HL7 Europe Hospital Discharge Report
0.0.1-ci - ci-build 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

Resource Profile: Composition (HDR)

Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr Version: 0.0.1-ci
Draft as of 2024-11-06 Computable Name: CompositionEuHdr

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

Clinical document used to represent a Hospital Discharge Report (HDR) for the scope of this guide.

Usage:

Formal Views of Profile Content

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

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition Hospital Discharge Report composition
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... relatedArtifact 0..* (Complex) Related artefacts: e.g. presented form
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
..... value[x]
...... type 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Example presented form: {"coding":[{"system":"http://hl7.org/fhir/related-artifact-type","code":"transformed-into"}]}
.... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... value[x] 0..1 Reference(PractitionerRole: (HDR) | Practitioner (HDR) | Device | Patient (HDR) | RelatedPerson | Organization) Value of extension
... identifier 0..1 Identifier HDR business identifier
... status 1..1 code HDR status
.... 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: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
... subject 1..1 Reference(Patient (HDR)) Who and/or what the composition is about
... encounter 0..1 Reference(Encounter (HDR)) Context of the Composition
... date 1..1 dateTime HDR date
... Slices for author 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Sliced per type of author
Slice: Unordered, Open by type:valueReference.resolve()
.... author:practictionerRole 0..* Reference(PractitionerRole: (HDR)) Who and/or what authored the composition
... title 1..1 string Hospital Discharge Report
... attester
.... mode 1..1 code The type of attestation
.... time 0..1 dateTime When the composition was attested.
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition.
... Slices for section 3..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by pattern:code
.... section:admissionEvaluationSection 0..1 BackboneElement Hospital Admission evaluation
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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: 67852-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital Admission evaluation note
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... emptyReason 0..0
..... Slices for section 0..* Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry 0..1 BackboneElement Anthropometric observations
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Body measurements)
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Resource) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:vitalSigns 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
....... entry 1..* Reference(Resource) A reference to data that supports this section
....... section 0..0
...... section:physicalExamination 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... section 0..0
...... section:functionalStatus 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
....... section 0..0
.... section:sectionHospitalCourse 1..1 BackboneElement Significant information about course of hospital stay
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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: 8648-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital course Narrative
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..1 Reference(Resource) A reference to data that supports this section
..... emptyReason 0..0
..... Slices for section 5..* Nested Section
Slice: Unordered, Open by type:resolve()
...... section:diagnosticSummaryDescription 1..1 BackboneElement Problem specification in narrative form
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Diagnostic studies report (record artifact))
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... emptyReason 0..0
....... section 0..0
...... section:significantProcedures 1..1 BackboneElement Significant procedures
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Diagnostic studies report (record artifact))
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Procedure) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:medicalDevices 1..1 BackboneElement Medical devices and implants
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184586001
......... display 1..1 string Representation defined by the system
Fixed Value: Medical device document section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Device) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:medications 1..1 BackboneElement Pharmacotherapy
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1003606003
......... display 1..1 string Representation defined by the system
Fixed Value: Medication history section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(MedicationStatement) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:significantResults 0..1 BackboneElement Significant Observation Results
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423100009
......... display 1..1 string Representation defined by the system
Fixed Value: Results section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Observation) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:synthesis 1..1 BackboneElement Synthesis
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
......... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..0
....... emptyReason 0..0
....... Slices for section 2..* Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
........ section:problemSynthesis 1..* BackboneElement Problem synthesis
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423016009
........... display 1..1 string Representation defined by the system
Fixed Value: Clinical statement entry (record artifact)
......... text 1..1 Narrative Text summary of the section, for human interpretation
......... entry 0..* Reference(Condition) A reference to data that supports this section
......... emptyReason 0..0
........ section:clinicalReasoning 1..* BackboneElement Clinical reasoning
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
........... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
......... text 1..1 Narrative Text summary of the section, for human interpretation
......... entry 0..* Reference(ClinicalImpression) A reference to data that supports this section
......... emptyReason 0..0
.... section:dischargeDetails 1..1 BackboneElement Discharge details
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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: 8650-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge disposition Narrative
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... emptyReason 0..0
..... Slices for section 0..* Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry 0..1 BackboneElement Anthropometric observations
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Body measurements)
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Resource) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:vitalSigns 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
....... entry 1..* Reference(Resource) A reference to data that supports this section
....... section 0..0
...... section:physicalExamination 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... section 0..0
...... section:functionalStatus 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
....... section 0..0
.... section:patientHxSection 0..1 BackboneElement Patient History Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (History general Narrative - Reported)
...... coding 1..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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... emptyReason 0..0
.... section:sectionAllergies 1..1 BackboneElement HDR Allergies and Intolerances Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Allergies and adverse reactions Document)
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 1..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance 0..1 Reference(AllergyIntolerance (IPS)(2.0.0)) HDR Allergy entry
..... emptyReason 0..0
.... section:alertSection 0..1 BackboneElement Health Concern Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Health concerns Document)
...... coding 1..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: 75310-3
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag 0..1 Reference(Flag) Flags
...... entry:detectedIssue 0..1 Reference(DetectedIssue) Detected Issue
...... entry:riskAssessment 0..1 Reference(RiskAssessment) Risk Assessment
..... emptyReason 0..0
.... section:sectionProceduresHx 0..1 BackboneElement HDR History of Procedures Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
...... entry:procedure 0..1 Reference(Procedure (IPS)(2.0.0)) Past Procedure entry
..... emptyReason 0..0
.... section:sectionImmunizations 0..1 BackboneElement HDR Immunizations Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization Narrative
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 1..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization 0..1 Reference(Immunization (IPS)(2.0.0)) Immunization entry
..... emptyReason 0..0
.... section:sectionPastIllnessHx 0..1 BackboneElement HDR History of Past Illness Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (History of Past illness Narrative)
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
..... emptyReason 0..0
.... section:CareTeamSection 0..1 BackboneElement Care Team Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Patient Care team information)
...... coding 1..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: 85847-2
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam 0..1 Reference(CareTeam) Care Team
..... emptyReason 0..0
..... section 0..0
.... section:sectionPlanOfCare 0..1 BackboneElement IPS Plan of Care Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Plan of care note)
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(CarePlan | DocumentReference) A reference to data that supports this section
..... emptyReason 0..0
.... section:sectionAdvanceDirectives 0..1 BackboneElement IPS Advance Directives Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Advance directives)
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Consent | DocumentReference) A reference to data that supports this section
..... emptyReason 0..0
.... section:sectionPayers 0..1 BackboneElement Health insurance and payment information.
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Coverage) A reference to data that supports this section
..... emptyReason 0..0
.... section:sectionAttachments 0..1 BackboneElement Attachments.
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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: X-TBD-1
....... display 1..1 string Representation defined by the system
Fixed Value: Attachments
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(DocumentReference | Binary) A reference to data that supports this section
..... emptyReason 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition Hospital Discharge Report composition
... 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
.... basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... relatedArtifact 0..* (Complex) Related artefacts: e.g. presented form
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact"
..... value[x] 1..1 RelatedArtifact Value of extension
...... type Σ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Example presented form: {"coding":[{"system":"http://hl7.org/fhir/related-artifact-type","code":"transformed-into"}]}
.... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole: (HDR) | Practitioner (HDR) | Device | Patient (HDR) | RelatedPerson | Organization) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1 CodeableConceptIPS(2.0.0) Kind of composition ("Hospital Discharge Report")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
... subject Σ 1..1 Reference(Patient (HDR)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter (HDR)) Context of the Composition
... date Σ 1..1 dateTime HDR date
... Slices for author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Sliced per type of author
Slice: Unordered, Open by type:valueReference.resolve()
.... author:practictionerRole Σ 0..* Reference(PractitionerRole: (HDR)) Who and/or what authored the composition
... title Σ 1..1 string Hospital Discharge Report
... Slices for section C 3..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:admissionEvaluationSection C 0..1 BackboneElement Hospital Admission evaluation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67852-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital Admission evaluation note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(Resource) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
....... entry C 1..* Reference(Resource) A reference to data that supports this section
...... section:physicalExamination C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... text C 1..1 Narrative Text summary of the section, for human interpretation
...... section:functionalStatus C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
.... section:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital course Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 1..1 Reference(Resource) A reference to data that supports this section
..... Slices for section C 5..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... section:diagnosticSummaryDescription C 1..1 BackboneElement Problem specification in narrative form
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Diagnostic studies report (record artifact))
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
...... section:significantProcedures C 1..1 BackboneElement Significant procedures
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Diagnostic studies report (record artifact))
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(Procedure) A reference to data that supports this section
...... section:medicalDevices C 1..1 BackboneElement Medical devices and implants
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184586001
......... display 1..1 string Representation defined by the system
Fixed Value: Medical device document section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(Device) A reference to data that supports this section
...... section:medications C 1..1 BackboneElement Pharmacotherapy
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1003606003
......... display 1..1 string Representation defined by the system
Fixed Value: Medication history section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(MedicationStatement) A reference to data that supports this section
...... section:significantResults C 0..1 BackboneElement Significant Observation Results
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423100009
......... display 1..1 string Representation defined by the system
Fixed Value: Results section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(Observation) A reference to data that supports this section
...... section:synthesis C 1..1 BackboneElement Synthesis
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
......... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... Slices for section C 2..* See section (Composition) Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
........ section:problemSynthesis C 1..* BackboneElement Problem synthesis
......... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
.......... id 0..0 string Unique id for inter-element referencing
.......... extension 0..0 Extension Additional content defined by implementations
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... id 0..0 string Unique id for inter-element referencing
........... extension 0..0 Extension Additional content defined by implementations
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... version 0..0 string Version of the system - if relevant
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423016009
........... display 1..1 string Representation defined by the system
Fixed Value: Clinical statement entry (record artifact)
........... userSelected 0..0 boolean If this coding was chosen directly by the user
.......... text 0..0 string Plain text representation of the concept
......... text C 1..1 Narrative Text summary of the section, for human interpretation
......... entry C 0..* Reference(Condition) A reference to data that supports this section
........ section:clinicalReasoning C 1..* BackboneElement Clinical reasoning
......... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
.......... id 0..0 string Unique id for inter-element referencing
.......... extension 0..0 Extension Additional content defined by implementations
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... id 0..0 string Unique id for inter-element referencing
........... extension 0..0 Extension Additional content defined by implementations
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... version 0..0 string Version of the system - if relevant
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
........... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
........... userSelected 0..0 boolean If this coding was chosen directly by the user
.......... text 0..0 string Plain text representation of the concept
......... text C 1..1 Narrative Text summary of the section, for human interpretation
......... entry C 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:dischargeDetails C 1..1 BackboneElement Discharge details
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge disposition Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(Resource) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
....... entry C 1..* Reference(Resource) A reference to data that supports this section
...... section:physicalExamination C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... text C 1..1 Narrative Text summary of the section, for human interpretation
...... section:functionalStatus C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
.... section:patientHxSection C 0..1 BackboneElement Patient History Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (History general Narrative - Reported)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
.... section:sectionAllergies C 1..1 BackboneElement HDR Allergies and Intolerances Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Allergies and adverse reactions Document)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry C 1..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance C 0..1 Reference(AllergyIntolerance (IPS)(2.0.0)) HDR Allergy entry
.... section:alertSection C 0..1 BackboneElement Health Concern Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Health concerns Document)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75310-3
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry C 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..1 Reference(Flag) Flags
...... entry:detectedIssue C 0..1 Reference(DetectedIssue) Detected Issue
...... entry:riskAssessment C 0..1 Reference(RiskAssessment) Risk Assessment
.... section:sectionProceduresHx C 0..1 BackboneElement HDR History of Procedures Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry C 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
...... entry:procedure C 0..1 Reference(Procedure (IPS)(2.0.0)) Past Procedure entry
.... section:sectionImmunizations C 0..1 BackboneElement HDR Immunizations Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry C 1..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..1 Reference(Immunization (IPS)(2.0.0)) Immunization entry
.... section:sectionPastIllnessHx C 0..1 BackboneElement HDR History of Past Illness Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (History of Past illness Narrative)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
.... section:CareTeamSection C 0..1 BackboneElement Care Team Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Patient Care team information)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85847-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry C 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam C 0..1 Reference(CareTeam) Care Team
.... section:sectionPlanOfCare C 0..1 BackboneElement IPS Plan of Care Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Plan of care note)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 0..* Reference(CarePlan | DocumentReference) A reference to data that supports this section
.... section:sectionAdvanceDirectives C 0..1 BackboneElement IPS Advance Directives Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Advance directives)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 0..* Reference(Consent | DocumentReference) A reference to data that supports this section
.... section:sectionPayers C 0..1 BackboneElement Health insurance and payment information.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 0..* Reference(Coverage) A reference to data that supports this section
.... section:sectionAttachments C 0..1 BackboneElement Attachments.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: X-TBD-1
....... display 1..1 string Representation defined by the system
Fixed Value: Attachments
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 0..* Reference(DocumentReference | Binary) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.extension:relatedArtifact.value[x].typerequiredRelatedArtifactType
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 34105-7("Hospital Discharge summary")
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.section:admissionEvaluationSection.codeexampleFixed Value: LOINC Code 67852-4("Hospital Admission evaluation note")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.codeexamplePattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.codeexamplePattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.codeexamplePattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.codeexampleFixed Value: LOINC Code 8648-8("Hospital course Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.codeexampleFixed Value: SNOMED-CT Code 1184586001("Medical device document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.codeexampleFixed Value: SNOMED-CT Code 1003606003("Medication history section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.codeexampleFixed Value: SNOMED-CT Code 423100009("Results section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.codeexampleFixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.codeexampleFixed Value: SNOMED-CT Code 423016009("Clinical statement entry (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.codeexampleFixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.codeexampleFixed Value: LOINC Code 8650-4("Hospital discharge disposition Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.codeexamplePattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.codeexamplePattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.codeexamplePattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.codeexampleFixed Value: LOINC Code 11329-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:alertSection.codeexampleFixed Value: LOINC Code 75310-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionImmunizations.codeexampleFixed Value: LOINC Code 11369-6("History of Immunization Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPastIllnessHx.codeexampleFixed Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CareTeamSection.codeexampleFixed Value: LOINC Code 85847-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPlanOfCare.codeexampleFixed Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexampleFixed Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPayers.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAttachments.codeexampleFixed Value: LOINC Code X-TBD-1("Attachments")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:admissionEvaluationSection, Composition.section:sectionHospitalCourse, Composition.section:dischargeDetails, Composition.section:patientHxSection, Composition.section:sectionAllergies, Composition.section:alertSection, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionPastIllnessHx, Composition.section:CareTeamSection, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionPayers, Composition.section:sectionAttachmentsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:admissionEvaluationSection, Composition.section:sectionHospitalCourse, Composition.section:dischargeDetails, Composition.section:patientHxSection, Composition.section:sectionAllergies, Composition.section:alertSection, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionPastIllnessHx, Composition.section:CareTeamSection, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionPayers, Composition.section:sectionAttachmentsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition Hospital Discharge Report composition
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... relatedArtifact 0..* (Complex) Related artefacts: e.g. presented form
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact"
..... value[x] 1..1 RelatedArtifact Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... type Σ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Example presented form: {"coding":[{"system":"http://hl7.org/fhir/related-artifact-type","code":"transformed-into"}]}
...... label Σ 0..1 string Short label
...... display Σ 0..1 string Brief description of the related artifact
...... citation Σ 0..1 markdown Bibliographic citation for the artifact
...... url Σ 0..1 url Where the artifact can be accessed
...... document Σ 0..1 Attachment What document is being referenced
...... resource Σ 0..1 canonical(Resource) What resource is being referenced
.... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole: (HDR) | Practitioner (HDR) | Device | Patient (HDR) | RelatedPerson | Organization) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier HDR business identifier
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1 CodeableConceptIPS(2.0.0) Kind of composition ("Hospital Discharge Report")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


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: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... 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 (HDR)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter (HDR)) Context of the Composition
... date Σ 1..1 dateTime HDR date
... Slices for author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Sliced per type of author
Slice: Unordered, Open by type:valueReference.resolve()
.... author:practictionerRole Σ 0..* Reference(PractitionerRole: (HDR)) Who and/or what authored the composition
... title Σ 1..1 string Hospital Discharge Report
... 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(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition.
... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
... 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 Hospital Discharge Report
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..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 0..1 Narrative Text summary of the section, for human interpretation
..... 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 C 0..* See section (Composition) Nested Section
.... section:admissionEvaluationSection C 0..1 BackboneElement Hospital Admission evaluation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67852-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital Admission evaluation note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(Resource) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
......... 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 0..1 Narrative Text summary of the section, for human interpretation
....... 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 1..* 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:physicalExamination C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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
....... 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:functionalStatus C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
......... 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 0..1 Narrative Text summary of the section, for human interpretation
....... 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:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital course Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 1..1 Reference(Resource) A reference to data that supports this section
..... Slices for section C 5..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... section:diagnosticSummaryDescription C 1..1 BackboneElement Problem specification in narrative form
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Diagnostic studies report (record artifact))
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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
...... section:significantProcedures C 1..1 BackboneElement Significant procedures
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Diagnostic studies report (record artifact))
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(Procedure) A reference to data that supports this section
...... section:medicalDevices C 1..1 BackboneElement Medical devices and implants
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184586001
......... display 1..1 string Representation defined by the system
Fixed Value: Medical device document section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(Device) A reference to data that supports this section
...... section:medications C 1..1 BackboneElement Pharmacotherapy
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1003606003
......... display 1..1 string Representation defined by the system
Fixed Value: Medication history section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(MedicationStatement) A reference to data that supports this section
...... section:significantResults C 0..1 BackboneElement Significant Observation Results
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423100009
......... display 1..1 string Representation defined by the system
Fixed Value: Results section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(Observation) A reference to data that supports this section
...... section:synthesis C 1..1 BackboneElement Synthesis
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
......... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 section C 2..* See section (Composition) Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
........ section:problemSynthesis C 1..* BackboneElement Problem synthesis
......... 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
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
.......... id 0..0 string Unique id for inter-element referencing
.......... extension 0..0 Extension Additional content defined by implementations
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... id 0..0 string Unique id for inter-element referencing
........... extension 0..0 Extension Additional content defined by implementations
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... version 0..0 string Version of the system - if relevant
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423016009
........... display 1..1 string Representation defined by the system
Fixed Value: Clinical statement entry (record artifact)
........... userSelected 0..0 boolean If this coding was chosen directly by the user
.......... text 0..0 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
......... 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(Condition) A reference to data that supports this section
......... section C 0..* See section (Composition) Nested Section
........ section:clinicalReasoning C 1..* BackboneElement Clinical reasoning
......... 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
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
.......... id 0..0 string Unique id for inter-element referencing
.......... extension 0..0 Extension Additional content defined by implementations
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... id 0..0 string Unique id for inter-element referencing
........... extension 0..0 Extension Additional content defined by implementations
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... version 0..0 string Version of the system - if relevant
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
........... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
........... userSelected 0..0 boolean If this coding was chosen directly by the user
.......... text 0..0 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
......... 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(ClinicalImpression) A reference to data that supports this section
......... section C 0..* See section (Composition) Nested Section
.... section:dischargeDetails C 1..1 BackboneElement Discharge details
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge disposition Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(Resource) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
......... 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 0..1 Narrative Text summary of the section, for human interpretation
....... 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 1..* 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:physicalExamination C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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
....... 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:functionalStatus C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
......... 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 0..1 Narrative Text summary of the section, for human interpretation
....... 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:patientHxSection C 0..1 BackboneElement Patient History Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (History general Narrative - Reported)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAllergies C 1..1 BackboneElement HDR Allergies and Intolerances Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Allergies and adverse reactions Document)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 1..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance C 0..1 Reference(AllergyIntolerance (IPS)(2.0.0)) HDR Allergy entry
..... section C 0..* See section (Composition) Nested Section
.... section:alertSection C 0..1 BackboneElement Health Concern Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Health concerns Document)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75310-3
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..1 Reference(Flag) Flags
...... entry:detectedIssue C 0..1 Reference(DetectedIssue) Detected Issue
...... entry:riskAssessment C 0..1 Reference(RiskAssessment) Risk Assessment
..... section C 0..* See section (Composition) Nested Section
.... section:sectionProceduresHx C 0..1 BackboneElement HDR History of Procedures Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
...... entry:procedure C 0..1 Reference(Procedure (IPS)(2.0.0)) Past Procedure entry
..... section C 0..* See section (Composition) Nested Section
.... section:sectionImmunizations C 0..1 BackboneElement HDR Immunizations Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 1..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..1 Reference(Immunization (IPS)(2.0.0)) Immunization entry
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPastIllnessHx C 0..1 BackboneElement HDR History of Past Illness Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (History of Past illness Narrative)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
..... section C 0..* See section (Composition) Nested Section
.... section:CareTeamSection C 0..1 BackboneElement Care Team Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Patient Care team information)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85847-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam C 0..1 Reference(CareTeam) Care Team
.... section:sectionPlanOfCare C 0..1 BackboneElement IPS Plan of Care Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Plan of care note)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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(CarePlan | DocumentReference) A reference to data that supports this section
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAdvanceDirectives C 0..1 BackboneElement IPS Advance Directives Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Advance directives)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 | DocumentReference) A reference to data that supports this section
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPayers C 0..1 BackboneElement Health insurance and payment information.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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(Coverage) A reference to data that supports this section
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAttachments C 0..1 BackboneElement Attachments.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: X-TBD-1
....... display 1..1 string Representation defined by the system
Fixed Value: Attachments
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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(DocumentReference | Binary) A reference to data that supports this section
..... section C 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.extension:relatedArtifact.value[x].typerequiredRelatedArtifactType
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 34105-7("Hospital Discharge summary")
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.codeexampleFixed Value: LOINC Code 67852-4("Hospital Admission evaluation note")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.codeexamplePattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.codeexamplePattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.codeexamplePattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:sectionHospitalCourse.codeexampleFixed Value: LOINC Code 8648-8("Hospital course Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.codeexampleFixed Value: SNOMED-CT Code 1184586001("Medical device document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.codeexampleFixed Value: SNOMED-CT Code 1003606003("Medication history section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.codeexampleFixed Value: SNOMED-CT Code 423100009("Results section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.codeexampleFixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.codeexampleFixed Value: SNOMED-CT Code 423016009("Clinical statement entry (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.codeexampleFixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.codeexampleFixed Value: LOINC Code 8650-4("Hospital discharge disposition Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.codeexamplePattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.codeexamplePattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.codeexamplePattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:patientHxSection.codeexampleFixed Value: LOINC Code 11329-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:patientHxSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAllergies.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionAllergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:alertSection.codeexampleFixed Value: LOINC Code 75310-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:alertSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:alertSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionProceduresHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionProceduresHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionImmunizations.codeexampleFixed Value: LOINC Code 11369-6("History of Immunization Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionImmunizations.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionImmunizations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionPastIllnessHx.codeexampleFixed Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPastIllnessHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPastIllnessHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:CareTeamSection.codeexampleFixed Value: LOINC Code 85847-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CareTeamSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:CareTeamSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionPlanOfCare.codeexampleFixed Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPlanOfCare.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexampleFixed Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionPayers.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPayers.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPayers.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionAttachments.codeexampleFixed Value: LOINC Code X-TBD-1("Attachments")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAttachments.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionAttachments.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:admissionEvaluationSection, Composition.section:sectionHospitalCourse, Composition.section:dischargeDetails, Composition.section:patientHxSection, Composition.section:sectionAllergies, Composition.section:alertSection, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionPastIllnessHx, Composition.section:CareTeamSection, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionPayers, Composition.section:sectionAttachmentsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:admissionEvaluationSection, Composition.section:sectionHospitalCourse, Composition.section:dischargeDetails, Composition.section:patientHxSection, Composition.section:sectionAllergies, Composition.section:alertSection, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionPastIllnessHx, Composition.section:CareTeamSection, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionPayers, Composition.section:sectionAttachmentsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 46 elements(52 nested mandatory elements)
Fixed: 24 elements
Prohibited: 39 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition Hospital Discharge Report composition
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... relatedArtifact 0..* (Complex) Related artefacts: e.g. presented form
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
..... value[x]
...... type 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Example presented form: {"coding":[{"system":"http://hl7.org/fhir/related-artifact-type","code":"transformed-into"}]}
.... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... value[x] 0..1 Reference(PractitionerRole: (HDR) | Practitioner (HDR) | Device | Patient (HDR) | RelatedPerson | Organization) Value of extension
... identifier 0..1 Identifier HDR business identifier
... status 1..1 code HDR status
.... 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: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
... subject 1..1 Reference(Patient (HDR)) Who and/or what the composition is about
... encounter 0..1 Reference(Encounter (HDR)) Context of the Composition
... date 1..1 dateTime HDR date
... Slices for author 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Sliced per type of author
Slice: Unordered, Open by type:valueReference.resolve()
.... author:practictionerRole 0..* Reference(PractitionerRole: (HDR)) Who and/or what authored the composition
... title 1..1 string Hospital Discharge Report
... attester
.... mode 1..1 code The type of attestation
.... time 0..1 dateTime When the composition was attested.
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition.
... Slices for section 3..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by pattern:code
.... section:admissionEvaluationSection 0..1 BackboneElement Hospital Admission evaluation
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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: 67852-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital Admission evaluation note
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... emptyReason 0..0
..... Slices for section 0..* Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry 0..1 BackboneElement Anthropometric observations
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Body measurements)
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Resource) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:vitalSigns 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
....... entry 1..* Reference(Resource) A reference to data that supports this section
....... section 0..0
...... section:physicalExamination 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... section 0..0
...... section:functionalStatus 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
....... section 0..0
.... section:sectionHospitalCourse 1..1 BackboneElement Significant information about course of hospital stay
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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: 8648-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital course Narrative
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..1 Reference(Resource) A reference to data that supports this section
..... emptyReason 0..0
..... Slices for section 5..* Nested Section
Slice: Unordered, Open by type:resolve()
...... section:diagnosticSummaryDescription 1..1 BackboneElement Problem specification in narrative form
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Diagnostic studies report (record artifact))
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... emptyReason 0..0
....... section 0..0
...... section:significantProcedures 1..1 BackboneElement Significant procedures
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Diagnostic studies report (record artifact))
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Procedure) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:medicalDevices 1..1 BackboneElement Medical devices and implants
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184586001
......... display 1..1 string Representation defined by the system
Fixed Value: Medical device document section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Device) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:medications 1..1 BackboneElement Pharmacotherapy
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1003606003
......... display 1..1 string Representation defined by the system
Fixed Value: Medication history section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(MedicationStatement) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:significantResults 0..1 BackboneElement Significant Observation Results
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423100009
......... display 1..1 string Representation defined by the system
Fixed Value: Results section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Observation) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:synthesis 1..1 BackboneElement Synthesis
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
......... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..0
....... emptyReason 0..0
....... Slices for section 2..* Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
........ section:problemSynthesis 1..* BackboneElement Problem synthesis
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423016009
........... display 1..1 string Representation defined by the system
Fixed Value: Clinical statement entry (record artifact)
......... text 1..1 Narrative Text summary of the section, for human interpretation
......... entry 0..* Reference(Condition) A reference to data that supports this section
......... emptyReason 0..0
........ section:clinicalReasoning 1..* BackboneElement Clinical reasoning
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
........... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
......... text 1..1 Narrative Text summary of the section, for human interpretation
......... entry 0..* Reference(ClinicalImpression) A reference to data that supports this section
......... emptyReason 0..0
.... section:dischargeDetails 1..1 BackboneElement Discharge details
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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: 8650-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge disposition Narrative
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... emptyReason 0..0
..... Slices for section 0..* Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry 0..1 BackboneElement Anthropometric observations
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Body measurements)
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Resource) A reference to data that supports this section
....... emptyReason 0..0
....... section 0..0
...... section:vitalSigns 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
....... entry 1..* Reference(Resource) A reference to data that supports this section
....... section 0..0
...... section:physicalExamination 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... section 0..0
...... section:functionalStatus 0..1 BackboneElement Nested Section
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
....... section 0..0
.... section:patientHxSection 0..1 BackboneElement Patient History Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (History general Narrative - Reported)
...... coding 1..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
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... emptyReason 0..0
.... section:sectionAllergies 1..1 BackboneElement HDR Allergies and Intolerances Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Allergies and adverse reactions Document)
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 1..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance 0..1 Reference(AllergyIntolerance (IPS)(2.0.0)) HDR Allergy entry
..... emptyReason 0..0
.... section:alertSection 0..1 BackboneElement Health Concern Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Health concerns Document)
...... coding 1..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: 75310-3
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag 0..1 Reference(Flag) Flags
...... entry:detectedIssue 0..1 Reference(DetectedIssue) Detected Issue
...... entry:riskAssessment 0..1 Reference(RiskAssessment) Risk Assessment
..... emptyReason 0..0
.... section:sectionProceduresHx 0..1 BackboneElement HDR History of Procedures Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
...... entry:procedure 0..1 Reference(Procedure (IPS)(2.0.0)) Past Procedure entry
..... emptyReason 0..0
.... section:sectionImmunizations 0..1 BackboneElement HDR Immunizations Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization Narrative
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 1..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization 0..1 Reference(Immunization (IPS)(2.0.0)) Immunization entry
..... emptyReason 0..0
.... section:sectionPastIllnessHx 0..1 BackboneElement HDR History of Past Illness Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (History of Past illness Narrative)
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
..... emptyReason 0..0
.... section:CareTeamSection 0..1 BackboneElement Care Team Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Patient Care team information)
...... coding 1..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: 85847-2
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam 0..1 Reference(CareTeam) Care Team
..... emptyReason 0..0
..... section 0..0
.... section:sectionPlanOfCare 0..1 BackboneElement IPS Plan of Care Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Plan of care note)
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(CarePlan | DocumentReference) A reference to data that supports this section
..... emptyReason 0..0
.... section:sectionAdvanceDirectives 0..1 BackboneElement IPS Advance Directives Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown (Advance directives)
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Consent | DocumentReference) A reference to data that supports this section
..... emptyReason 0..0
.... section:sectionPayers 0..1 BackboneElement Health insurance and payment information.
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(Coverage) A reference to data that supports this section
..... emptyReason 0..0
.... section:sectionAttachments 0..1 BackboneElement Attachments.
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Fixed Value: As shown
...... coding 1..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: X-TBD-1
....... display 1..1 string Representation defined by the system
Fixed Value: Attachments
..... text 1..1 Narrative Text summary of the section, for human interpretation
..... entry 0..* Reference(DocumentReference | Binary) A reference to data that supports this section
..... emptyReason 0..0

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition Hospital Discharge Report composition
... 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
.... basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... relatedArtifact 0..* (Complex) Related artefacts: e.g. presented form
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact"
..... value[x] 1..1 RelatedArtifact Value of extension
...... type Σ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Example presented form: {"coding":[{"system":"http://hl7.org/fhir/related-artifact-type","code":"transformed-into"}]}
.... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole: (HDR) | Practitioner (HDR) | Device | Patient (HDR) | RelatedPerson | Organization) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1 CodeableConceptIPS(2.0.0) Kind of composition ("Hospital Discharge Report")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
... subject Σ 1..1 Reference(Patient (HDR)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter (HDR)) Context of the Composition
... date Σ 1..1 dateTime HDR date
... Slices for author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Sliced per type of author
Slice: Unordered, Open by type:valueReference.resolve()
.... author:practictionerRole Σ 0..* Reference(PractitionerRole: (HDR)) Who and/or what authored the composition
... title Σ 1..1 string Hospital Discharge Report
... Slices for section C 3..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:admissionEvaluationSection C 0..1 BackboneElement Hospital Admission evaluation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67852-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital Admission evaluation note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(Resource) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
....... entry C 1..* Reference(Resource) A reference to data that supports this section
...... section:physicalExamination C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... text C 1..1 Narrative Text summary of the section, for human interpretation
...... section:functionalStatus C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
.... section:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital course Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 1..1 Reference(Resource) A reference to data that supports this section
..... Slices for section C 5..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... section:diagnosticSummaryDescription C 1..1 BackboneElement Problem specification in narrative form
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Diagnostic studies report (record artifact))
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
...... section:significantProcedures C 1..1 BackboneElement Significant procedures
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Diagnostic studies report (record artifact))
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(Procedure) A reference to data that supports this section
...... section:medicalDevices C 1..1 BackboneElement Medical devices and implants
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184586001
......... display 1..1 string Representation defined by the system
Fixed Value: Medical device document section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(Device) A reference to data that supports this section
...... section:medications C 1..1 BackboneElement Pharmacotherapy
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1003606003
......... display 1..1 string Representation defined by the system
Fixed Value: Medication history section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(MedicationStatement) A reference to data that supports this section
...... section:significantResults C 0..1 BackboneElement Significant Observation Results
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423100009
......... display 1..1 string Representation defined by the system
Fixed Value: Results section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(Observation) A reference to data that supports this section
...... section:synthesis C 1..1 BackboneElement Synthesis
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
......... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... Slices for section C 2..* See section (Composition) Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
........ section:problemSynthesis C 1..* BackboneElement Problem synthesis
......... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
.......... id 0..0 string Unique id for inter-element referencing
.......... extension 0..0 Extension Additional content defined by implementations
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... id 0..0 string Unique id for inter-element referencing
........... extension 0..0 Extension Additional content defined by implementations
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... version 0..0 string Version of the system - if relevant
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423016009
........... display 1..1 string Representation defined by the system
Fixed Value: Clinical statement entry (record artifact)
........... userSelected 0..0 boolean If this coding was chosen directly by the user
.......... text 0..0 string Plain text representation of the concept
......... text C 1..1 Narrative Text summary of the section, for human interpretation
......... entry C 0..* Reference(Condition) A reference to data that supports this section
........ section:clinicalReasoning C 1..* BackboneElement Clinical reasoning
......... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
.......... id 0..0 string Unique id for inter-element referencing
.......... extension 0..0 Extension Additional content defined by implementations
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... id 0..0 string Unique id for inter-element referencing
........... extension 0..0 Extension Additional content defined by implementations
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... version 0..0 string Version of the system - if relevant
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
........... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
........... userSelected 0..0 boolean If this coding was chosen directly by the user
.......... text 0..0 string Plain text representation of the concept
......... text C 1..1 Narrative Text summary of the section, for human interpretation
......... entry C 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:dischargeDetails C 1..1 BackboneElement Discharge details
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge disposition Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
....... entry C 1..* Reference(Resource) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
....... entry C 1..* Reference(Resource) A reference to data that supports this section
...... section:physicalExamination C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... text C 1..1 Narrative Text summary of the section, for human interpretation
...... section:functionalStatus C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
.... section:patientHxSection C 0..1 BackboneElement Patient History Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (History general Narrative - Reported)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
.... section:sectionAllergies C 1..1 BackboneElement HDR Allergies and Intolerances Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Allergies and adverse reactions Document)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry C 1..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance C 0..1 Reference(AllergyIntolerance (IPS)(2.0.0)) HDR Allergy entry
.... section:alertSection C 0..1 BackboneElement Health Concern Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Health concerns Document)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75310-3
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry C 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..1 Reference(Flag) Flags
...... entry:detectedIssue C 0..1 Reference(DetectedIssue) Detected Issue
...... entry:riskAssessment C 0..1 Reference(RiskAssessment) Risk Assessment
.... section:sectionProceduresHx C 0..1 BackboneElement HDR History of Procedures Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry C 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
...... entry:procedure C 0..1 Reference(Procedure (IPS)(2.0.0)) Past Procedure entry
.... section:sectionImmunizations C 0..1 BackboneElement HDR Immunizations Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry C 1..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..1 Reference(Immunization (IPS)(2.0.0)) Immunization entry
.... section:sectionPastIllnessHx C 0..1 BackboneElement HDR History of Past Illness Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (History of Past illness Narrative)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
.... section:CareTeamSection C 0..1 BackboneElement Care Team Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Patient Care team information)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85847-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry C 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam C 0..1 Reference(CareTeam) Care Team
.... section:sectionPlanOfCare C 0..1 BackboneElement IPS Plan of Care Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Plan of care note)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 0..* Reference(CarePlan | DocumentReference) A reference to data that supports this section
.... section:sectionAdvanceDirectives C 0..1 BackboneElement IPS Advance Directives Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Advance directives)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 0..* Reference(Consent | DocumentReference) A reference to data that supports this section
.... section:sectionPayers C 0..1 BackboneElement Health insurance and payment information.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 0..* Reference(Coverage) A reference to data that supports this section
.... section:sectionAttachments C 0..1 BackboneElement Attachments.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: X-TBD-1
....... display 1..1 string Representation defined by the system
Fixed Value: Attachments
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
..... entry C 0..* Reference(DocumentReference | Binary) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.extension:relatedArtifact.value[x].typerequiredRelatedArtifactType
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 34105-7("Hospital Discharge summary")
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.section:admissionEvaluationSection.codeexampleFixed Value: LOINC Code 67852-4("Hospital Admission evaluation note")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.codeexamplePattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.codeexamplePattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.codeexamplePattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.codeexampleFixed Value: LOINC Code 8648-8("Hospital course Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.codeexampleFixed Value: SNOMED-CT Code 1184586001("Medical device document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.codeexampleFixed Value: SNOMED-CT Code 1003606003("Medication history section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.codeexampleFixed Value: SNOMED-CT Code 423100009("Results section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.codeexampleFixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.codeexampleFixed Value: SNOMED-CT Code 423016009("Clinical statement entry (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.codeexampleFixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.codeexampleFixed Value: LOINC Code 8650-4("Hospital discharge disposition Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.codeexamplePattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.codeexamplePattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.codeexamplePattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.codeexampleFixed Value: LOINC Code 11329-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:alertSection.codeexampleFixed Value: LOINC Code 75310-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionImmunizations.codeexampleFixed Value: LOINC Code 11369-6("History of Immunization Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPastIllnessHx.codeexampleFixed Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CareTeamSection.codeexampleFixed Value: LOINC Code 85847-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPlanOfCare.codeexampleFixed Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexampleFixed Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPayers.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAttachments.codeexampleFixed Value: LOINC Code X-TBD-1("Attachments")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:admissionEvaluationSection, Composition.section:sectionHospitalCourse, Composition.section:dischargeDetails, Composition.section:patientHxSection, Composition.section:sectionAllergies, Composition.section:alertSection, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionPastIllnessHx, Composition.section:CareTeamSection, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionPayers, Composition.section:sectionAttachmentsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:admissionEvaluationSection, Composition.section:sectionHospitalCourse, Composition.section:dischargeDetails, Composition.section:patientHxSection, Composition.section:sectionAllergies, Composition.section:alertSection, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionPastIllnessHx, Composition.section:CareTeamSection, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionPayers, Composition.section:sectionAttachmentsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Composition Hospital Discharge Report composition
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... relatedArtifact 0..* (Complex) Related artefacts: e.g. presented form
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact"
..... value[x] 1..1 RelatedArtifact Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... type Σ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Example presented form: {"coding":[{"system":"http://hl7.org/fhir/related-artifact-type","code":"transformed-into"}]}
...... label Σ 0..1 string Short label
...... display Σ 0..1 string Brief description of the related artifact
...... citation Σ 0..1 markdown Bibliographic citation for the artifact
...... url Σ 0..1 url Where the artifact can be accessed
...... document Σ 0..1 Attachment What document is being referenced
...... resource Σ 0..1 canonical(Resource) What resource is being referenced
.... information-recipient 0..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole: (HDR) | Practitioner (HDR) | Device | Patient (HDR) | RelatedPerson | Organization) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier HDR business identifier
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type 1..1 CodeableConceptIPS(2.0.0) Kind of composition ("Hospital Discharge Report")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


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: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... 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 (HDR)) Who and/or what the composition is about
... encounter Σ 0..1 Reference(Encounter (HDR)) Context of the Composition
... date Σ 1..1 dateTime HDR date
... Slices for author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Sliced per type of author
Slice: Unordered, Open by type:valueReference.resolve()
.... author:practictionerRole Σ 0..* Reference(PractitionerRole: (HDR)) Who and/or what authored the composition
... title Σ 1..1 string Hospital Discharge Report
... 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(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition.
... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
... 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 Hospital Discharge Report
Slice: Unordered, Open by pattern:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..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 0..1 Narrative Text summary of the section, for human interpretation
..... 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 C 0..* See section (Composition) Nested Section
.... section:admissionEvaluationSection C 0..1 BackboneElement Hospital Admission evaluation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67852-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital Admission evaluation note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(Resource) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
......... 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 0..1 Narrative Text summary of the section, for human interpretation
....... 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 1..* 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:physicalExamination C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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
....... 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:functionalStatus C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
......... 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 0..1 Narrative Text summary of the section, for human interpretation
....... 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:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital course Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 1..1 Reference(Resource) A reference to data that supports this section
..... Slices for section C 5..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... section:diagnosticSummaryDescription C 1..1 BackboneElement Problem specification in narrative form
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Diagnostic studies report (record artifact))
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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
...... section:significantProcedures C 1..1 BackboneElement Significant procedures
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Diagnostic studies report (record artifact))
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(Procedure) A reference to data that supports this section
...... section:medicalDevices C 1..1 BackboneElement Medical devices and implants
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184586001
......... display 1..1 string Representation defined by the system
Fixed Value: Medical device document section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(Device) A reference to data that supports this section
...... section:medications C 1..1 BackboneElement Pharmacotherapy
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1003606003
......... display 1..1 string Representation defined by the system
Fixed Value: Medication history section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(MedicationStatement) A reference to data that supports this section
...... section:significantResults C 0..1 BackboneElement Significant Observation Results
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423100009
......... display 1..1 string Representation defined by the system
Fixed Value: Results section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(Observation) A reference to data that supports this section
...... section:synthesis C 1..1 BackboneElement Synthesis
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
......... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 section C 2..* See section (Composition) Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
........ section:problemSynthesis C 1..* BackboneElement Problem synthesis
......... 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
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
.......... id 0..0 string Unique id for inter-element referencing
.......... extension 0..0 Extension Additional content defined by implementations
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... id 0..0 string Unique id for inter-element referencing
........... extension 0..0 Extension Additional content defined by implementations
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... version 0..0 string Version of the system - if relevant
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 423016009
........... display 1..1 string Representation defined by the system
Fixed Value: Clinical statement entry (record artifact)
........... userSelected 0..0 boolean If this coding was chosen directly by the user
.......... text 0..0 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
......... 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(Condition) A reference to data that supports this section
......... section C 0..* See section (Composition) Nested Section
........ section:clinicalReasoning C 1..* BackboneElement Clinical reasoning
......... 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
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
.......... id 0..0 string Unique id for inter-element referencing
.......... extension 0..0 Extension Additional content defined by implementations
.......... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
........... id 0..0 string Unique id for inter-element referencing
........... extension 0..0 Extension Additional content defined by implementations
........... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........... version 0..0 string Version of the system - if relevant
........... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 424836000
........... display 1..1 string Representation defined by the system
Fixed Value: Assessment section (record artifact)
........... userSelected 0..0 boolean If this coding was chosen directly by the user
.......... text 0..0 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
......... 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(ClinicalImpression) A reference to data that supports this section
......... section C 0..* See section (Composition) Nested Section
.... section:dischargeDetails C 1..1 BackboneElement Discharge details
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge disposition Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... 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
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 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
....... 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 1..* Reference(Resource) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
......... 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 0..1 Narrative Text summary of the section, for human interpretation
....... 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 1..* 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:physicalExamination C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
......... 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
....... 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:functionalStatus C 0..1 BackboneElement Nested Section
....... 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
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept 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://snomed.info/sct
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
......... 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 0..1 Narrative Text summary of the section, for human interpretation
....... 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:patientHxSection C 0..1 BackboneElement Patient History Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (History general Narrative - Reported)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAllergies C 1..1 BackboneElement HDR Allergies and Intolerances Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Allergies and adverse reactions Document)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 1..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance C 0..1 Reference(AllergyIntolerance (IPS)(2.0.0)) HDR Allergy entry
..... section C 0..* See section (Composition) Nested Section
.... section:alertSection C 0..1 BackboneElement Health Concern Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Health concerns Document)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75310-3
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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) Alerts
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..1 Reference(Flag) Flags
...... entry:detectedIssue C 0..1 Reference(DetectedIssue) Detected Issue
...... entry:riskAssessment C 0..1 Reference(RiskAssessment) Risk Assessment
..... section C 0..* See section (Composition) Nested Section
.... section:sectionProceduresHx C 0..1 BackboneElement HDR History of Procedures Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
...... entry:procedure C 0..1 Reference(Procedure (IPS)(2.0.0)) Past Procedure entry
..... section C 0..* See section (Composition) Nested Section
.... section:sectionImmunizations C 0..1 BackboneElement HDR Immunizations Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of Immunization Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 1..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..1 Reference(Immunization (IPS)(2.0.0)) Immunization entry
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPastIllnessHx C 0..1 BackboneElement HDR History of Past Illness Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (History of Past illness Narrative)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 1..* Reference(Condition (IPS)(2.0.0)) Conditions the patient suffered in the past.
..... section C 0..* See section (Composition) Nested Section
.... section:CareTeamSection C 0..1 BackboneElement Care Team Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Patient Care team information)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85847-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam C 0..1 Reference(CareTeam) Care Team
.... section:sectionPlanOfCare C 0..1 BackboneElement IPS Plan of Care Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Plan of care note)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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(CarePlan | DocumentReference) A reference to data that supports this section
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAdvanceDirectives C 0..1 BackboneElement IPS Advance Directives Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown (Advance directives)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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 | DocumentReference) A reference to data that supports this section
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPayers C 0..1 BackboneElement Health insurance and payment information.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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(Coverage) A reference to data that supports this section
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAttachments C 0..1 BackboneElement Attachments.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... 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
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: X-TBD-1
....... display 1..1 string Representation defined by the system
Fixed Value: Attachments
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 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
..... 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(DocumentReference | Binary) A reference to data that supports this section
..... section C 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.extension:relatedArtifact.value[x].typerequiredRelatedArtifactType
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 34105-7("Hospital Discharge summary")
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.codeexampleFixed Value: LOINC Code 67852-4("Hospital Admission evaluation note")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.codeexamplePattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.codeexamplePattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.codeexamplePattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:sectionHospitalCourse.codeexampleFixed Value: LOINC Code 8648-8("Hospital course Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.codeexampleFixed Value: SNOMED-CT Code 1184586001("Medical device document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.codeexampleFixed Value: SNOMED-CT Code 1003606003("Medication history section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.codeexampleFixed Value: SNOMED-CT Code 423100009("Results section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.codeexampleFixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.codeexampleFixed Value: SNOMED-CT Code 423016009("Clinical statement entry (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.codeexampleFixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.codeexampleFixed Value: LOINC Code 8650-4("Hospital discharge disposition Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.codeexamplePattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.codeexamplePattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.codeexamplePattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:patientHxSection.codeexampleFixed Value: LOINC Code 11329-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:patientHxSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAllergies.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionAllergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:alertSection.codeexampleFixed Value: LOINC Code 75310-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:alertSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:alertSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionProceduresHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionProceduresHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionImmunizations.codeexampleFixed Value: LOINC Code 11369-6("History of Immunization Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionImmunizations.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionImmunizations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionPastIllnessHx.codeexampleFixed Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPastIllnessHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPastIllnessHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:CareTeamSection.codeexampleFixed Value: LOINC Code 85847-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CareTeamSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:CareTeamSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionPlanOfCare.codeexampleFixed Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPlanOfCare.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexampleFixed Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionPayers.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPayers.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPayers.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionAttachments.codeexampleFixed Value: LOINC Code X-TBD-1("Attachments")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAttachments.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionAttachments.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:admissionEvaluationSection, Composition.section:sectionHospitalCourse, Composition.section:dischargeDetails, Composition.section:patientHxSection, Composition.section:sectionAllergies, Composition.section:alertSection, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionPastIllnessHx, Composition.section:CareTeamSection, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionPayers, Composition.section:sectionAttachmentsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:admissionEvaluationSection, Composition.section:sectionHospitalCourse, Composition.section:dischargeDetails, Composition.section:patientHxSection, Composition.section:sectionAllergies, Composition.section:alertSection, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionPastIllnessHx, Composition.section:CareTeamSection, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionPayers, Composition.section:sectionAttachmentsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 46 elements(52 nested mandatory elements)
Fixed: 24 elements
Prohibited: 39 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron