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

## Resource Profile: Composition (EPS)

Official URL: http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps | Version: 1.0.0-ci-build
Standards status: Draft | Maturity Level: 1 | Computable Name: CompositionEuEps
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

Clinical document used to represent a Patient Summary for the scope of this project.

Usages:

- Use this Profile: Bundle (EPS)

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) (2.0.0)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:version |  | 0..1 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | PS business identifier
status | ?!Σ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject | Σ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
date | Σ | 1..1 | dateTime | PS date
author | Σ | 1..* | Reference(Practitioner (EU core)(2.0.0-ballot) | PractitionerRole (EU core)(2.0.0-ballot) | Device | Organization (EU core)(2.0.0-ballot) | Patient (EU core)(2.0.0-ballot) | RelatedPerson) | Who and/or what authored the Patient Summary
title | Σ | 1..1 | string | Patient Summary
custodian | Σ | 0..1 | Reference(Organization (EU core)(2.0.0-ballot)) | Custodian of the Patient Summary
Slices for section | C | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:problem | C | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:allergyOrIntolerance | C | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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 (EU core) | MedicationRequest (EPS) | MedicationAdministration (EPS) | MedicationDispense (EPS)) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve()
entry:medicationStatementOrRequest | C | 0..1 | Reference(MedicationStatement (EU core)) | Medications relevant for the scope of the patient summary
section:sectionImmunizations | C | 0..1 | BackboneElement | EPS Immunizations 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:immunization | C | 0..1 | 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, 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:results-observation-laboratory-pathology | C | 0..1 | Reference(Observation Results - Laboratory/Pathology (IPS)) | Laboratory and pathology results
entry:results-observation-radiology | C | 0..1 | Reference(Observation Results - Radiology (IPS)(2.0.0)) | Radiology results
entry:results-diagnosticReport | C | 0..1 | Reference(DiagnosticReport (EU core)) | EPS DiagnosticReport
section:sectionProceduresHx | C | 0..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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:procedure | C | 0..1 | Reference(Procedure (EU core)) | Patient past procedures pertinent to the scope of this document.
section:sectionMedicalDevices | C | 0..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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:deviceStatement | C | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
section:sectionAdvanceDirectives | C | 0..1 | BackboneElement | Advance Directives 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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(Consent (Advance Directives EPS) | DocumentReference) | A reference to data that supports this section
section:sectionAlert | C | 0..1 | BackboneElement | EPS Alerts 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:flag | C | 0..1 | Reference(Flag (EU core)) | Alert information
section:sectionFunctionalStatus | C | 0..1 | BackboneElement | Functional Status 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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) | Functional Status short Slice: Unordered, Open by type:resolve()
entry:functionalStatus | C | 0..1 | Reference(Condition (EU core)) | SHORT functionalStatus
section:sectionPastProblems | C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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:sectionPregnancyHx | C | 0..1 | BackboneElement | Pregnancy History 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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) | Pregnancy History short Slice: Unordered, Open by type:resolve()
entry:pregnancyStatus | C | 0..1 | Reference(Observation Pregnancy - Status (IPS)(2.0.0)) | Pregnancy status
entry:pregnancyOutcome | C | 0..1 | Reference(Observation Pregnancy - Outcome (IPS)(2.0.0)) | Pregnancy outcome
section:sectionPatientStory | C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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:sectionPlanOfCare | C | 0..1 | BackboneElement | Health Maintenance Care Plan Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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:sectionSocialHistory | C | 0..1 | BackboneElement | Social History Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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:sectionVitalSigns | C | 0..1 | BackboneElement | Vital Signs 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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) | Vital Signs short Slice: Unordered, Open by type:resolve()
entry:vitalSign | C | 0..1 | Reference(Vital Signs Profile) | SHORT vitalSign
section:sectionTravelHx | C | 0..1 | BackboneElement | Travel History 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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(Observation: country visited (HDR)) | A reference to data that supports this section
section:sectionPatientHx | C | 0..1 | BackboneElement | Patient History 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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

#### Terminology Bindings

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.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:sectionAllergies.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​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.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, 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:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | Either section.entry or emptyReason are present | `(entry.reference.exists() or emptyReason.exists())`

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) (2.0.0)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:version |  | 0..1 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
identifier |  | 0..1 | Identifier | PS business identifier
status |  | 1..1 | code | PS status
type |  | 1..1 | CodeableConceptIPS(2.0.0) | Kind of composition ("Patient Summary")
subject |  | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
date |  | 1..1 | dateTime | PS date
author |  | 1..* | Reference(Practitioner (EU core)(2.0.0-ballot) | PractitionerRole (EU core)(2.0.0-ballot) | Device | Organization (EU core)(2.0.0-ballot) | Patient (EU core)(2.0.0-ballot) | RelatedPerson) | Who and/or what authored the Patient Summary
title |  | 1..1 | string | Patient Summary
attester |  |  |  |
mode |  | 1..1 | code | The type of attestation
party |  | 0..1 | Reference(Practitioner (EU core)(2.0.0-ballot) | PractitionerRole (EU core)(2.0.0-ballot) | Organization (EU core)(2.0.0-ballot) | Patient (EPS) | RelatedPerson) | Who attested the composition
custodian |  | 0..1 | Reference(Organization (EU core)(2.0.0-ballot)) | Custodian of the Patient Summary
Slices for section |  | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code
section:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
Slices for entry |  | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve()
entry:problem |  | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
section:sectionAllergies | C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
Slices for entry |  | 0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve()
entry:allergyOrIntolerance |  | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
section:sectionMedications | C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
Slices for entry |  | 0..* | Reference(MedicationStatement (EU core) | MedicationRequest (EPS) | MedicationAdministration (EPS) | MedicationDispense (EPS)) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve()
entry:medicationStatementOrRequest |  | 0..1 | Reference(MedicationStatement (EU core)) | Medications relevant for the scope of the patient summary
section:sectionImmunizations | C | 0..1 | BackboneElement | EPS Immunizations Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
Slices for entry |  | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve()
entry:immunization |  | 0..1 | Reference(Immunization (EU core)) | A reference to data that supports this section
section:sectionResults | C | 0..1 | BackboneElement | EPS Results Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
Slices for entry |  | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:resolve()
entry:results-observation-laboratory-pathology |  | 0..1 | Reference(Observation Results - Laboratory/Pathology (IPS)) | Laboratory and pathology results
entry:results-observation-radiology |  | 0..1 | Reference(Observation Results - Radiology (IPS)(2.0.0)) | Radiology results
entry:results-diagnosticReport |  | 0..1 | Reference(DiagnosticReport (EU core)) | EPS DiagnosticReport
section:sectionProceduresHx | C | 0..1 | BackboneElement | EPS History of Procedures Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
Slices for entry |  | 0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve()
entry:procedure |  | 0..1 | Reference(Procedure (EU core)) | Patient past procedures pertinent to the scope of this document.
section:sectionMedicalDevices | C | 0..1 | BackboneElement | EPS Medical Devices Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
Slices for entry |  | 0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:resolve()
entry:deviceStatement |  | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
section:sectionAdvanceDirectives | C | 0..1 | BackboneElement | Advance Directives Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
entry |  | 0..* | Reference(Consent (Advance Directives EPS) | DocumentReference) | A reference to data that supports this section
section:sectionAlert | C | 0..1 | BackboneElement | EPS Alerts Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
Slices for entry |  | 0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve()
entry:flag |  | 0..1 | Reference(Flag (EU core)) | Alert information
section:sectionFunctionalStatus | C | 0..1 | BackboneElement | Functional Status Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
Slices for entry |  | 0..* | Reference(Resource) | Functional Status short Slice: Unordered, Open by type:resolve()
entry:functionalStatus |  | 0..1 | Reference(Condition (EU core)) | SHORT functionalStatus
section:sectionPastProblems |  | 0..1 | BackboneElement | Composition is broken into sections
section:sectionPregnancyHx | C | 0..1 | BackboneElement | Pregnancy History Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
Slices for entry |  | 0..* | Reference(Resource) | Pregnancy History short Slice: Unordered, Open by type:resolve()
entry:pregnancyStatus |  | 0..1 | Reference(Observation Pregnancy - Status (IPS)(2.0.0)) | Pregnancy status
entry:pregnancyOutcome |  | 0..1 | Reference(Observation Pregnancy - Outcome (IPS)(2.0.0)) | Pregnancy outcome
section:sectionPatientStory |  | 0..1 | BackboneElement | Composition is broken into sections
section:sectionPlanOfCare |  | 0..1 | BackboneElement | Health Maintenance Care Plan
section:sectionSocialHistory |  | 0..1 | BackboneElement | Social History
section:sectionVitalSigns | C | 0..1 | BackboneElement | Vital Signs Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
Slices for entry |  | 0..* | Reference(Resource) | Vital Signs short Slice: Unordered, Open by type:resolve()
entry:vitalSign |  | 0..1 | Reference(Vital Signs Profile) | SHORT vitalSign
section:sectionTravelHx | C | 0..1 | BackboneElement | Travel History Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
entry |  | 0..* | Reference(Observation: country visited (HDR)) | A reference to data that supports this section
section:sectionPatientHx | C | 0..1 | BackboneElement | Patient History Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | Either section.entry or emptyReason are present | `(entry.reference.exists() or emptyReason.exists())`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) (2.0.0)
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | PS business identifier
status | ?!Σ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | Σ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | Σ | 1..1 | dateTime | PS date
author | Σ | 1..* | Reference(Practitioner (EU core)(2.0.0-ballot) | PractitionerRole (EU core)(2.0.0-ballot) | Device | Organization (EU core)(2.0.0-ballot) | Patient (EU core)(2.0.0-ballot) | RelatedPerson) | Who and/or what authored the Patient Summary
title | Σ | 1..1 | string | Patient Summary
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 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(Practitioner (EU core)(2.0.0-ballot) | PractitionerRole (EU core)(2.0.0-ballot) | Organization (EU core)(2.0.0-ballot) | Patient (EPS) | RelatedPerson) | Who attested the composition
custodian | Σ | 0..1 | Reference(Organization (EU core)(2.0.0-ballot)) | Custodian of the Patient Summary
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | C | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | Why the section is empty 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:problem | C | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section: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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:allergyOrIntolerance | C | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty 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
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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 (EU core) | MedicationRequest (EPS) | MedicationAdministration (EPS) | MedicationDispense (EPS)) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve()
entry:medicationStatementOrRequest | C | 0..1 | Reference(MedicationStatement (EU core)) | Medications relevant for the scope of the patient summary
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty 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, 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:immunization | C | 0..1 | Reference(Immunization (EU core)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionResults | C | 0..1 | BackboneElement | EPS Results 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:results-observation-laboratory-pathology | C | 0..1 | Reference(Observation Results - Laboratory/Pathology (IPS)) | Laboratory and pathology results
entry:results-observation-radiology | C | 0..1 | Reference(Observation Results - Radiology (IPS)(2.0.0)) | Radiology results
entry:results-diagnosticReport | C | 0..1 | Reference(DiagnosticReport (EU core)) | EPS DiagnosticReport
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionProceduresHx | C | 0..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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:procedure | C | 0..1 | Reference(Procedure (EU core)) | Patient past procedures pertinent to the scope of this document.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionMedicalDevices | C | 0..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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:deviceStatement | C | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAdvanceDirectives | C | 0..1 | BackboneElement | Advance Directives 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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(Consent (Advance Directives EPS) | DocumentReference) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAlert | C | 0..1 | BackboneElement | EPS Alerts 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:flag | C | 0..1 | Reference(Flag (EU core)) | Alert information
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionFunctionalStatus | C | 0..1 | BackboneElement | Functional Status 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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) | Functional Status short Slice: Unordered, Open by type:resolve()
entry:functionalStatus | C | 0..1 | Reference(Condition (EU core)) | SHORT functionalStatus
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPastProblems | C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPregnancyHx | C | 0..1 | BackboneElement | Pregnancy History 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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) | Pregnancy History short Slice: Unordered, Open by type:resolve()
entry:pregnancyStatus | C | 0..1 | Reference(Observation Pregnancy - Status (IPS)(2.0.0)) | Pregnancy status
entry:pregnancyOutcome | C | 0..1 | Reference(Observation Pregnancy - Outcome (IPS)(2.0.0)) | Pregnancy outcome
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPatientStory | C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPlanOfCare | C | 0..1 | BackboneElement | Health Maintenance Care Plan Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionSocialHistory | C | 0..1 | BackboneElement | Social History Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionVitalSigns | C | 0..1 | BackboneElement | Vital Signs 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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) | Vital Signs short Slice: Unordered, Open by type:resolve()
entry:vitalSign | C | 0..1 | Reference(Vital Signs Profile) | SHORT vitalSign
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionTravelHx | C | 0..1 | BackboneElement | Travel History 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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(Observation: country visited (HDR)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPatientHx | C | 0..1 | BackboneElement | Patient History 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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 | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
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.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0
Composition.section.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​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.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, 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:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | Either section.entry or emptyReason are present | `(entry.reference.exists() or emptyReason.exists())`

This structure is derived from Composition

Summary

Mandatory: 4 elements(3 nested mandatory elements)
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- Patient (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps)
- Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
- PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
- Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)
- Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
- Condition (EU core) (http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core)
- Allergy Intolerance (EU core) (http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core)
- MedicationStatement (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core)
- MedicationRequest (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/medicationRequest-eu-eps)
- MedicationAdministration (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/medicationAdministration-eu-eps)
- MedicationDispense (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/medicationDispense-eu-eps)
- Immunization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core)
- Observation Results - Laboratory/Pathology (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-laboratory-pathology-uv-ips)
- Observation Results - Radiology (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips)
- DiagnosticReport (EU core) (http://hl7.eu/fhir/base/StructureDefinition/diagnosticReport-eu-core)
- Procedure (EU core) (http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core)
- DeviceUseStatement (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps)
- Consent (Advance Directives EPS) (http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps)
- Flag (EU core) (http://hl7.eu/fhir/base/StructureDefinition/flag-eu-core)
- Observation Pregnancy - Status (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips)
- Observation Pregnancy - Outcome (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips)
- Vital Signs Profile (http://hl7.org/fhir/StructureDefinition/vitalsigns)
- Observation: country visited (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/observation-travel-eu-hdr)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
- http://hl7.org/fhir/StructureDefinition/note

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) (2.0.0)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:version |  | 0..1 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | PS business identifier
status | ?!Σ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
subject | Σ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
date | Σ | 1..1 | dateTime | PS date
author | Σ | 1..* | Reference(Practitioner (EU core)(2.0.0-ballot) | PractitionerRole (EU core)(2.0.0-ballot) | Device | Organization (EU core)(2.0.0-ballot) | Patient (EU core)(2.0.0-ballot) | RelatedPerson) | Who and/or what authored the Patient Summary
title | Σ | 1..1 | string | Patient Summary
custodian | Σ | 0..1 | Reference(Organization (EU core)(2.0.0-ballot)) | Custodian of the Patient Summary
Slices for section | C | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:problem | C | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:allergyOrIntolerance | C | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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 (EU core) | MedicationRequest (EPS) | MedicationAdministration (EPS) | MedicationDispense (EPS)) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve()
entry:medicationStatementOrRequest | C | 0..1 | Reference(MedicationStatement (EU core)) | Medications relevant for the scope of the patient summary
section:sectionImmunizations | C | 0..1 | BackboneElement | EPS Immunizations 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:immunization | C | 0..1 | 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, 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:results-observation-laboratory-pathology | C | 0..1 | Reference(Observation Results - Laboratory/Pathology (IPS)) | Laboratory and pathology results
entry:results-observation-radiology | C | 0..1 | Reference(Observation Results - Radiology (IPS)(2.0.0)) | Radiology results
entry:results-diagnosticReport | C | 0..1 | Reference(DiagnosticReport (EU core)) | EPS DiagnosticReport
section:sectionProceduresHx | C | 0..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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:procedure | C | 0..1 | Reference(Procedure (EU core)) | Patient past procedures pertinent to the scope of this document.
section:sectionMedicalDevices | C | 0..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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:deviceStatement | C | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
section:sectionAdvanceDirectives | C | 0..1 | BackboneElement | Advance Directives 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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(Consent (Advance Directives EPS) | DocumentReference) | A reference to data that supports this section
section:sectionAlert | C | 0..1 | BackboneElement | EPS Alerts 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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:resolve()
entry:flag | C | 0..1 | Reference(Flag (EU core)) | Alert information
section:sectionFunctionalStatus | C | 0..1 | BackboneElement | Functional Status 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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) | Functional Status short Slice: Unordered, Open by type:resolve()
entry:functionalStatus | C | 0..1 | Reference(Condition (EU core)) | SHORT functionalStatus
section:sectionPastProblems | C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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:sectionPregnancyHx | C | 0..1 | BackboneElement | Pregnancy History 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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) | Pregnancy History short Slice: Unordered, Open by type:resolve()
entry:pregnancyStatus | C | 0..1 | Reference(Observation Pregnancy - Status (IPS)(2.0.0)) | Pregnancy status
entry:pregnancyOutcome | C | 0..1 | Reference(Observation Pregnancy - Outcome (IPS)(2.0.0)) | Pregnancy outcome
section:sectionPatientStory | C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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:sectionPlanOfCare | C | 0..1 | BackboneElement | Health Maintenance Care Plan Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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:sectionSocialHistory | C | 0..1 | BackboneElement | Social History Constraints: cmp-1, cmp-2
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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:sectionVitalSigns | C | 0..1 | BackboneElement | Vital Signs 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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) | Vital Signs short Slice: Unordered, Open by type:resolve()
entry:vitalSign | C | 0..1 | Reference(Vital Signs Profile) | SHORT vitalSign
section:sectionTravelHx | C | 0..1 | BackboneElement | Travel History 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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(Observation: country visited (HDR)) | A reference to data that supports this section
section:sectionPatientHx | C | 0..1 | BackboneElement | Patient History 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 | ?!Σ | 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(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | 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

#### Terminology Bindings

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.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:sectionAllergies.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​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.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, 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:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | Either section.entry or emptyReason are present | `(entry.reference.exists() or emptyReason.exists())`

Differential View

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) (2.0.0)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:version |  | 0..1 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
identifier |  | 0..1 | Identifier | PS business identifier
status |  | 1..1 | code | PS status
type |  | 1..1 | CodeableConceptIPS(2.0.0) | Kind of composition ("Patient Summary")
subject |  | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
date |  | 1..1 | dateTime | PS date
author |  | 1..* | Reference(Practitioner (EU core)(2.0.0-ballot) | PractitionerRole (EU core)(2.0.0-ballot) | Device | Organization (EU core)(2.0.0-ballot) | Patient (EU core)(2.0.0-ballot) | RelatedPerson) | Who and/or what authored the Patient Summary
title |  | 1..1 | string | Patient Summary
attester |  |  |  |
mode |  | 1..1 | code | The type of attestation
party |  | 0..1 | Reference(Practitioner (EU core)(2.0.0-ballot) | PractitionerRole (EU core)(2.0.0-ballot) | Organization (EU core)(2.0.0-ballot) | Patient (EPS) | RelatedPerson) | Who attested the composition
custodian |  | 0..1 | Reference(Organization (EU core)(2.0.0-ballot)) | Custodian of the Patient Summary
Slices for section |  | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code
section:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConcept | 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
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
Slices for entry |  | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve()
entry:problem |  | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
section:sectionAllergies | C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
Slices for entry |  | 0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve()
entry:allergyOrIntolerance |  | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
section:sectionMedications | C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
Slices for entry |  | 0..* | Reference(MedicationStatement (EU core) | MedicationRequest (EPS) | MedicationAdministration (EPS) | MedicationDispense (EPS)) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve()
entry:medicationStatementOrRequest |  | 0..1 | Reference(MedicationStatement (EU core)) | Medications relevant for the scope of the patient summary
section:sectionImmunizations | C | 0..1 | BackboneElement | EPS Immunizations Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
Slices for entry |  | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve()
entry:immunization |  | 0..1 | Reference(Immunization (EU core)) | A reference to data that supports this section
section:sectionResults | C | 0..1 | BackboneElement | EPS Results Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
Slices for entry |  | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:resolve()
entry:results-observation-laboratory-pathology |  | 0..1 | Reference(Observation Results - Laboratory/Pathology (IPS)) | Laboratory and pathology results
entry:results-observation-radiology |  | 0..1 | Reference(Observation Results - Radiology (IPS)(2.0.0)) | Radiology results
entry:results-diagnosticReport |  | 0..1 | Reference(DiagnosticReport (EU core)) | EPS DiagnosticReport
section:sectionProceduresHx | C | 0..1 | BackboneElement | EPS History of Procedures Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
Slices for entry |  | 0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve()
entry:procedure |  | 0..1 | Reference(Procedure (EU core)) | Patient past procedures pertinent to the scope of this document.
section:sectionMedicalDevices | C | 0..1 | BackboneElement | EPS Medical Devices Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
Slices for entry |  | 0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:resolve()
entry:deviceStatement |  | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
section:sectionAdvanceDirectives | C | 0..1 | BackboneElement | Advance Directives Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
entry |  | 0..* | Reference(Consent (Advance Directives EPS) | DocumentReference) | A reference to data that supports this section
section:sectionAlert | C | 0..1 | BackboneElement | EPS Alerts Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
Slices for entry |  | 0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve()
entry:flag |  | 0..1 | Reference(Flag (EU core)) | Alert information
section:sectionFunctionalStatus | C | 0..1 | BackboneElement | Functional Status Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
Slices for entry |  | 0..* | Reference(Resource) | Functional Status short Slice: Unordered, Open by type:resolve()
entry:functionalStatus |  | 0..1 | Reference(Condition (EU core)) | SHORT functionalStatus
section:sectionPastProblems |  | 0..1 | BackboneElement | Composition is broken into sections
section:sectionPregnancyHx | C | 0..1 | BackboneElement | Pregnancy History Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
Slices for entry |  | 0..* | Reference(Resource) | Pregnancy History short Slice: Unordered, Open by type:resolve()
entry:pregnancyStatus |  | 0..1 | Reference(Observation Pregnancy - Status (IPS)(2.0.0)) | Pregnancy status
entry:pregnancyOutcome |  | 0..1 | Reference(Observation Pregnancy - Outcome (IPS)(2.0.0)) | Pregnancy outcome
section:sectionPatientStory |  | 0..1 | BackboneElement | Composition is broken into sections
section:sectionPlanOfCare |  | 0..1 | BackboneElement | Health Maintenance Care Plan
section:sectionSocialHistory |  | 0..1 | BackboneElement | Social History
section:sectionVitalSigns | C | 0..1 | BackboneElement | Vital Signs Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
Slices for entry |  | 0..* | Reference(Resource) | Vital Signs short Slice: Unordered, Open by type:resolve()
entry:vitalSign |  | 0..1 | Reference(Vital Signs Profile) | SHORT vitalSign
section:sectionTravelHx | C | 0..1 | BackboneElement | Travel History Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
entry |  | 0..* | Reference(Observation: country visited (HDR)) | A reference to data that supports this section
section:sectionPatientHx | C | 0..1 | BackboneElement | Patient History Section Constraints: 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
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | Either section.entry or emptyReason are present | `(entry.reference.exists() or emptyReason.exists())`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Patient Summary composition This profile also imposes the profile Composition (IPS) (2.0.0)
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | string | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..1 | Identifier | PS business identifier
status | ?!Σ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | Σ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | Σ | 1..1 | dateTime | PS date
author | Σ | 1..* | Reference(Practitioner (EU core)(2.0.0-ballot) | PractitionerRole (EU core)(2.0.0-ballot) | Device | Organization (EU core)(2.0.0-ballot) | Patient (EU core)(2.0.0-ballot) | RelatedPerson) | Who and/or what authored the Patient Summary
title | Σ | 1..1 | string | Patient Summary
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 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(Practitioner (EU core)(2.0.0-ballot) | PractitionerRole (EU core)(2.0.0-ballot) | Organization (EU core)(2.0.0-ballot) | Patient (EPS) | RelatedPerson) | Who attested the composition
custodian | Σ | 0..1 | Reference(Organization (EU core)(2.0.0-ballot)) | Custodian of the Patient Summary
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | C | 3..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | Why the section is empty 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:problem | C | 0..1 | Reference(Condition (EU core)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section: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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:allergyOrIntolerance | C | 0..1 | Reference(Allergy Intolerance (EU core)) | Relevant allergies or intolerances for that patient.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty 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
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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 (EU core) | MedicationRequest (EPS) | MedicationAdministration (EPS) | MedicationDispense (EPS)) | medicationStatementOrRequest Slice: Unordered, Open by type:resolve()
entry:medicationStatementOrRequest | C | 0..1 | Reference(MedicationStatement (EU core)) | Medications relevant for the scope of the patient summary
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty 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, 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:immunization | C | 0..1 | Reference(Immunization (EU core)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionResults | C | 0..1 | BackboneElement | EPS Results 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:results-observation-laboratory-pathology | C | 0..1 | Reference(Observation Results - Laboratory/Pathology (IPS)) | Laboratory and pathology results
entry:results-observation-radiology | C | 0..1 | Reference(Observation Results - Radiology (IPS)(2.0.0)) | Radiology results
entry:results-diagnosticReport | C | 0..1 | Reference(DiagnosticReport (EU core)) | EPS DiagnosticReport
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionProceduresHx | C | 0..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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:procedure | C | 0..1 | Reference(Procedure (EU core)) | Patient past procedures pertinent to the scope of this document.
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionMedicalDevices | C | 0..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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:deviceStatement | C | 0..1 | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAdvanceDirectives | C | 0..1 | BackboneElement | Advance Directives 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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(Consent (Advance Directives EPS) | DocumentReference) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAlert | C | 0..1 | BackboneElement | EPS Alerts 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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:resolve()
entry:flag | C | 0..1 | Reference(Flag (EU core)) | Alert information
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionFunctionalStatus | C | 0..1 | BackboneElement | Functional Status 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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) | Functional Status short Slice: Unordered, Open by type:resolve()
entry:functionalStatus | C | 0..1 | Reference(Condition (EU core)) | SHORT functionalStatus
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPastProblems | C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPregnancyHx | C | 0..1 | BackboneElement | Pregnancy History 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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) | Pregnancy History short Slice: Unordered, Open by type:resolve()
entry:pregnancyStatus | C | 0..1 | Reference(Observation Pregnancy - Status (IPS)(2.0.0)) | Pregnancy status
entry:pregnancyOutcome | C | 0..1 | Reference(Observation Pregnancy - Outcome (IPS)(2.0.0)) | Pregnancy outcome
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPatientStory | C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPlanOfCare | C | 0..1 | BackboneElement | Health Maintenance Care Plan Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionSocialHistory | C | 0..1 | BackboneElement | Social History Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 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.
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 | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionVitalSigns | C | 0..1 | BackboneElement | Vital Signs 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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) | Vital Signs short Slice: Unordered, Open by type:resolve()
entry:vitalSign | C | 0..1 | Reference(Vital Signs Profile) | SHORT vitalSign
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionTravelHx | C | 0..1 | BackboneElement | Travel History 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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(Observation: country visited (HDR)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPatientHx | C | 0..1 | BackboneElement | Patient History 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
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 1..1 | string | Label for section (e.g. for ToC)
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | 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 | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
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.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0
Composition.section.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​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.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, 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:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | Either section.entry or emptyReason are present | `(entry.reference.exists() or emptyReason.exists())`

This structure is derived from Composition

Summary

Mandatory: 4 elements(3 nested mandatory elements)
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- Patient (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps)
- Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
- PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
- Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)
- Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
- Condition (EU core) (http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core)
- Allergy Intolerance (EU core) (http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core)
- MedicationStatement (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core)
- MedicationRequest (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/medicationRequest-eu-eps)
- MedicationAdministration (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/medicationAdministration-eu-eps)
- MedicationDispense (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/medicationDispense-eu-eps)
- Immunization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core)
- Observation Results - Laboratory/Pathology (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-laboratory-pathology-uv-ips)
- Observation Results - Radiology (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips)
- DiagnosticReport (EU core) (http://hl7.eu/fhir/base/StructureDefinition/diagnosticReport-eu-core)
- Procedure (EU core) (http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core)
- DeviceUseStatement (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps)
- Consent (Advance Directives EPS) (http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps)
- Flag (EU core) (http://hl7.eu/fhir/base/StructureDefinition/flag-eu-core)
- Observation Pregnancy - Status (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips)
- Observation Pregnancy - Outcome (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips)
- Vital Signs Profile (http://hl7.org/fhir/StructureDefinition/vitalsigns)
- Observation: country visited (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/observation-travel-eu-hdr)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
- http://hl7.org/fhir/StructureDefinition/note

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Maturity: 1

Other representations of profile: CSV, Excel, Schematron