HL7 Europe Hospital Discharge Report
1.0.0-ci-build - 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 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/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: 1.0.0-ci-build
Draft as of 2026-02-11 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.

Contents:

Medication Lists

The usage of several resources for expressing medication is related to the different purposes and meaning of each resource. While more clear boundaries and relationships between resources may be useful, the editors have decided to maintain a comprehensive set of options open. Reviewers are invited to provide ther feedback about the usage of the Medicaition related resources (e.g. MedicationStatement, MedicationRequest,...) in the medication lists used by the HDR

Entry optionality

In order to support the different maturity levels foreseen for the European EHR eXchange format (structured, text-only, unstructured), this version of the guide does not impose the mandatory presence of entries in the HDR sections.

HHowever, the presence of entries in the HDR sections is generally recommended to ensure a more structured and interoperable document.

This recommendation is expressed in this guide through specific obligations which guide implementers toward achieving a higher level of data quality and interoperability.

Hospital Discharge Report Structure Challenge

To address the Hospital Discharge Report Structure Challenge , we have opted for a flexible approach rather than imposing a rigid format.

The "flat structure" documented in the guide should be understood as a sort of "section library" that can be reused in both flat and nested structures. This approach allows implementers to organize the report according to local or institutional needs while maintaining a standardized content model.

In practice:

  1. A few sections are required.
  2. Section slices are open, meaning that implementers have the freedom to include additional "first-level" sections.
  3. With the exception of a few specific cases, sub-sections are allowed, giving healthcare providers the ability to create a structure that best fits their clinical context.

By offering this level of flexibility, the implementation guide supports diverse healthcare environments while promoting consistency in content and interoperability.

Section Codes

Not all the LOINC codes used in this version align with the purpose of the sections, and in some cases, temporary 'local' codes have been assigned.

A collaboration with LOINC has been established to identify the most appropriate codes for the HDR sections.

Adopters should be aware that codes may be subject to change.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition C 0..* Composition Hospital Discharge Report composition
Constraints: text-or-section
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:version 0..1 string Business version
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
.... extension:information-recipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) 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 Σ 1..1 CodeableConceptIPS 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
... subject Σ 1..1 Reference(Patient (EU core)) 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
... author Σ 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
... title Σ 1..1 string Hospital Discharge Report
... Slices for section C 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAdmissionEvaluation C 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67851-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(Observation | DocumentReference | Vital Signs Profile) A reference to data that supports this section
.... section:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(Condition | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
.... section:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionDiagnosticSummary C 0..1 BackboneElement Problem specification in narrative form
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(Condition (EU core)) A reference to data that supports this section
.... section:sectionSignificantProcedures C 0..1 BackboneElement Significant procedures
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(Procedure (EU core)) A reference to data that supports this section
.... section:sectionMedicalDevices C 0..1 BackboneElement Medical devices and implants
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
.... section:sectionPharmacotherapy C 0..1 BackboneElement Pharmacotherapy
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
.... section:sectionSignificantResults C 0..1 BackboneElement Significant medical test results
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
Slice: Unordered, Open by type:resolve()
...... entry:results-medicalTestResult C 0..* Reference(MedicalTestResult (EU core)) Medical test results
...... entry:results-diagnosticReport C 0..* Reference(DiagnosticReport (EU core)) DiagnosticReport
.... section:sectionSynthesis C 0..1 BackboneElement Synthesis
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67781-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionPlanOfCare C 0..1 BackboneElement Plan of Care Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(Care Plan (HDR) | DocumentReference) A reference to data that supports this section
.... section:sectionDischargeInstructions C 0..1 BackboneElement Hospital Discharge Instructions
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionDischargeMedications C 0..1 BackboneElement Hospital discharge medications
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
.... section:sectionAllergies C 0..1 BackboneElement Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
Slice: Unordered, Open by type:resolve()
...... entry:allergyOrIntolerance C 0..* Reference(Allergy Intolerance (EU core)) Relevant allergies or intolerances for that patient.
.... section:sectionAlert C 0..1 BackboneElement Alert Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Flag | DocumentReference) EPS Alerts entry
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..* Reference(Flag:Patient (EU core)) Alert information
.... section:sectionPatientHx C 0..1 BackboneElement Hx general Reported Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionProblems C 0..1 BackboneElement Problem List Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by type:resolve()
...... entry:problem C 0..* Reference(Condition (EU core)) A reference to data that supports this section
.... section:sectionImmunizations C 0..1 BackboneElement Immunizations Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..* Reference(Immunization (EU core)) A reference to data that supports this section
.... section:sectionDischargeDetails C 0..1 BackboneElement Discharge details
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionAttachments C 0..1 BackboneElement Attachments
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77599-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(DocumentReference | Binary) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionImmunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionVitalSigns, Composition.section:sectionPhysicalFindings, Composition.section:sectionFunctionalStatus, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeInstructions, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionPatientHx, Composition.section:sectionProblems, Composition.section:sectionImmunizations, Composition.section:sectionDischargeDetails, Composition.section:sectionAttachments A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionVitalSigns, Composition.section:sectionPhysicalFindings, Composition.section:sectionFunctionalStatus, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeInstructions, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionPatientHx, Composition.section:sectionProblems, Composition.section:sectionImmunizations, Composition.section:sectionDischargeDetails, Composition.section:sectionAttachments A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
text-or-section error Composition A Composition SHALL have either text, at least one section, or both. text.exists() or section.exists()

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition C 0..* Composition Hospital Discharge Report composition
Constraints: text-or-section
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension: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
.... extension:version 0..1 string Business version
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
.... extension:information-recipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... value[x] 0..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) 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 (EU core)) Who and/or what the composition is about
... encounter 0..1 Reference(Encounter (HDR)) Context of the Composition
... date 1..1 dateTime HDR date
... author 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
... 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(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) Who attested the composition.
... Slices for section 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
.... section:sectionAdmissionEvaluation 0..1 BackboneElement Hospital Admission evaluation
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67851-6
.... section:sectionVitalSigns 0..1 BackboneElement Vital signs
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
..... entry 0..* Reference(Observation | DocumentReference | Vital Signs Profile) A reference to data that supports this section
.... section:sectionPhysicalFindings 0..1 BackboneElement Physical findings
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29545-1
.... section:sectionFunctionalStatus 0..1 BackboneElement Functional status
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
..... entry 0..* Reference(Condition | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
.... 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 Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
.... section:sectionDiagnosticSummary 0..1 BackboneElement Problem specification in narrative form
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
..... entry 0..* Reference(Condition (EU core)) A reference to data that supports this section
.... section:sectionSignificantProcedures 0..1 BackboneElement Significant procedures
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10185-7
..... entry 0..* Reference(Procedure (EU core)) A reference to data that supports this section
..... section 0..0 Nested Section
.... section:sectionMedicalDevices 0..1 BackboneElement Medical devices and implants
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57080-4
..... entry 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
..... section 0..0 Nested Section
.... section:sectionPharmacotherapy 0..1 BackboneElement Pharmacotherapy
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87232-5
..... entry 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
.... section:sectionSignificantResults 0..1 BackboneElement Significant medical test results
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
..... Slices for entry 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
Slice: Unordered, Open by type:resolve()
...... entry:results-medicalTestResult 0..* Reference(MedicalTestResult (EU core)) Medical test results
...... entry:results-diagnosticReport 0..* Reference(DiagnosticReport (EU core)) DiagnosticReport
.... section:sectionSynthesis 0..1 BackboneElement Synthesis
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67781-5
.... section:sectionPlanOfCare 0..1 BackboneElement Plan of Care Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... entry 0..* Reference(Care Plan (HDR) | DocumentReference) A reference to data that supports this section
.... section:sectionDischargeInstructions 0..1 BackboneElement Hospital Discharge Instructions
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
.... section:sectionDischargeMedications 0..1 BackboneElement Hospital discharge medications
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75311-1
..... entry 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
.... section:sectionAllergies 0..1 BackboneElement Allergies and Intolerances Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... Slices for entry 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
Slice: Unordered, Open by type:resolve()
...... entry:allergyOrIntolerance 0..* Reference(Allergy Intolerance (EU core)) Relevant allergies or intolerances for that patient.
.... section:sectionAlert 0..1 BackboneElement Alert Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
..... Slices for entry 0..* Reference(Flag | DocumentReference) EPS Alerts entry
Slice: Unordered, Open by type:resolve()
...... entry:flag 0..* Reference(Flag:Patient (EU core)) Alert information
.... section:sectionPatientHx 0..1 BackboneElement Hx general Reported Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
.... section:sectionProblems 0..1 BackboneElement Problem List Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... Slices for entry 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by type:resolve()
...... entry:problem 0..* Reference(Condition (EU core)) A reference to data that supports this section
.... section:sectionImmunizations 0..1 BackboneElement Immunizations Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
..... Slices for entry 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization 0..* Reference(Immunization (EU core)) A reference to data that supports this section
.... section:sectionDischargeDetails 0..1 BackboneElement Discharge details
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
.... section:sectionAttachments 0..1 BackboneElement Attachments
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77599-9
..... entry 0..* Reference(DocumentReference | Binary) A reference to data that supports this section

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
text-or-section error Composition A Composition SHALL have either text, at least one section, or both. text.exists() or section.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition C 0..* Composition Hospital Discharge Report composition
Constraints: text-or-section
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension: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 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:version 0..1 string Business version
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
.... extension:information-recipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) 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 Σ 1..1 CodeableConceptIPS 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 (EU core)) 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
... author Σ 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
... 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(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) 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 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAdmissionEvaluation C 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67851-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Observation | DocumentReference | Vital Signs Profile) 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:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Condition | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDiagnosticSummary C 0..1 BackboneElement Problem specification in narrative form
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Condition (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionSignificantProcedures C 0..1 BackboneElement Significant procedures
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Procedure (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionMedicalDevices C 0..1 BackboneElement Medical devices and implants
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPharmacotherapy C 0..1 BackboneElement Pharmacotherapy
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionSignificantResults C 0..1 BackboneElement Significant medical test results
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
Slice: Unordered, Open by type:resolve()
...... entry:results-medicalTestResult C 0..* Reference(MedicalTestResult (EU core)) Medical test results
...... entry:results-diagnosticReport C 0..* Reference(DiagnosticReport (EU core)) DiagnosticReport
..... 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:sectionSynthesis C 0..1 BackboneElement Synthesis
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67781-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPlanOfCare C 0..1 BackboneElement Plan of Care Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Care Plan (HDR) | DocumentReference) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeInstructions C 0..1 BackboneElement Hospital Discharge Instructions
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeMedications C 0..1 BackboneElement Hospital discharge medications
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAllergies C 0..1 BackboneElement Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
Slice: Unordered, Open by type:resolve()
...... entry:allergyOrIntolerance C 0..* Reference(Allergy Intolerance (EU core)) Relevant allergies or intolerances for that patient.
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAlert C 0..1 BackboneElement Alert Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Flag | DocumentReference) EPS Alerts entry
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..* Reference(Flag:Patient (EU core)) Alert information
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPatientHx C 0..1 BackboneElement Hx general Reported Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionProblems C 0..1 BackboneElement Problem List Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by type:resolve()
...... entry:problem C 0..* Reference(Condition (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionImmunizations C 0..1 BackboneElement Immunizations Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..* Reference(Immunization (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeDetails C 0..1 BackboneElement Discharge details
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAttachments C 0..1 BackboneElement Attachments
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77599-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(DocumentReference | Binary) 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v7.0
Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionProblems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblems.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionProblems.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblems.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionImmunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionImmunizations.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionImmunizations.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionImmunizations.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionVitalSigns, Composition.section:sectionPhysicalFindings, Composition.section:sectionFunctionalStatus, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeInstructions, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionPatientHx, Composition.section:sectionProblems, Composition.section:sectionImmunizations, Composition.section:sectionDischargeDetails, Composition.section:sectionAttachments A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionVitalSigns, Composition.section:sectionPhysicalFindings, Composition.section:sectionFunctionalStatus, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeInstructions, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionPatientHx, Composition.section:sectionProblems, Composition.section:sectionImmunizations, Composition.section:sectionDischargeDetails, Composition.section:sectionAttachments A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
text-or-section error Composition A Composition SHALL have either text, at least one section, or both. text.exists() or section.exists()

This structure is derived from Composition

Summary

Mandatory: 5 elements(40 nested mandatory elements)
Prohibited: 2 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.section
  • The element 1 is sliced based on the value of Composition.section.entry

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition C 0..* Composition Hospital Discharge Report composition
Constraints: text-or-section
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:version 0..1 string Business version
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
.... extension:information-recipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) 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 Σ 1..1 CodeableConceptIPS 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
... subject Σ 1..1 Reference(Patient (EU core)) 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
... author Σ 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
... title Σ 1..1 string Hospital Discharge Report
... Slices for section C 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:sectionAdmissionEvaluation C 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67851-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(Observation | DocumentReference | Vital Signs Profile) A reference to data that supports this section
.... section:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(Condition | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
.... section:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionDiagnosticSummary C 0..1 BackboneElement Problem specification in narrative form
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(Condition (EU core)) A reference to data that supports this section
.... section:sectionSignificantProcedures C 0..1 BackboneElement Significant procedures
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(Procedure (EU core)) A reference to data that supports this section
.... section:sectionMedicalDevices C 0..1 BackboneElement Medical devices and implants
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
.... section:sectionPharmacotherapy C 0..1 BackboneElement Pharmacotherapy
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
.... section:sectionSignificantResults C 0..1 BackboneElement Significant medical test results
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
Slice: Unordered, Open by type:resolve()
...... entry:results-medicalTestResult C 0..* Reference(MedicalTestResult (EU core)) Medical test results
...... entry:results-diagnosticReport C 0..* Reference(DiagnosticReport (EU core)) DiagnosticReport
.... section:sectionSynthesis C 0..1 BackboneElement Synthesis
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67781-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionPlanOfCare C 0..1 BackboneElement Plan of Care Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(Care Plan (HDR) | DocumentReference) A reference to data that supports this section
.... section:sectionDischargeInstructions C 0..1 BackboneElement Hospital Discharge Instructions
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionDischargeMedications C 0..1 BackboneElement Hospital discharge medications
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
.... section:sectionAllergies C 0..1 BackboneElement Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
Slice: Unordered, Open by type:resolve()
...... entry:allergyOrIntolerance C 0..* Reference(Allergy Intolerance (EU core)) Relevant allergies or intolerances for that patient.
.... section:sectionAlert C 0..1 BackboneElement Alert Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Flag | DocumentReference) EPS Alerts entry
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..* Reference(Flag:Patient (EU core)) Alert information
.... section:sectionPatientHx C 0..1 BackboneElement Hx general Reported Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionProblems C 0..1 BackboneElement Problem List Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by type:resolve()
...... entry:problem C 0..* Reference(Condition (EU core)) A reference to data that supports this section
.... section:sectionImmunizations C 0..1 BackboneElement Immunizations Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..* Reference(Immunization (EU core)) A reference to data that supports this section
.... section:sectionDischargeDetails C 0..1 BackboneElement Discharge details
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionAttachments C 0..1 BackboneElement Attachments
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77599-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry C 0..* Reference(DocumentReference | Binary) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionImmunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionVitalSigns, Composition.section:sectionPhysicalFindings, Composition.section:sectionFunctionalStatus, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeInstructions, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionPatientHx, Composition.section:sectionProblems, Composition.section:sectionImmunizations, Composition.section:sectionDischargeDetails, Composition.section:sectionAttachments A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionVitalSigns, Composition.section:sectionPhysicalFindings, Composition.section:sectionFunctionalStatus, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeInstructions, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionPatientHx, Composition.section:sectionProblems, Composition.section:sectionImmunizations, Composition.section:sectionDischargeDetails, Composition.section:sectionAttachments A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
text-or-section error Composition A Composition SHALL have either text, at least one section, or both. text.exists() or section.exists()

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition C 0..* Composition Hospital Discharge Report composition
Constraints: text-or-section
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension: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
.... extension:version 0..1 string Business version
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
.... extension:information-recipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... value[x] 0..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) 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 (EU core)) Who and/or what the composition is about
... encounter 0..1 Reference(Encounter (HDR)) Context of the Composition
... date 1..1 dateTime HDR date
... author 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
... 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(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) Who attested the composition.
... Slices for section 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
.... section:sectionAdmissionEvaluation 0..1 BackboneElement Hospital Admission evaluation
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67851-6
.... section:sectionVitalSigns 0..1 BackboneElement Vital signs
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
..... entry 0..* Reference(Observation | DocumentReference | Vital Signs Profile) A reference to data that supports this section
.... section:sectionPhysicalFindings 0..1 BackboneElement Physical findings
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29545-1
.... section:sectionFunctionalStatus 0..1 BackboneElement Functional status
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
..... entry 0..* Reference(Condition | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
.... 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 Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
.... section:sectionDiagnosticSummary 0..1 BackboneElement Problem specification in narrative form
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
..... entry 0..* Reference(Condition (EU core)) A reference to data that supports this section
.... section:sectionSignificantProcedures 0..1 BackboneElement Significant procedures
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10185-7
..... entry 0..* Reference(Procedure (EU core)) A reference to data that supports this section
..... section 0..0 Nested Section
.... section:sectionMedicalDevices 0..1 BackboneElement Medical devices and implants
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57080-4
..... entry 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
..... section 0..0 Nested Section
.... section:sectionPharmacotherapy 0..1 BackboneElement Pharmacotherapy
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87232-5
..... entry 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
.... section:sectionSignificantResults 0..1 BackboneElement Significant medical test results
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
..... Slices for entry 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
Slice: Unordered, Open by type:resolve()
...... entry:results-medicalTestResult 0..* Reference(MedicalTestResult (EU core)) Medical test results
...... entry:results-diagnosticReport 0..* Reference(DiagnosticReport (EU core)) DiagnosticReport
.... section:sectionSynthesis 0..1 BackboneElement Synthesis
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67781-5
.... section:sectionPlanOfCare 0..1 BackboneElement Plan of Care Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... entry 0..* Reference(Care Plan (HDR) | DocumentReference) A reference to data that supports this section
.... section:sectionDischargeInstructions 0..1 BackboneElement Hospital Discharge Instructions
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
.... section:sectionDischargeMedications 0..1 BackboneElement Hospital discharge medications
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75311-1
..... entry 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
.... section:sectionAllergies 0..1 BackboneElement Allergies and Intolerances Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... Slices for entry 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
Slice: Unordered, Open by type:resolve()
...... entry:allergyOrIntolerance 0..* Reference(Allergy Intolerance (EU core)) Relevant allergies or intolerances for that patient.
.... section:sectionAlert 0..1 BackboneElement Alert Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
..... Slices for entry 0..* Reference(Flag | DocumentReference) EPS Alerts entry
Slice: Unordered, Open by type:resolve()
...... entry:flag 0..* Reference(Flag:Patient (EU core)) Alert information
.... section:sectionPatientHx 0..1 BackboneElement Hx general Reported Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
.... section:sectionProblems 0..1 BackboneElement Problem List Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... Slices for entry 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by type:resolve()
...... entry:problem 0..* Reference(Condition (EU core)) A reference to data that supports this section
.... section:sectionImmunizations 0..1 BackboneElement Immunizations Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
..... Slices for entry 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization 0..* Reference(Immunization (EU core)) A reference to data that supports this section
.... section:sectionDischargeDetails 0..1 BackboneElement Discharge details
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
.... section:sectionAttachments 0..1 BackboneElement Attachments
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77599-9
..... entry 0..* Reference(DocumentReference | Binary) A reference to data that supports this section

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
text-or-section error Composition A Composition SHALL have either text, at least one section, or both. text.exists() or section.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition C 0..* Composition Hospital Discharge Report composition
Constraints: text-or-section
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension: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 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:version 0..1 string Business version
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
.... extension:information-recipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) 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 Σ 1..1 CodeableConceptIPS 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 (EU core)) 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
... author Σ 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
... 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(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) 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 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAdmissionEvaluation C 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67851-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Observation | DocumentReference | Vital Signs Profile) 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:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Condition | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDiagnosticSummary C 0..1 BackboneElement Problem specification in narrative form
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Condition (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionSignificantProcedures C 0..1 BackboneElement Significant procedures
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Procedure (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionMedicalDevices C 0..1 BackboneElement Medical devices and implants
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPharmacotherapy C 0..1 BackboneElement Pharmacotherapy
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionSignificantResults C 0..1 BackboneElement Significant medical test results
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
Slice: Unordered, Open by type:resolve()
...... entry:results-medicalTestResult C 0..* Reference(MedicalTestResult (EU core)) Medical test results
...... entry:results-diagnosticReport C 0..* Reference(DiagnosticReport (EU core)) DiagnosticReport
..... 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:sectionSynthesis C 0..1 BackboneElement Synthesis
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67781-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPlanOfCare C 0..1 BackboneElement Plan of Care Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Care Plan (HDR) | DocumentReference) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeInstructions C 0..1 BackboneElement Hospital Discharge Instructions
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeMedications C 0..1 BackboneElement Hospital discharge medications
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAllergies C 0..1 BackboneElement Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
Slice: Unordered, Open by type:resolve()
...... entry:allergyOrIntolerance C 0..* Reference(Allergy Intolerance (EU core)) Relevant allergies or intolerances for that patient.
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAlert C 0..1 BackboneElement Alert Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Flag | DocumentReference) EPS Alerts entry
Slice: Unordered, Open by type:resolve()
...... entry:flag C 0..* Reference(Flag:Patient (EU core)) Alert information
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPatientHx C 0..1 BackboneElement Hx general Reported Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionProblems C 0..1 BackboneElement Problem List Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by type:resolve()
...... entry:problem C 0..* Reference(Condition (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionImmunizations C 0..1 BackboneElement Immunizations Section
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..* Reference(Immunization (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeDetails C 0..1 BackboneElement Discharge details
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAttachments C 0..1 BackboneElement Attachments
Constraints: cmp-1, cmp-2
..... 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77599-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(DocumentReference | Binary) 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v7.0
Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdmissionEvaluation.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionVitalSigns.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPhysicalFindings.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionFunctionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDiagnosticSummary.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantProcedures.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionMedicalDevices.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPharmacotherapy.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSignificantResults.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionSynthesis.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeInstructions.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeMedications.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAlert.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPatientHx.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionProblems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblems.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionProblems.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionProblems.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionImmunizations.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionImmunizations.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionImmunizations.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionImmunizations.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionDischargeDetails.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAttachments.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionVitalSigns, Composition.section:sectionPhysicalFindings, Composition.section:sectionFunctionalStatus, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeInstructions, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionPatientHx, Composition.section:sectionProblems, Composition.section:sectionImmunizations, Composition.section:sectionDischargeDetails, Composition.section:sectionAttachments A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:sectionAdmissionEvaluation, Composition.section:sectionVitalSigns, Composition.section:sectionPhysicalFindings, Composition.section:sectionFunctionalStatus, Composition.section:sectionHospitalCourse, Composition.section:sectionDiagnosticSummary, Composition.section:sectionSignificantProcedures, Composition.section:sectionMedicalDevices, Composition.section:sectionPharmacotherapy, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeInstructions, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, Composition.section:sectionAlert, Composition.section:sectionPatientHx, Composition.section:sectionProblems, Composition.section:sectionImmunizations, Composition.section:sectionDischargeDetails, Composition.section:sectionAttachments A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Composition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
text-or-section error Composition A Composition SHALL have either text, at least one section, or both. text.exists() or section.exists()

This structure is derived from Composition

Summary

Mandatory: 5 elements(40 nested mandatory elements)
Prohibited: 2 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.section
  • The element 1 is sliced based on the value of Composition.section.entry

 

Other representations of profile: CSV, Excel, Schematron