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: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
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This profile defines how the Composition resource is used to represent a European Patient Summary.
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..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||
 text |
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 |
Content/Rules for all slices | |||||||||||||
   extension:version |
0..1 | (Complex) | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
   extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||
 url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||||||||
| extension:informationRecipient |
0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||||||||
 extension:diagnosticReport |
0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference | |||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier |
1..1 | Identifier | PS business identifier
| |||||||||||
| status |
1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern:
| |||||||||||
 subject |
1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
| |||||||||||
 reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| date |
1..1 | dateTime | PS date
| |||||||||||
| author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| |||||||||||
| title |
1..1 | string | Patient Summary
| |||||||||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
 attester:All Slices |
Content/Rules for all slices | |||||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
| |||||||||||
| attester:legalAuthenticator |
0..* | BackboneElement | Attests to accuracy of composition | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal (extensions allowed) | |||||||||||
| time |
1..1 | dateTime | When the composition was attested | |||||||||||
| party |
1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition | |||||||||||
 attester:validator |
0..* | BackboneElement | Attests to accuracy of composition | |||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional (extensions allowed) | |||||||||||
| time |
1..1 | dateTime | When the composition was attested | |||||||||||
| party |
1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition | |||||||||||
| custodian |
0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
| |||||||||||
| event |
0..* | BackboneElement | The clinical service(s) being documented
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
0..* | CodeableConcept | Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| |||||||||||
| period |
0..1 | Period | Event period
| |||||||||||
 Slices for section |
C | 5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
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.
| |||||||||||
| text |
C | 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 |
C | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(Condition (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
C | 0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionImmunizations |
C | 0..1 | BackboneElement | EPS Immunizations Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
 Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
C | 0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
| ||||||||||
| section:sectionResults |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-medicalTestResult |
C | 0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
| ||||||||||
| entry:results-diagnosticReport |
C | 0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| ||||||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| ||||||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| ||||||||||
| section:sectionAdvanceDirectives |
C | 0..1 | BackboneElement | EPS Advance Directives Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
C | 0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive. | ||||||||||
| section:sectionAlerts |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:flag |
C | 0..* | Reference(Flag: Patient (EU core)) | Alert information | ||||||||||
| section:sectionFunctionalStatus |
C | 0..1 | BackboneElement | EPS Functional Status Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
C | 0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities | ||||||||||
| entry:functionalAssessment |
C | 0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | ||||||||||
| section:sectionPregnancyHx |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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 profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | ||||||||||
| entry:pregnancyOutcome |
C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | ||||||||||
| entry:gestationalAge |
C | 0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy | ||||||||||
| section:sectionPatientStory |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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 |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
C | 0..* | Reference(CarePlan) | Optional slice used to represent care plans | ||||||||||
| entry:immunizationRecommendation |
C | 0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | ||||||||||
| section:sectionSocialHistory |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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 profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:smokingTobaccoUse |
C | 0..1 | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits | ||||||||||
| entry:alcoholUse |
C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption | ||||||||||
| section:sectionVitalSigns |
C | 0..1 | BackboneElement | EPS Vital Signs Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
C | 0..* | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:travelObservation |
C | 0..* | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:validator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.4 |
| 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:sectionAlerts.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:sectionAlerts, 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:sectionAlerts, 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 | Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension, Composition.event.modifierExtension, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section:sectionProblems.extension:section-note, Composition.section:sectionProblems.modifierExtension, Composition.section:sectionAllergies.extension:section-note, Composition.section:sectionAllergies.modifierExtension, Composition.section:sectionMedications.extension:section-note, Composition.section:sectionMedications.modifierExtension, Composition.section:sectionImmunizations.extension:section-note, Composition.section:sectionImmunizations.modifierExtension, Composition.section:sectionResults.extension:section-note, Composition.section:sectionResults.modifierExtension, Composition.section:sectionProceduresHx.extension:section-note, Composition.section:sectionProceduresHx.modifierExtension, Composition.section:sectionMedicalDevices.extension:section-note, Composition.section:sectionMedicalDevices.modifierExtension, Composition.section:sectionAdvanceDirectives.extension:section-note, Composition.section:sectionAdvanceDirectives.modifierExtension, Composition.section:sectionAlerts.extension:section-note, Composition.section:sectionAlerts.modifierExtension, Composition.section:sectionFunctionalStatus.extension:section-note, Composition.section:sectionFunctionalStatus.modifierExtension, Composition.section:sectionPregnancyHx.extension:section-note, Composition.section:sectionPregnancyHx.modifierExtension, Composition.section:sectionPatientStory.extension:section-note, Composition.section:sectionPatientStory.modifierExtension, Composition.section:sectionPlanOfCare.extension:section-note, Composition.section:sectionPlanOfCare.modifierExtension, Composition.section:sectionSocialHistory.extension:section-note, Composition.section:sectionSocialHistory.modifierExtension, Composition.section:sectionVitalSigns.extension:section-note, Composition.section:sectionVitalSigns.modifierExtension, Composition.section:sectionTravelHx.extension:section-note, Composition.section:sectionTravelHx.modifierExtension, Composition.section:sectionPatientHx.extension:section-note, Composition.section:sectionPatientHx.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from CompositionEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
| meta |
||||||||||||||
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation
| |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:version |
0..1 | R5 Composition.version | Business version | |||||||||||
| identifier |
1..1 | Identifier | PS business identifier
| |||||||||||
| status |
1..1 | code | PS status
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Required Pattern:
| |||||||||||
| subject |
1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
| |||||||||||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL
| |||||||||||
| date |
1..1 | dateTime | PS date
| |||||||||||
| author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| |||||||||||
| title |
1..1 | string | Patient Summary
| |||||||||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition
| |||||||||||
| mode |
1..1 | code | The type of attestation
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
| |||||||||||
| custodian |
0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
| |||||||||||
| event |
0..* | BackboneElement | The clinical service(s) being documented
| |||||||||||
| code |
0..* | CodeableConcept | Event code
| |||||||||||
| period |
0..1 | Period | Event period
| |||||||||||
| Slices for section |
5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended)
| |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| section |
0..0 | Nested Section | ||||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | EPS Problems Section Constraints: ips-comp-1
| ||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
0..* | Reference(Condition (EU core)) | A reference to data that supports this section
| |||||||||||
| emptyReason |
0..1 | CodeableConcept | Empty reason
| |||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: ips-comp-1
| ||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
| |||||||||||
| emptyReason |
0..1 | CodeableConcept | Empty reason
| |||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: ips-comp-1
| ||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
| |||||||||||
| emptyReason |
0..1 | CodeableConcept | Empty reason
| |||||||||||
| section:sectionImmunizations |
0..1 | BackboneElement | EPS Immunizations Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
| |||||||||||
| section:sectionResults |
0..1 | BackboneElement | EPS Results Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-medicalTestResult |
0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
| |||||||||||
| entry:results-diagnosticReport |
0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| |||||||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | EPS History of Procedures Section Constraints: ips-comp-1
| ||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| |||||||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | EPS Medical Devices Section Constraints: ips-comp-1
| ||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| |||||||||||
| section:sectionAdvanceDirectives |
0..1 | BackboneElement | EPS Advance Directives Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive. | |||||||||||
| section:sectionAlerts |
0..1 | BackboneElement | EPS Alerts Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:flag |
0..* | Reference(Flag: Patient (EU core)) | Alert information | |||||||||||
| section:sectionFunctionalStatus |
0..1 | BackboneElement | EPS Functional Status
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities | |||||||||||
| entry:functionalAssessment |
0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | |||||||||||
| section:sectionPregnancyHx |
0..1 | BackboneElement | EPS History of Pregnancy Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | |||||||||||
| entry:pregnancyOutcome |
0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | |||||||||||
| entry:gestationalAge |
0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy | |||||||||||
| section:sectionPatientStory |
0..1 | BackboneElement | EPS Patient Story Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| entry |
0..* | Reference(Resource) | Patient Story resources. | |||||||||||
| section:sectionPlanOfCare |
0..1 | BackboneElement | EPS Plan of Care Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
0..* | Reference(CarePlan) | Optional slice used to represent care plans | |||||||||||
| entry:immunizationRecommendation |
0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | |||||||||||
| section:sectionSocialHistory |
0..1 | BackboneElement | EPS Social History Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| 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 |
0..1 | BackboneElement | EPS Vital Signs Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
0..* | Reference(Vital Signs Profile) | Notable vital signs or physical findings. | |||||||||||
| section:sectionTravelHx |
0..1 | BackboneElement | EPS Travel History Section | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:travelObservation |
0..* | Reference(Observation: Country Visited (EPS)) | A reference to data that supports this section | |||||||||||
| section:sectionPatientHx |
0..1 | BackboneElement | EPS Patient History Section | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Documentation for this format | ||||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||||
| meta |
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 |
0..1 | id | Version specific identifier | |||||||||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |||||||||||
| source |
0..1 | uri | Identifies where the resource comes from | |||||||||||
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
| |||||||||||
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||||||||
| tag |
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 |
0..1 | uri | A set of rules under which this content was created | |||||||||||
| language |
0..1 | code | Language of the composition content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
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 | (Complex) | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||||||||
| value[x] |
0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition | |||||||||||
| extension:informationRecipient |
0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||||||||
| value[x] |
0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Value of extension | |||||||||||
| extension:diagnosticReport |
0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier |
1..1 | Identifier | PS business identifier
| |||||||||||
| status |
1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern:
| |||||||||||
| category |
0..* | CodeableConcept | Document Category Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | |||||||||||
| subject |
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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||
| encounter |
0..1 | Reference(Encounter) | Context of the Composition | |||||||||||
| date |
1..1 | dateTime | PS date
| |||||||||||
| author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| |||||||||||
| title |
1..1 | string | Patient Summary
| |||||||||||
| confidentiality |
0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||||||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| attester:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
| |||||||||||
| attester:legalAuthenticator |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal (extensions allowed) | |||||||||||
| time |
1..1 | dateTime | When the composition was attested | |||||||||||
| party |
1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition | |||||||||||
| attester:validator |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional (extensions allowed) | |||||||||||
| time |
1..1 | dateTime | When the composition was attested | |||||||||||
| party |
1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition | |||||||||||
| custodian |
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 |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
0..* | CodeableConcept | Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| |||||||||||
| period |
0..1 | Period | Event period
| |||||||||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||||||||
| Slices for section |
C | 5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
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.
| |||||||||||
| 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 |
C | 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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(Condition (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
C | 0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionImmunizations |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
C | 0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionResults |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-medicalTestResult |
C | 0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
| ||||||||||
| entry:results-diagnosticReport |
C | 0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionAdvanceDirectives |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
C | 0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive. | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionAlerts |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:flag |
C | 0..* | Reference(Flag: Patient (EU core)) | Alert information | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionFunctionalStatus |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
C | 0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities | ||||||||||
| entry:functionalAssessment |
C | 0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionPregnancyHx |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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 profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | ||||||||||
| entry:pregnancyOutcome |
C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | ||||||||||
| entry:gestationalAge |
C | 0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionPatientStory |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionPlanOfCare |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
C | 0..* | Reference(CarePlan) | Optional slice used to represent care plans | ||||||||||
| entry:immunizationRecommendation |
C | 0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionSocialHistory |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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 profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| 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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionVitalSigns |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
C | 0..* | Reference(Vital Signs Profile) | Notable vital signs or physical findings. | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:travelObservation |
C | 0..* | Reference(Observation: Country Visited (EPS)) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| 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.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:validator.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 v7.4 |
| 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:sectionAlerts.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.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:sectionAlerts, 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:sectionAlerts, 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:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from CompositionEuCore
Summary
Mandatory: 6 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||
| text |
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 |
Content/Rules for all slices | |||||||||||||
| extension:version |
0..1 | (Complex) | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||||||||
| extension:informationRecipient |
0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||||||||
| extension:diagnosticReport |
0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier |
1..1 | Identifier | PS business identifier
| |||||||||||
| status |
1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern:
| |||||||||||
| subject |
1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
| |||||||||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| date |
1..1 | dateTime | PS date
| |||||||||||
| author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| |||||||||||
| title |
1..1 | string | Patient Summary
| |||||||||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| attester:All Slices |
Content/Rules for all slices | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
| |||||||||||
| attester:legalAuthenticator |
0..* | BackboneElement | Attests to accuracy of composition | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal (extensions allowed) | |||||||||||
| time |
1..1 | dateTime | When the composition was attested | |||||||||||
| party |
1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition | |||||||||||
| attester:validator |
0..* | BackboneElement | Attests to accuracy of composition | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional (extensions allowed) | |||||||||||
| time |
1..1 | dateTime | When the composition was attested | |||||||||||
| party |
1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition | |||||||||||
| custodian |
0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
| |||||||||||
| event |
0..* | BackboneElement | The clinical service(s) being documented
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
0..* | CodeableConcept | Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| |||||||||||
| period |
0..1 | Period | Event period
| |||||||||||
| Slices for section |
C | 5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
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.
| |||||||||||
| text |
C | 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 |
C | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(Condition (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
C | 0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionImmunizations |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
C | 0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
| ||||||||||
| section:sectionResults |
C | 0..1 | BackboneElement | EPS Results Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-medicalTestResult |
C | 0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
| ||||||||||
| entry:results-diagnosticReport |
C | 0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| ||||||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| ||||||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| ||||||||||
| section:sectionAdvanceDirectives |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
C | 0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive. | ||||||||||
| section:sectionAlerts |
C | 0..1 | BackboneElement | EPS Alerts Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:flag |
C | 0..* | Reference(Flag: Patient (EU core)) | Alert information | ||||||||||
| section:sectionFunctionalStatus |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
C | 0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities | ||||||||||
| entry:functionalAssessment |
C | 0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | ||||||||||
| section:sectionPregnancyHx |
C | 0..1 | BackboneElement | EPS History of Pregnancy Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | ||||||||||
| entry:pregnancyOutcome |
C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | ||||||||||
| entry:gestationalAge |
C | 0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy | ||||||||||
| section:sectionPatientStory |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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 |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
C | 0..* | Reference(CarePlan) | Optional slice used to represent care plans | ||||||||||
| entry:immunizationRecommendation |
C | 0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | ||||||||||
| section:sectionSocialHistory |
C | 0..1 | BackboneElement | EPS Social History Section Constraints: cmp-1, cmp-2
| ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| 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 |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
C | 0..* | Reference(Vital Signs Profile) | Notable vital signs or physical findings. | ||||||||||
| section:sectionTravelHx |
C | 0..1 | BackboneElement | EPS Travel History Section Constraints: cmp-1, cmp-2 | ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 1..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:travelObservation |
C | 0..* | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| text |
C | 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.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:validator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.4 |
| 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:sectionAlerts.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:sectionAlerts, 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:sectionAlerts, 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 | Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension, Composition.event.modifierExtension, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section:sectionProblems.extension:section-note, Composition.section:sectionProblems.modifierExtension, Composition.section:sectionAllergies.extension:section-note, Composition.section:sectionAllergies.modifierExtension, Composition.section:sectionMedications.extension:section-note, Composition.section:sectionMedications.modifierExtension, Composition.section:sectionImmunizations.extension:section-note, Composition.section:sectionImmunizations.modifierExtension, Composition.section:sectionResults.extension:section-note, Composition.section:sectionResults.modifierExtension, Composition.section:sectionProceduresHx.extension:section-note, Composition.section:sectionProceduresHx.modifierExtension, Composition.section:sectionMedicalDevices.extension:section-note, Composition.section:sectionMedicalDevices.modifierExtension, Composition.section:sectionAdvanceDirectives.extension:section-note, Composition.section:sectionAdvanceDirectives.modifierExtension, Composition.section:sectionAlerts.extension:section-note, Composition.section:sectionAlerts.modifierExtension, Composition.section:sectionFunctionalStatus.extension:section-note, Composition.section:sectionFunctionalStatus.modifierExtension, Composition.section:sectionPregnancyHx.extension:section-note, Composition.section:sectionPregnancyHx.modifierExtension, Composition.section:sectionPatientStory.extension:section-note, Composition.section:sectionPatientStory.modifierExtension, Composition.section:sectionPlanOfCare.extension:section-note, Composition.section:sectionPlanOfCare.modifierExtension, Composition.section:sectionSocialHistory.extension:section-note, Composition.section:sectionSocialHistory.modifierExtension, Composition.section:sectionVitalSigns.extension:section-note, Composition.section:sectionVitalSigns.modifierExtension, Composition.section:sectionTravelHx.extension:section-note, Composition.section:sectionTravelHx.modifierExtension, Composition.section:sectionPatientHx.extension:section-note, Composition.section:sectionPatientHx.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
Differential View
This structure is derived from CompositionEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
| meta |
||||||||||||||
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation
| |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:version |
0..1 | R5 Composition.version | Business version | |||||||||||
| identifier |
1..1 | Identifier | PS business identifier
| |||||||||||
| status |
1..1 | code | PS status
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Required Pattern:
| |||||||||||
| subject |
1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
| |||||||||||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL
| |||||||||||
| date |
1..1 | dateTime | PS date
| |||||||||||
| author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| |||||||||||
| title |
1..1 | string | Patient Summary
| |||||||||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition
| |||||||||||
| mode |
1..1 | code | The type of attestation
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
| |||||||||||
| custodian |
0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
| |||||||||||
| event |
0..* | BackboneElement | The clinical service(s) being documented
| |||||||||||
| code |
0..* | CodeableConcept | Event code
| |||||||||||
| period |
0..1 | Period | Event period
| |||||||||||
| Slices for section |
5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended)
| |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| section |
0..0 | Nested Section | ||||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | EPS Problems Section Constraints: ips-comp-1
| ||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
0..* | Reference(Condition (EU core)) | A reference to data that supports this section
| |||||||||||
| emptyReason |
0..1 | CodeableConcept | Empty reason
| |||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: ips-comp-1
| ||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
| |||||||||||
| emptyReason |
0..1 | CodeableConcept | Empty reason
| |||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: ips-comp-1
| ||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
| |||||||||||
| emptyReason |
0..1 | CodeableConcept | Empty reason
| |||||||||||
| section:sectionImmunizations |
0..1 | BackboneElement | EPS Immunizations Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
| |||||||||||
| section:sectionResults |
0..1 | BackboneElement | EPS Results Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-medicalTestResult |
0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
| |||||||||||
| entry:results-diagnosticReport |
0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| |||||||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | EPS History of Procedures Section Constraints: ips-comp-1
| ||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| |||||||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | EPS Medical Devices Section Constraints: ips-comp-1
| ||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| |||||||||||
| section:sectionAdvanceDirectives |
0..1 | BackboneElement | EPS Advance Directives Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive. | |||||||||||
| section:sectionAlerts |
0..1 | BackboneElement | EPS Alerts Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:flag |
0..* | Reference(Flag: Patient (EU core)) | Alert information | |||||||||||
| section:sectionFunctionalStatus |
0..1 | BackboneElement | EPS Functional Status
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities | |||||||||||
| entry:functionalAssessment |
0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | |||||||||||
| section:sectionPregnancyHx |
0..1 | BackboneElement | EPS History of Pregnancy Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | |||||||||||
| entry:pregnancyOutcome |
0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | |||||||||||
| entry:gestationalAge |
0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy | |||||||||||
| section:sectionPatientStory |
0..1 | BackboneElement | EPS Patient Story Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| entry |
0..* | Reference(Resource) | Patient Story resources. | |||||||||||
| section:sectionPlanOfCare |
0..1 | BackboneElement | EPS Plan of Care Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
0..* | Reference(CarePlan) | Optional slice used to represent care plans | |||||||||||
| entry:immunizationRecommendation |
0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | |||||||||||
| section:sectionSocialHistory |
0..1 | BackboneElement | EPS Social History Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:smokingTobaccoUse |
0..1 | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits | |||||||||||
| entry:alcoholUse |
0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption | |||||||||||
| section:sectionVitalSigns |
0..1 | BackboneElement | EPS Vital Signs Section
| |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
0..* | Reference(Vital Signs Profile) | Notable vital signs or physical findings. | |||||||||||
| section:sectionTravelHx |
0..1 | BackboneElement | EPS Travel History Section | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:travelObservation |
0..* | Reference(Observation: Country Visited (EPS)) | A reference to data that supports this section | |||||||||||
| section:sectionPatientHx |
0..1 | BackboneElement | EPS Patient History Section | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: | |||||||||||
| Documentation for this format | ||||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS) | |||||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||||
| meta |
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 |
0..1 | id | Version specific identifier | |||||||||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |||||||||||
| source |
0..1 | uri | Identifies where the resource comes from | |||||||||||
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
| |||||||||||
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||||||||
| tag |
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 |
0..1 | uri | A set of rules under which this content was created | |||||||||||
| language |
0..1 | code | Language of the composition content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
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 | (Complex) | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1 | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" | |||||||||||
| value[x] |
0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition | |||||||||||
| extension:informationRecipient |
0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient" | |||||||||||
| value[x] |
0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Value of extension | |||||||||||
| extension:diagnosticReport |
0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier |
1..1 | Identifier | PS business identifier
| |||||||||||
| status |
1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern:
| |||||||||||
| category |
0..* | CodeableConcept | Document Category Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | |||||||||||
| subject |
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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||
| encounter |
0..1 | Reference(Encounter) | Context of the Composition | |||||||||||
| date |
1..1 | dateTime | PS date
| |||||||||||
| author |
1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
| |||||||||||
| title |
1..1 | string | Patient Summary
| |||||||||||
| confidentiality |
0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||||||||
| Slices for attester |
0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| attester:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
| |||||||||||
| attester:legalAuthenticator |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal (extensions allowed) | |||||||||||
| time |
1..1 | dateTime | When the composition was attested | |||||||||||
| party |
1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition | |||||||||||
| attester:validator |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional (extensions allowed) | |||||||||||
| time |
1..1 | dateTime | When the composition was attested | |||||||||||
| party |
1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition | |||||||||||
| custodian |
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 |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
0..* | CodeableConcept | Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
| |||||||||||
| period |
0..1 | Period | Event period
| |||||||||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||||||||
| Slices for section |
C | 5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
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.
| |||||||||||
| 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 |
C | 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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(Condition (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
C | 0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionImmunizations |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
C | 0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionResults |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-medicalTestResult |
C | 0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
| ||||||||||
| entry:results-diagnosticReport |
C | 0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionProceduresHx |
C | 1..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionMedicalDevices |
C | 1..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionAdvanceDirectives |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
C | 0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive. | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionAlerts |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:flag |
C | 0..* | Reference(Flag: Patient (EU core)) | Alert information | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionFunctionalStatus |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
C | 0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities | ||||||||||
| entry:functionalAssessment |
C | 0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionPregnancyHx |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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 profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status | ||||||||||
| entry:pregnancyOutcome |
C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies | ||||||||||
| entry:gestationalAge |
C | 0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionPatientStory |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionPlanOfCare |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
C | 0..* | Reference(CarePlan) | Optional slice used to represent care plans | ||||||||||
| entry:immunizationRecommendation |
C | 0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionSocialHistory |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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 profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| 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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| section:sectionVitalSigns |
C | 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
C | 0..* | Reference(Vital Signs Profile) | Notable vital signs or physical findings. | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:travelObservation |
C | 0..* | Reference(Observation: Country Visited (EPS)) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| 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 | |||||||||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: | |||||||||||
| 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 |
C | 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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||||
| 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.attester:legalAuthenticator.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.attester:validator.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 v7.4 |
| 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:sectionAlerts.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.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:sectionAlerts, 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:sectionAlerts, 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:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from CompositionEuCore
Summary
Mandatory: 6 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
The Patient Story section - inherited from ISO 27269 and FHIR IPS IG - "contains narrative text along with optional resources that express what matters to a patient. This may include needs, strengths, values, concerns and preferences to others providing supportand care. The patient’s story, provided here, may be told by the patient or by a proxy"
While, the Patient History - derived from the eHN PS Guidelines A.2.2.3 Medical history (not to be confused with the overarching structure A.2.2 Medical history) - "may provide both synthetic anamnesis (e.g. description of phases of the pathology as a chronological summary of clustered clinical information) and anecdotal evidence that clinicians can collect from the patient, and can read in a narrative form. See Section 2, Chapter III, Art 7, (c)."
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.eps#1.0.0-ci-build based on FHIR 4.0.1. Generated 2026-10-16
