes in future versions.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Composition |
0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
 text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
   extension:version |
0..1 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
OΣ | 0..1 | Identifier | PS business identifier
| ||||||||||
| status |
?!OΣ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||||||||
| type |
OΣ | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
| ||||||||||
 subject |
OΣ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
| ||||||||||
 reference |
OΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| date |
OΣ | 1..1 | dateTime | PS date
| ||||||||||
| author |
OΣ | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| ||||||||||
| title |
OΣ | 1..1 | string | Patient Summary
| ||||||||||
| attester |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| mode |
O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| ||||||||||
| time |
O | 0..1 | dateTime | When the composition was attested
| ||||||||||
| party |
O | 0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who attested the composition
| ||||||||||
| custodian |
OΣ | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
| ||||||||||
| event |
OΣ | 0..* | BackboneElement | The clinical service(s) being documented
| ||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| code |
OΣ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| ||||||||||
| period |
OΣ | 0..1 | Period | The period covered by the documentation
| ||||||||||
  Slices for section |
OC | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
   section:All Slices |
Content/Rules for all slices | |||||||||||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
| ||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| section:sectionProblems |
OC | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2
| ||||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||||
 extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:problem |
OC | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
| ||||||||||
 emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionAllergies |
OC | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:allergyOrIntolerance |
OC | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
| ||||||||||
| emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedications |
OC | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:medicationStatementOrRequest |
OC | 0..1 | Reference(Medication Statement (EPS)) | Medications relevant for the scope of the patient summary
| ||||||||||
| emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionImmunizations |
OC | 0..1 | BackboneElement | EPS Immunizations Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
 Slices for entry |
C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:immunization |
OC | 0..1 | Reference(Immunization (EU core)) | A reference to data that supports this section
| ||||||||||
| section:sectionResults |
OC | 0..1 | BackboneElement | EPS Results Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:results-medicalTestResult |
OC | 0..1 | Reference(MedicalTestResult (EU core)) | Medical test results
| ||||||||||
| entry:results-diagnosticReport |
OC | 0..1 | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| ||||||||||
| section:sectionProceduresHx |
OC | 0..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:procedure |
OC | 0..1 | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| ||||||||||
| section:sectionMedicalDevices |
OC | 0..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:deviceStatement |
OC | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| ||||||||||
| section:sectionAdvanceDirectives |
OC | 0..1 | BackboneElement | EPS Advance Directives Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:advanceDirectivesConsent |
C | 0..1 | Reference(Consent (Advance Directives EPS)) | Narrative description of the patient's advance directive. | ||||||||||
| section:sectionAlert |
OC | 0..1 | BackboneElement | EPS Alerts Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:flag |
C | 0..1 | Reference(Flag (EU core)) | Alert information | ||||||||||
| section:sectionFunctionalStatus |
OC | 0..1 | BackboneElement | EPS Functional Status Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:disability |
C | 0..1 | Reference(Condition (EU core)) | Optional slice used to represent disabilities | ||||||||||
| entry:functionalAssessment |
C | 0..1 | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | ||||||||||
| section:sectionPregnancyHx |
OC | 0..1 | BackboneElement | EPS History of Pregnancy Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:pregnancyStatus |
C | 0..1 | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | ||||||||||
| entry:previousPregnanciesStatus |
C | 0..1 | Reference(Observation Previous Pregnancies Status (EPS)) | Overall status of previous pregnancies | ||||||||||
| entry:pregnancyOutcome |
C | 0..1 | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | ||||||||||
| section:sectionPatientStory |
OC | 0..1 | BackboneElement | EPS Patient Story Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| entry |
C | 0..* | Reference(Resource) | Patient Story resources. | ||||||||||
| section:sectionPlanOfCare |
OC | 0..1 | BackboneElement | EPS Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:carePlan |
C | 0..1 | Reference(CarePlan) | Optional slice used to represent care plans | ||||||||||
| entry:immunizationRecommendation |
C | 0..1 | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | ||||||||||
| section:sectionSocialHistory |
OC | 0..1 | BackboneElement | EPS Social History Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:smokingTobaccoUse |
C | 0..1 | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits | ||||||||||
| entry:alcoholUse |
C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption | ||||||||||
| section:sectionVitalSigns |
OC | 0..1 | BackboneElement | EPS Vital Signs Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:vitalSign |
C | 0..1 | Reference(Vital Signs Profile) | Notable vital signs or physical findings. | ||||||||||
| section:sectionTravelHx |
C | 0..1 | BackboneElement | EPS Travel History Section Constraints: cmp-1, cmp-2 | ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:travelObservation |
C | 0..1 | Reference(Observation: country visited (EPS)) | A reference to data that supports this section | ||||||||||
 section:sectionPatientHx |
C | 0..1 | BackboneElement | EPS Patient History Section Constraints: cmp-1, cmp-2 | ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlert.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionTravelHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ips-comp-1 | error | Composition.section | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
| meta |
||||||||||||||
| profile |
O | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
| ||||||||||
| text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation
| ||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:version |
0..1 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version | |||||||||||
| identifier |
O | 0..1 | Identifier | PS business identifier
| ||||||||||
| status |
O | 1..1 | code | PS status
| ||||||||||
| type |
O | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary")
| ||||||||||
| subject |
O | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
| ||||||||||
| reference |
O | 0..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| date |
O | 1..1 | dateTime | PS date
| ||||||||||
| author |
O | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| ||||||||||
| title |
O | 1..1 | string | Patient Summary
| ||||||||||
| attester |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||||
| mode |
O | 1..1 | code | The type of attestation
| ||||||||||
| time |
O | 0..1 | dateTime | When the composition was attested
| ||||||||||
| party |
O | 0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who attested the composition
| ||||||||||
| custodian |
O | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
| ||||||||||
| event |
O | 0..* | BackboneElement | The clinical service(s) being documented
| ||||||||||
| code |
O | 0..* | CodeableConcept | Code(s) that apply to the event being documented
| ||||||||||
| period |
O | 0..1 | Period | The period covered by the documentation
| ||||||||||
| Slices for section |
OC | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: ips-comp-1
| ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
O | 1..1 | CodeableConceptIPS | Classification of section (recommended)
| ||||||||||
| text |
O | 1..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||||
| section |
0..0 | Nested Section | ||||||||||||
| section:sectionProblems |
O | 1..1 | BackboneElement | EPS Problems Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||||||||
| Slices for entry |
0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:problem |
O | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
O | 0..1 | CodeableConcept | Why the section is empty
| ||||||||||
| section:sectionAllergies |
O | 1..1 | BackboneElement | EPS Allergies and Intolerances Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||||||||
| Slices for entry |
0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:allergyOrIntolerance |
O | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
| ||||||||||
| emptyReason |
O | 0..1 | CodeableConcept | Why the section is empty
| ||||||||||
| section:sectionMedications |
O | 1..1 | BackboneElement | EPS Medication Summary Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| Slices for entry |
0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:medicationStatementOrRequest |
O | 0..1 | Reference(Medication Statement (EPS)) | Medications relevant for the scope of the patient summary
| ||||||||||
| emptyReason |
O | 0..1 | CodeableConcept | Why the section is empty
| ||||||||||
| section:sectionImmunizations |
O | 0..1 | BackboneElement | EPS Immunizations Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| Slices for entry |
0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:immunization |
O | 0..1 | Reference(Immunization (EU core)) | A reference to data that supports this section
| ||||||||||
| section:sectionResults |
O | 0..1 | BackboneElement | EPS Results Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:results-medicalTestResult |
O | 0..1 | Reference(MedicalTestResult (EU core)) | Medical test results
| ||||||||||
| entry:results-diagnosticReport |
O | 0..1 | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| ||||||||||
| section:sectionProceduresHx |
O | 0..1 | BackboneElement | EPS History of Procedures Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||||
| Slices for entry |
0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:procedure |
O | 0..1 | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| ||||||||||
| section:sectionMedicalDevices |
O | 0..1 | BackboneElement | EPS Medical Devices Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||||||||
| Slices for entry |
0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:deviceStatement |
O | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| ||||||||||
| section:sectionAdvanceDirectives |
O | 0..1 | BackboneElement | EPS Advance Directives Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||||||||
| Slices for entry |
0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:advanceDirectivesConsent |
0..1 | Reference(Consent (Advance Directives EPS)) | Narrative description of the patient's advance directive. | |||||||||||
| section:sectionAlert |
O | 0..1 | BackboneElement | EPS Alerts Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||||||||
| Slices for entry |
0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:flag |
0..1 | Reference(Flag (EU core)) | Alert information | |||||||||||
| section:sectionFunctionalStatus |
O | 0..1 | BackboneElement | EPS Functional Status
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||||||||
| Slices for entry |
0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:disability |
0..1 | Reference(Condition (EU core)) | Optional slice used to represent disabilities | |||||||||||
| entry:functionalAssessment |
0..1 | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | |||||||||||
| section:sectionPregnancyHx |
O | 0..1 | BackboneElement | EPS History of Pregnancy Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |||||||||||
| Slices for entry |
0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:pregnancyStatus |
0..1 | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | |||||||||||
| entry:previousPregnanciesStatus |
0..1 | Reference(Observation Previous Pregnancies Status (EPS)) | Overall status of previous pregnancies | |||||||||||
| entry:pregnancyOutcome |
0..1 | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | |||||||||||
| section:sectionPatientStory |
O | 0..1 | BackboneElement | EPS Patient Story Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |||||||||||
| entry |
0..* | Reference(Resource) | Patient Story resources. | |||||||||||
| section:sectionPlanOfCare |
O | 0..1 | BackboneElement | EPS Plan of Care Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||||||||
| Slices for entry |
0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:carePlan |
0..1 | Reference(CarePlan) | Optional slice used to represent care plans | |||||||||||
| entry:immunizationRecommendation |
0..1 | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | |||||||||||
| section:sectionSocialHistory |
O | 0..1 | BackboneElement | EPS Social History Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:smokingTobaccoUse |
0..1 | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits | |||||||||||
| entry:alcoholUse |
0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption | |||||||||||
| section:sectionVitalSigns |
O | 0..1 | BackboneElement | EPS Vital Signs Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:vitalSign |
0..1 | Reference(Vital Signs Profile) | Notable vital signs or physical findings. | |||||||||||
| section:sectionTravelHx |
0..1 | BackboneElement | EPS Travel History Section | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4 | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:travelObservation |
0..1 | Reference(Observation: country visited (EPS)) | A reference to data that supports this section | |||||||||||
| section:sectionPatientHx |
0..1 | BackboneElement | EPS Patient History Section | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 | |||||||||||
| Documentation for this format | ||||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| ips-comp-1 | error | Composition.section | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||||||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||||||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||||||||
| profile |
OΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
| ||||||||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||||||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:version |
0..1 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
OΣ | 0..1 | Identifier | PS business identifier
| ||||||||||
| status |
?!OΣ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||||||||
| type |
OΣ | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
| ||||||||||
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| reference |
OΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||||||||
| date |
OΣ | 1..1 | dateTime | PS date
| ||||||||||
| author |
OΣ | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| ||||||||||
| title |
OΣ | 1..1 | string | Patient Summary
| ||||||||||
| confidentiality |
Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||||||||
| attester |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| mode |
O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| ||||||||||
| time |
O | 0..1 | dateTime | When the composition was attested
| ||||||||||
| party |
O | 0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who attested the composition
| ||||||||||
| custodian |
OΣ | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
| ||||||||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||||||||
 target[x] |
1..1 | Target of the relationship | ||||||||||||
| targetIdentifier |
Identifier | |||||||||||||
| targetReference |
Reference(Composition) | |||||||||||||
| event |
OΣ | 0..* | BackboneElement | The clinical service(s) being documented
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| code |
OΣ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| ||||||||||
| period |
OΣ | 0..1 | Period | The period covered by the documentation
| ||||||||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||||||||
| Slices for section |
OC | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
| ||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionProblems |
OC | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:problem |
OC | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionAllergies |
OC | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:allergyOrIntolerance |
OC | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
| ||||||||||
| emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedications |
OC | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:medicationStatementOrRequest |
OC | 0..1 | Reference(Medication Statement (EPS)) | Medications relevant for the scope of the patient summary
| ||||||||||
| emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionImmunizations |
OC | 0..1 | BackboneElement | EPS Immunizations Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:immunization |
OC | 0..1 | Reference(Immunization (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionResults |
OC | 0..1 | BackboneElement | EPS Results Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:results-medicalTestResult |
OC | 0..1 | Reference(MedicalTestResult (EU core)) | Medical test results
| ||||||||||
| entry:results-diagnosticReport |
OC | 0..1 | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionProceduresHx |
OC | 0..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:procedure |
OC | 0..1 | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionMedicalDevices |
OC | 0..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:deviceStatement |
OC | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionAdvanceDirectives |
OC | 0..1 | BackboneElement | EPS Advance Directives Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:advanceDirectivesConsent |
C | 0..1 | Reference(Consent (Advance Directives EPS)) | Narrative description of the patient's advance directive. | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionAlert |
OC | 0..1 | BackboneElement | EPS Alerts Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:flag |
C | 0..1 | Reference(Flag (EU core)) | Alert information | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionFunctionalStatus |
OC | 0..1 | BackboneElement | EPS Functional Status Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:disability |
C | 0..1 | Reference(Condition (EU core)) | Optional slice used to represent disabilities | ||||||||||
| entry:functionalAssessment |
C | 0..1 | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionPregnancyHx |
OC | 0..1 | BackboneElement | EPS History of Pregnancy Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:pregnancyStatus |
C | 0..1 | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | ||||||||||
| entry:previousPregnanciesStatus |
C | 0..1 | Reference(Observation Previous Pregnancies Status (EPS)) | Overall status of previous pregnancies | ||||||||||
| entry:pregnancyOutcome |
C | 0..1 | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionPatientStory |
OC | 0..1 | BackboneElement | EPS Patient Story Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | Patient Story resources. | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionPlanOfCare |
OC | 0..1 | BackboneElement | EPS Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:carePlan |
C | 0..1 | Reference(CarePlan) | Optional slice used to represent care plans | ||||||||||
| entry:immunizationRecommendation |
C | 0..1 | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionSocialHistory |
OC | 0..1 | BackboneElement | EPS Social History Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:smokingTobaccoUse |
C | 0..1 | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits | ||||||||||
| entry:alcoholUse |
C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionVitalSigns |
OC | 0..1 | BackboneElement | EPS Vital Signs Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:vitalSign |
C | 0..1 | Reference(Vital Signs Profile) | Notable vital signs or physical findings. | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionTravelHx |
C | 0..1 | BackboneElement | EPS Travel History Section Constraints: cmp-1, cmp-2 | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:travelObservation |
C | 0..1 | Reference(Observation: country visited (EPS)) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionPatientHx |
C | 0..1 | BackboneElement | EPS Patient History Section Constraints: cmp-1, cmp-2 | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlert.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlert.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlert.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlert.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionTravelHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionTravelHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionTravelHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionTravelHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ips-comp-1 | error | Composition.section | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from Composition
Summary
Mandatory: 5 elements(2 nested mandatory elements)
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:version |
0..1 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
OΣ | 0..1 | Identifier | PS business identifier
| ||||||||||
| status |
?!OΣ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||||||||
| type |
OΣ | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
| ||||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
| ||||||||||
| reference |
OΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| date |
OΣ | 1..1 | dateTime | PS date
| ||||||||||
| author |
OΣ | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| ||||||||||
| title |
OΣ | 1..1 | string | Patient Summary
| ||||||||||
| attester |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| mode |
O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| ||||||||||
| time |
O | 0..1 | dateTime | When the composition was attested
| ||||||||||
| party |
O | 0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who attested the composition
| ||||||||||
| custodian |
OΣ | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
| ||||||||||
| event |
OΣ | 0..* | BackboneElement | The clinical service(s) being documented
| ||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| code |
OΣ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| ||||||||||
| period |
OΣ | 0..1 | Period | The period covered by the documentation
| ||||||||||
| Slices for section |
OC | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
| ||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| section:sectionProblems |
OC | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:problem |
OC | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionAllergies |
OC | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:allergyOrIntolerance |
OC | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
| ||||||||||
| emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedications |
OC | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:medicationStatementOrRequest |
OC | 0..1 | Reference(Medication Statement (EPS)) | Medications relevant for the scope of the patient summary
| ||||||||||
| emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionImmunizations |
OC | 0..1 | BackboneElement | EPS Immunizations Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:immunization |
OC | 0..1 | Reference(Immunization (EU core)) | A reference to data that supports this section
| ||||||||||
| section:sectionResults |
OC | 0..1 | BackboneElement | EPS Results Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:results-medicalTestResult |
OC | 0..1 | Reference(MedicalTestResult (EU core)) | Medical test results
| ||||||||||
| entry:results-diagnosticReport |
OC | 0..1 | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| ||||||||||
| section:sectionProceduresHx |
OC | 0..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:procedure |
OC | 0..1 | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| ||||||||||
| section:sectionMedicalDevices |
OC | 0..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:deviceStatement |
OC | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| ||||||||||
| section:sectionAdvanceDirectives |
OC | 0..1 | BackboneElement | EPS Advance Directives Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:advanceDirectivesConsent |
C | 0..1 | Reference(Consent (Advance Directives EPS)) | Narrative description of the patient's advance directive. | ||||||||||
| section:sectionAlert |
OC | 0..1 | BackboneElement | EPS Alerts Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:flag |
C | 0..1 | Reference(Flag (EU core)) | Alert information | ||||||||||
| section:sectionFunctionalStatus |
OC | 0..1 | BackboneElement | EPS Functional Status Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:disability |
C | 0..1 | Reference(Condition (EU core)) | Optional slice used to represent disabilities | ||||||||||
| entry:functionalAssessment |
C | 0..1 | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | ||||||||||
| section:sectionPregnancyHx |
OC | 0..1 | BackboneElement | EPS History of Pregnancy Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:pregnancyStatus |
C | 0..1 | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | ||||||||||
| entry:previousPregnanciesStatus |
C | 0..1 | Reference(Observation Previous Pregnancies Status (EPS)) | Overall status of previous pregnancies | ||||||||||
| entry:pregnancyOutcome |
C | 0..1 | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | ||||||||||
| section:sectionPatientStory |
OC | 0..1 | BackboneElement | EPS Patient Story Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| entry |
C | 0..* | Reference(Resource) | Patient Story resources. | ||||||||||
| section:sectionPlanOfCare |
OC | 0..1 | BackboneElement | EPS Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:carePlan |
C | 0..1 | Reference(CarePlan) | Optional slice used to represent care plans | ||||||||||
| entry:immunizationRecommendation |
C | 0..1 | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | ||||||||||
| section:sectionSocialHistory |
OC | 0..1 | BackboneElement | EPS Social History Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:smokingTobaccoUse |
C | 0..1 | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits | ||||||||||
| entry:alcoholUse |
C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption | ||||||||||
| section:sectionVitalSigns |
OC | 0..1 | BackboneElement | EPS Vital Signs Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:vitalSign |
C | 0..1 | Reference(Vital Signs Profile) | Notable vital signs or physical findings. | ||||||||||
| section:sectionTravelHx |
C | 0..1 | BackboneElement | EPS Travel History Section Constraints: cmp-1, cmp-2 | ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:travelObservation |
C | 0..1 | Reference(Observation: country visited (EPS)) | A reference to data that supports this section | ||||||||||
| section:sectionPatientHx |
C | 0..1 | BackboneElement | EPS Patient History Section Constraints: cmp-1, cmp-2 | ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlert.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionTravelHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ips-comp-1 | error | Composition.section | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
Differential View
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
| meta |
||||||||||||||
| profile |
O | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
| ||||||||||
| text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation
| ||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:version |
0..1 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version | |||||||||||
| identifier |
O | 0..1 | Identifier | PS business identifier
| ||||||||||
| status |
O | 1..1 | code | PS status
| ||||||||||
| type |
O | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary")
| ||||||||||
| subject |
O | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
| ||||||||||
| reference |
O | 0..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| date |
O | 1..1 | dateTime | PS date
| ||||||||||
| author |
O | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| ||||||||||
| title |
O | 1..1 | string | Patient Summary
| ||||||||||
| attester |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||||
| mode |
O | 1..1 | code | The type of attestation
| ||||||||||
| time |
O | 0..1 | dateTime | When the composition was attested
| ||||||||||
| party |
O | 0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who attested the composition
| ||||||||||
| custodian |
O | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
| ||||||||||
| event |
O | 0..* | BackboneElement | The clinical service(s) being documented
| ||||||||||
| code |
O | 0..* | CodeableConcept | Code(s) that apply to the event being documented
| ||||||||||
| period |
O | 0..1 | Period | The period covered by the documentation
| ||||||||||
| Slices for section |
OC | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: ips-comp-1
| ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
O | 1..1 | CodeableConceptIPS | Classification of section (recommended)
| ||||||||||
| text |
O | 1..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||||
| section |
0..0 | Nested Section | ||||||||||||
| section:sectionProblems |
O | 1..1 | BackboneElement | EPS Problems Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||||||||
| Slices for entry |
0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:problem |
O | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
O | 0..1 | CodeableConcept | Why the section is empty
| ||||||||||
| section:sectionAllergies |
O | 1..1 | BackboneElement | EPS Allergies and Intolerances Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||||||||
| Slices for entry |
0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:allergyOrIntolerance |
O | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
| ||||||||||
| emptyReason |
O | 0..1 | CodeableConcept | Why the section is empty
| ||||||||||
| section:sectionMedications |
O | 1..1 | BackboneElement | EPS Medication Summary Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| Slices for entry |
0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:medicationStatementOrRequest |
O | 0..1 | Reference(Medication Statement (EPS)) | Medications relevant for the scope of the patient summary
| ||||||||||
| emptyReason |
O | 0..1 | CodeableConcept | Why the section is empty
| ||||||||||
| section:sectionImmunizations |
O | 0..1 | BackboneElement | EPS Immunizations Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| Slices for entry |
0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:immunization |
O | 0..1 | Reference(Immunization (EU core)) | A reference to data that supports this section
| ||||||||||
| section:sectionResults |
O | 0..1 | BackboneElement | EPS Results Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:results-medicalTestResult |
O | 0..1 | Reference(MedicalTestResult (EU core)) | Medical test results
| ||||||||||
| entry:results-diagnosticReport |
O | 0..1 | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| ||||||||||
| section:sectionProceduresHx |
O | 0..1 | BackboneElement | EPS History of Procedures Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||||
| Slices for entry |
0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:procedure |
O | 0..1 | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| ||||||||||
| section:sectionMedicalDevices |
O | 0..1 | BackboneElement | EPS Medical Devices Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||||||||
| Slices for entry |
0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:deviceStatement |
O | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| ||||||||||
| section:sectionAdvanceDirectives |
O | 0..1 | BackboneElement | EPS Advance Directives Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||||||||
| Slices for entry |
0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:advanceDirectivesConsent |
0..1 | Reference(Consent (Advance Directives EPS)) | Narrative description of the patient's advance directive. | |||||||||||
| section:sectionAlert |
O | 0..1 | BackboneElement | EPS Alerts Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||||||||
| Slices for entry |
0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:flag |
0..1 | Reference(Flag (EU core)) | Alert information | |||||||||||
| section:sectionFunctionalStatus |
O | 0..1 | BackboneElement | EPS Functional Status
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||||||||
| Slices for entry |
0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:disability |
0..1 | Reference(Condition (EU core)) | Optional slice used to represent disabilities | |||||||||||
| entry:functionalAssessment |
0..1 | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | |||||||||||
| section:sectionPregnancyHx |
O | 0..1 | BackboneElement | EPS History of Pregnancy Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |||||||||||
| Slices for entry |
0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:pregnancyStatus |
0..1 | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | |||||||||||
| entry:previousPregnanciesStatus |
0..1 | Reference(Observation Previous Pregnancies Status (EPS)) | Overall status of previous pregnancies | |||||||||||
| entry:pregnancyOutcome |
0..1 | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | |||||||||||
| section:sectionPatientStory |
O | 0..1 | BackboneElement | EPS Patient Story Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |||||||||||
| entry |
0..* | Reference(Resource) | Patient Story resources. | |||||||||||
| section:sectionPlanOfCare |
O | 0..1 | BackboneElement | EPS Plan of Care Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||||||||
| Slices for entry |
0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:carePlan |
0..1 | Reference(CarePlan) | Optional slice used to represent care plans | |||||||||||
| entry:immunizationRecommendation |
0..1 | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | |||||||||||
| section:sectionSocialHistory |
O | 0..1 | BackboneElement | EPS Social History Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:smokingTobaccoUse |
0..1 | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits | |||||||||||
| entry:alcoholUse |
0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption | |||||||||||
| section:sectionVitalSigns |
O | 0..1 | BackboneElement | EPS Vital Signs Section
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:vitalSign |
0..1 | Reference(Vital Signs Profile) | Notable vital signs or physical findings. | |||||||||||
| section:sectionTravelHx |
0..1 | BackboneElement | EPS Travel History Section | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4 | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:resolve() | |||||||||||
| entry:travelObservation |
0..1 | Reference(Observation: country visited (EPS)) | A reference to data that supports this section | |||||||||||
| section:sectionPatientHx |
0..1 | BackboneElement | EPS Patient History Section | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 | |||||||||||
| Documentation for this format | ||||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| ips-comp-1 | error | Composition.section | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||||||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||||||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||||||||
| profile |
OΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
| ||||||||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||||||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:version |
0..1 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
OΣ | 0..1 | Identifier | PS business identifier
| ||||||||||
| status |
?!OΣ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||||||||
| type |
OΣ | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
| ||||||||||
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| reference |
OΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||||||||
| date |
OΣ | 1..1 | dateTime | PS date
| ||||||||||
| author |
OΣ | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| ||||||||||
| title |
OΣ | 1..1 | string | Patient Summary
| ||||||||||
| confidentiality |
Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||||||||
| attester |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| mode |
O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| ||||||||||
| time |
O | 0..1 | dateTime | When the composition was attested
| ||||||||||
| party |
O | 0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who attested the composition
| ||||||||||
| custodian |
OΣ | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
| ||||||||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||||||||
| target[x] |
1..1 | Target of the relationship | ||||||||||||
| targetIdentifier |
Identifier | |||||||||||||
| targetReference |
Reference(Composition) | |||||||||||||
| event |
OΣ | 0..* | BackboneElement | The clinical service(s) being documented
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| code |
OΣ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| ||||||||||
| period |
OΣ | 0..1 | Period | The period covered by the documentation
| ||||||||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||||||||
| Slices for section |
OC | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
| ||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionProblems |
OC | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:problem |
OC | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionAllergies |
OC | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:allergyOrIntolerance |
OC | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
| ||||||||||
| emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedications |
OC | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:medicationStatementOrRequest |
OC | 0..1 | Reference(Medication Statement (EPS)) | Medications relevant for the scope of the patient summary
| ||||||||||
| emptyReason |
OC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionImmunizations |
OC | 0..1 | BackboneElement | EPS Immunizations Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:immunization |
OC | 0..1 | Reference(Immunization (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionResults |
OC | 0..1 | BackboneElement | EPS Results Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:results-medicalTestResult |
OC | 0..1 | Reference(MedicalTestResult (EU core)) | Medical test results
| ||||||||||
| entry:results-diagnosticReport |
OC | 0..1 | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionProceduresHx |
OC | 0..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:procedure |
OC | 0..1 | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionMedicalDevices |
OC | 0..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:deviceStatement |
OC | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionAdvanceDirectives |
OC | 0..1 | BackboneElement | EPS Advance Directives Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:advanceDirectivesConsent |
C | 0..1 | Reference(Consent (Advance Directives EPS)) | Narrative description of the patient's advance directive. | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionAlert |
OC | 0..1 | BackboneElement | EPS Alerts Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:flag |
C | 0..1 | Reference(Flag (EU core)) | Alert information | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionFunctionalStatus |
OC | 0..1 | BackboneElement | EPS Functional Status Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:disability |
C | 0..1 | Reference(Condition (EU core)) | Optional slice used to represent disabilities | ||||||||||
| entry:functionalAssessment |
C | 0..1 | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionPregnancyHx |
OC | 0..1 | BackboneElement | EPS History of Pregnancy Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:pregnancyStatus |
C | 0..1 | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | ||||||||||
| entry:previousPregnanciesStatus |
C | 0..1 | Reference(Observation Previous Pregnancies Status (EPS)) | Overall status of previous pregnancies | ||||||||||
| entry:pregnancyOutcome |
C | 0..1 | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionPatientStory |
OC | 0..1 | BackboneElement | EPS Patient Story Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | Patient Story resources. | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionPlanOfCare |
OC | 0..1 | BackboneElement | EPS Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:carePlan |
C | 0..1 | Reference(CarePlan) | Optional slice used to represent care plans | ||||||||||
| entry:immunizationRecommendation |
C | 0..1 | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionSocialHistory |
OC | 0..1 | BackboneElement | EPS Social History Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:smokingTobaccoUse |
C | 0..1 | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits | ||||||||||
| entry:alcoholUse |
C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionVitalSigns |
OC | 0..1 | BackboneElement | EPS Vital Signs Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:vitalSign |
C | 0..1 | Reference(Vital Signs Profile) | Notable vital signs or physical findings. | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionTravelHx |
C | 0..1 | BackboneElement | EPS Travel History Section Constraints: cmp-1, cmp-2 | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:resolve() | ||||||||||
| entry:travelObservation |
C | 0..1 | Reference(Observation: country visited (EPS)) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionPatientHx |
C | 0..1 | BackboneElement | EPS Patient History Section Constraints: cmp-1, cmp-2 | ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
| title |
O | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
OC | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlert.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlert.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlert.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlert.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionTravelHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionTravelHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionTravelHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionTravelHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ips-comp-1 | error | Composition.section | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from Composition
Summary
Mandatory: 5 elements(2 nested mandatory elements)
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.eps#1.0.0-ci-build based on FHIR 4.0.1. Generated 2026-01-30
