HL7 Europe Hospital Discharge Report
1.0.0-ci - draft
150
HL7 Europe Hospital Discharge Report
1.0.0-ci - draft
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 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
| Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr | Version: 1.0.0-ci | |||
| Standards status: Informative | Maturity Level: 0 | Computable Name: CompositionEuHdrObligation | ||
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
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This profile defines obligations for a Hospital Discharge Report (HDR) for the scope of this guide.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Composition |
C | 0..* | CompositionEuHdr | Hospital Discharge Report composition Constraints: text-or-section | ||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
O | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||
   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: obligations | Practitioner: obligations | Device: obligations | Patient: obligations | RelatedPerson: obligations | Organization: obligations) | Value of extension | |||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
 identifier |
OΣ | 0..1 | Identifier | HDR business identifier
| ||||||||
| status |
?!OΣ | 1..1 | code | HDR status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||||||
| type |
OΣ | 1..1 | CodeableConcept | 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 |
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 | |||||||||
| category |
OΣ | 0..* | CodeableConcept | Categorization of Composition Binding: Document Category Value Set (extensible) Example Document category: {"code":"LP72467-1","display":"Discharge summary note"}
| ||||||||
| subject |
OΣ | 1..1 | Reference(Patient: obligations) | Who and/or what the composition is about
| ||||||||
| encounter |
OΣ | 1..1 | Reference(Encounter: obligations) | Context of the Composition
| ||||||||
| date |
OΣ | 1..1 | dateTime | HDR date
| ||||||||
| author |
OΣ | 1..* | Reference(Practitioner: obligations | PractitionerRole: obligations | Device: obligations | Organization: obligations) | Who and/or what authored the Hospital Discharge Report
| ||||||||
| title |
OΣ | 1..1 | string | Hospital Discharge Report
| ||||||||
| attester |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| mode |
O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| ||||||||
| time |
O | 0..1 | dateTime | When the composition was attested.
| ||||||||
| party |
O | 0..1 | Reference(Practitioner: obligations | PractitionerRole: obligations | Organization: obligations) | Who attested the composition.
| ||||||||
| custodian |
OΣ | 0..1 | Reference(Organization) | Organization which maintains the composition
| ||||||||
 Slices for section |
OC | 1..* | BackboneElement | Sections composing the HDR Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
| ||||||||
 section:All Slices |
Content/Rules for all slices | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
 extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionAlert |
OC | 0..1 | BackboneElement | Alert Section Constraints: cmp-1, cmp-2
| ||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||
 extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| text |
OC | 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
| ||||||||
| Slices for entry |
OC | 0..* | Reference(Flag: obligations | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve()
| ||||||||
 Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:flag |
OC | 0..* | Reference(Flag: obligations) | Alert information
| ||||||||
| section:sectionAdmissionEvaluation |
OC | 0..1 | BackboneElement | Hospital Admission evaluation Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionVitalSigns |
C | 0..1 | BackboneElement | Vital signs Constraints: cmp-1, cmp-2 | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: obligations | DocumentReference | Vital Signs Profile) | A reference to data that supports this section | ||||||||
| section:sectionPhysicalFindings |
OC | 0..1 | BackboneElement | Physical findings Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| entry |
OC | 0..* | Reference(Observation: obligations | DocumentReference) | A reference to data that supports this section
| ||||||||
| section:sectionFunctionalStatus |
OC | 0..1 | BackboneElement | Functional status Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |||||||||
| Slices for entry |
OC | 0..* | Reference(Condition: obligations | ClinicalImpression | Observation: obligations | DocumentReference | QuestionnaireResponse) | Disabilities and Functional assessments Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:condition |
OC | 0..* | Reference(Condition: obligations) | Functional status condition entry
| ||||||||
| entry:observation |
OC | 0..* | Reference(Observation: obligations) | Functional status observation entry
| ||||||||
| section:sectionHospitalCourse |
OC | 1..1 | BackboneElement | Significant information about course of hospital stay Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionDiagnosticSummary |
OC | 0..1 | BackboneElement | Problem specification in narrative form Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Condition: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionSignificantProcedures |
OC | 0..1 | BackboneElement | Significant procedures Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Procedure: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionMedicalDevices |
OC | 0..1 | BackboneElement | Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| Slices for entry |
OC | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations | DocumentReference) | Medical Device entry Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:deviceStatement |
OC | 0..* | Reference(DeviceUseStatement: obligations) | Patient history of medical device use
| ||||||||
| section:sectionProceduresHx |
OC | 0..1 | BackboneElement | History of Procedures Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| Slices for entry |
OC | 0..* | Reference(Procedure: obligations | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:procedure |
OC | 0..* | Reference(Procedure: obligations) | Patient past procedures pertinent to the scope of this document.
| ||||||||
| section:sectionPharmacotherapy |
OC | 0..1 | BackboneElement | Pharmacotherapy Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| Slices for entry |
OC | 0..* | Reference(MedicationStatement: obligations | MedicationRequest: obligations | MedicationDispense: obligations | MedicationAdministration: obligations) | Medication Use slice Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:medicationStatement |
OC | 0..* | Reference(MedicationStatement: obligations) | Medication Use
| ||||||||
| section:sectionImplantedDevices |
OC | 0..1 | BackboneElement | Medical devices and implants Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionSignificantResults |
OC | 0..1 | BackboneElement | Significant medical test results Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Observation: obligations | DiagnosticReport | DocumentReference) | Significant medical test results Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:results-medicalTestResult |
OC | 0..* | Reference(Observation: obligations) | Medical test results
| ||||||||
| entry:results-diagnosticReport |
OC | 0..* | Reference(DiagnosticReport (EU core)) | DiagnosticReport
| ||||||||
| section:sectionSynthesis |
OC | 0..1 | BackboneElement | Synthesis Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionPlanOfCare |
OC | 0..1 | BackboneElement | Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| text |
OC | 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
| ||||||||
| entry |
OC | 0..* | Reference(Care Plan: obligations | DocumentReference) | A reference to data that supports this section
| ||||||||
| section:sectionDischargeMedications |
OC | 0..1 | BackboneElement | Hospital discharge medications Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| text |
OC | 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
| ||||||||
| entry |
OC | 0..* | Reference(MedicationRequest: obligations | MedicationDispense: obligations | MedicationStatement: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionAllergies |
C | 0..1 | BackboneElement | Allergies and Intolerances Section Constraints: cmp-1, cmp-2 | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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(Allergy Intolerance: obligations | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve() | ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:allergyOrIntolerance |
OC | 0..* | Reference(Allergy Intolerance: obligations) | Relevant allergies or intolerances for that patient.
| ||||||||
| section:sectionPatientHx |
OC | 0..1 | BackboneElement | Hx general Reported Section Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionProblems |
OC | 0..1 | BackboneElement | Problem List Section Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 |
OC | 0..* | Reference(Condition: obligations | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:problem |
OC | 0..* | Reference(Condition: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionImmunizations |
C | 0..1 | BackboneElement | Immunizations Section Constraints: cmp-1, cmp-2 | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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: obligations | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve() | ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:immunization |
OC | 0..* | Reference(Immunization: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionDischargeDetails |
OC | 0..1 | BackboneElement | Discharge details Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionAttachments |
C | 0..1 | BackboneElement | Attachments Constraints: cmp-1, cmp-2 | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(DocumentReference | Binary) | A reference to data that supports this section
| ||||||||
| Documentation for this format | ||||||||||||
| 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 | extensible | Document Category Value Set | 📦1.0.0-ci | This IG |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.section.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: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:sectionProceduresHx.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:sectionImplantedDevices.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: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: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. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionAlert, 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:sectionProceduresHx, Composition.section:sectionPharmacotherapy, Composition.section:sectionImplantedDevices, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, 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:sectionAlert, 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:sectionProceduresHx, Composition.section:sectionPharmacotherapy, Composition.section:sectionImplantedDevices, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, 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 CompositionEuHdr
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
CompositionEuHdr | |||||||||||
| language |
O | 0..1 | code | Language of the resource content
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:information-recipient |
0..* | InformationRecipient | Composition: Information recipient | |||||||||
| value[x] |
0..1 | Reference(PractitionerRole: obligations | Practitioner: obligations | Device: obligations | Patient: obligations | RelatedPerson: obligations | Organization: obligations) | Value of extension | |||||||||
| identifier |
O | 0..1 | Identifier | HDR business identifier
| ||||||||
| status |
O | 1..1 | code | HDR status
| ||||||||
| type |
O | 1..1 | CodeableConcept | Kind of composition ("Hospital Discharge Report")
| ||||||||
| category |
O | 0..* | CodeableConcept | Categorization of Composition
| ||||||||
| subject |
O | 1..1 | Reference(Patient: obligations) | Who and/or what the composition is about
| ||||||||
| encounter |
O | 1..1 | Reference(Encounter: obligations) | Context of the Composition
| ||||||||
| date |
O | 1..1 | dateTime | HDR date
| ||||||||
| author |
O | 1..* | Reference(Practitioner: obligations | PractitionerRole: obligations | Device: obligations | Organization: obligations) | Who and/or what authored the Hospital Discharge Report
| ||||||||
| title |
O | 1..1 | string | Hospital Discharge Report
| ||||||||
| attester |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||
| mode |
O | 1..1 | code | The type of attestation
| ||||||||
| time |
O | 0..1 | dateTime | When the composition was attested.
| ||||||||
| party |
O | 0..1 | Reference(Practitioner: obligations | PractitionerRole: obligations | Organization: obligations) | Who attested the composition.
| ||||||||
| custodian |
O | 0..1 | Reference(Organization) | Organization which maintains the composition
| ||||||||
| event |
||||||||||||
| period |
O | 0..1 | Period | The period covered by the documentation
| ||||||||
| section |
O | 1..* | BackboneElement | Sections composing the HDR
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| Slices for section |
Content/Rules for all slices | |||||||||||
| section:sectionAlert |
O | 0..1 | BackboneElement | Alert Section
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| entry |
O | 0..* | Reference(Flag: obligations | DocumentReference) | EPS Alerts entry
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:flag |
O | 0..* | Reference(Flag: obligations) | Alert information
| ||||||||
| section:sectionAdmissionEvaluation |
O | 0..1 | BackboneElement | Hospital Admission evaluation
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Note(5.3.0) | Additional notes that apply to this resource or element.
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| section:sectionVitalSigns |
0..1 | BackboneElement | Vital signs | |||||||||
| entry |
0..* | Reference(Observation: obligations | DocumentReference | Vital Signs Profile) | A reference to data that supports this section | |||||||||
| section:sectionPhysicalFindings |
O | 0..1 | BackboneElement | Physical findings
| ||||||||
| entry |
O | 0..* | Reference(Observation: obligations | DocumentReference) | A reference to data that supports this section
| ||||||||
| section:sectionFunctionalStatus |
O | 0..1 | BackboneElement | Functional status
| ||||||||
| entry |
O | 0..* | Reference(Condition: obligations | ClinicalImpression | Observation: obligations | DocumentReference | QuestionnaireResponse) | Disabilities and Functional assessments
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:condition |
O | 0..* | Reference(Condition: obligations) | Functional status condition entry
| ||||||||
| entry:observation |
O | 0..* | Reference(Observation: obligations) | Functional status observation entry
| ||||||||
| section:sectionHospitalCourse |
O | 1..1 | BackboneElement | Significant information about course of hospital stay
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Note(5.3.0) | Additional notes that apply to this resource or element.
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| section:sectionDiagnosticSummary |
O | 0..1 | BackboneElement | Problem specification in narrative form
| ||||||||
| entry |
O | 0..* | Reference(Condition: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionSignificantProcedures |
O | 0..1 | BackboneElement | Significant procedures
| ||||||||
| entry |
O | 0..* | Reference(Procedure: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionMedicalDevices |
O | 0..1 | BackboneElement | Medical Devices Section
| ||||||||
| entry |
O | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations | DocumentReference) | Medical Device entry
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:deviceStatement |
O | 0..* | Reference(DeviceUseStatement: obligations) | Patient history of medical device use
| ||||||||
| section:sectionProceduresHx |
O | 0..1 | BackboneElement | History of Procedures
| ||||||||
| entry |
O | 0..* | Reference(Procedure: obligations | DocumentReference) | Slice on procedure
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:procedure |
O | 0..* | Reference(Procedure: obligations) | Patient past procedures pertinent to the scope of this document.
| ||||||||
| section:sectionPharmacotherapy |
O | 0..1 | BackboneElement | Pharmacotherapy
| ||||||||
| entry |
O | 0..* | Reference(MedicationStatement: obligations | MedicationRequest: obligations | MedicationDispense: obligations | MedicationAdministration: obligations) | Medication Use slice
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:medicationStatement |
O | 0..* | Reference(MedicationStatement: obligations) | Medication Use
| ||||||||
| section:sectionImplantedDevices |
O | 0..1 | BackboneElement | Medical devices and implants
| ||||||||
| entry |
O | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionSignificantResults |
O | 0..1 | BackboneElement | Significant medical test results
| ||||||||
| entry |
O | 0..* | Reference(Observation: obligations | DiagnosticReport | DocumentReference) | Significant medical test results
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:results-medicalTestResult |
O | 0..* | Reference(Observation: obligations) | Medical test results
| ||||||||
| entry:results-diagnosticReport |
O | 0..* | Reference(DiagnosticReport (EU core)) | DiagnosticReport
| ||||||||
| section:sectionSynthesis |
O | 0..1 | BackboneElement | Synthesis
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| section:sectionPlanOfCare |
O | 0..1 | BackboneElement | Plan of Care Section
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| entry |
O | 0..* | Reference(Care Plan: obligations | DocumentReference) | A reference to data that supports this section
| ||||||||
| section:sectionDischargeMedications |
O | 0..1 | BackboneElement | Hospital discharge medications
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Note(5.3.0) | Additional notes that apply to this resource or element.
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| entry |
O | 0..* | Reference(MedicationRequest: obligations | MedicationDispense: obligations | MedicationStatement: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionAllergies |
0..1 | BackboneElement | Allergies and Intolerances Section | |||||||||
| entry |
0..* | Reference(Allergy Intolerance: obligations | DocumentReference) | allergyOrIntolerance | |||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:allergyOrIntolerance |
O | 0..* | Reference(Allergy Intolerance: obligations) | Relevant allergies or intolerances for that patient.
| ||||||||
| section:sectionPatientHx |
O | 0..1 | BackboneElement | Hx general Reported Section
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Note(5.3.0) | Additional notes that apply to this resource or element.
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| section:sectionProblems |
O | 0..1 | BackboneElement | Problem List Section
| ||||||||
| entry |
O | 0..* | Reference(Condition: obligations | DocumentReference) | Clinical problems or conditions currently being monitored for the patient.
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:problem |
O | 0..* | Reference(Condition: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionImmunizations |
0..1 | BackboneElement | Immunizations Section | |||||||||
| entry |
0..* | Reference(Immunization: obligations | DocumentReference) | Patient's immunization status and pertinent history. | |||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:immunization |
O | 0..* | Reference(Immunization: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionDischargeDetails |
O | 0..1 | BackboneElement | Discharge details
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Note(5.3.0) | Additional notes that apply to this resource or element.
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| section:sectionAttachments |
0..1 | BackboneElement | Attachments | |||||||||
| entry |
O | 0..* | Reference(DocumentReference | Binary) | A reference to data that supports this section
| ||||||||
| Documentation for this format | ||||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | CompositionEuHdr | 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 | ||||||||
| language |
O | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:basedOn |
0..* | (Complex) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn | |||||||||
| 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.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: obligations | Practitioner: obligations | Device: obligations | Patient: obligations | RelatedPerson: obligations | Organization: obligations) | Value of extension | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
OΣ | 0..1 | Identifier | HDR business identifier
| ||||||||
| status |
?!OΣ | 1..1 | code | HDR status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||||||
| type |
OΣ | 1..1 | CodeableConcept | 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 Slice: Unordered, Open by value:url | |||||||||
| coding |
Σ | 0..* | 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 Slice: Unordered, Open by value:url | |||||||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 34105-7 | ||||||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||
| category |
OΣ | 0..* | CodeableConcept | Categorization of Composition Binding: Document Category Value Set (extensible) Example Document category: {"code":"LP72467-1","display":"Discharge summary note"}
| ||||||||
| subject |
OΣ | 1..1 | Reference(Patient: obligations) | Who and/or what the composition is about
| ||||||||
| encounter |
OΣ | 1..1 | Reference(Encounter: obligations) | Context of the Composition
| ||||||||
| date |
OΣ | 1..1 | dateTime | HDR date
| ||||||||
| author |
OΣ | 1..* | Reference(Practitioner: obligations | PractitionerRole: obligations | Device: obligations | Organization: obligations) | Who and/or what authored the Hospital Discharge Report
| ||||||||
| title |
OΣ | 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 |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| mode |
O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| ||||||||
| time |
O | 0..1 | dateTime | When the composition was attested.
| ||||||||
| party |
O | 0..1 | Reference(Practitioner: obligations | PractitionerRole: obligations | Organization: obligations) | Who attested the composition.
| ||||||||
| custodian |
OΣ | 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 |
OΣ | 0..1 | Period | The period covered by the documentation
| ||||||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||||||
| Slices for section |
OC | 1..* | BackboneElement | Sections composing the HDR Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
| ||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
OC | 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:sectionAlert |
OC | 0..1 | BackboneElement | Alert Section Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
OC | 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 |
OC | 0..* | Reference(Flag: obligations | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:flag |
OC | 0..* | Reference(Flag: obligations) | 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:sectionAdmissionEvaluation |
OC | 0..1 | BackboneElement | Hospital Admission evaluation Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: obligations | 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 |
OC | 0..1 | BackboneElement | Physical findings Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Observation: obligations | 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:sectionFunctionalStatus |
OC | 0..1 | BackboneElement | Functional status Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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. | |||||||||
| Slices for entry |
OC | 0..* | Reference(Condition: obligations | ClinicalImpression | Observation: obligations | DocumentReference | QuestionnaireResponse) | Disabilities and Functional assessments Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:condition |
OC | 0..* | Reference(Condition: obligations) | Functional status condition entry
| ||||||||
| entry:observation |
OC | 0..* | Reference(Observation: obligations) | Functional status observation entry
| ||||||||
| 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 |
OC | 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 | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 |
OC | 0..1 | BackboneElement | Problem specification in narrative form Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Condition: obligations) | 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 |
OC | 0..1 | BackboneElement | Significant procedures Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Procedure: obligations) | 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 |
OC | 0..1 | BackboneElement | Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
C | 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 |
OC | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations | DocumentReference) | Medical Device entry Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:deviceStatement |
OC | 0..* | Reference(DeviceUseStatement: obligations) | Patient history of medical device use
| ||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||
| section:sectionProceduresHx |
OC | 0..1 | BackboneElement | History of Procedures Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
C | 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 |
OC | 0..* | Reference(Procedure: obligations | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:procedure |
OC | 0..* | Reference(Procedure: obligations) | Patient past procedures pertinent to the scope of this document.
| ||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||
| section:sectionPharmacotherapy |
OC | 0..1 | BackboneElement | Pharmacotherapy Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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. | |||||||||
| Slices for entry |
OC | 0..* | Reference(MedicationStatement: obligations | MedicationRequest: obligations | MedicationDispense: obligations | MedicationAdministration: obligations) | Medication Use slice Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:medicationStatement |
OC | 0..* | Reference(MedicationStatement: obligations) | Medication Use
| ||||||||
| 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:sectionImplantedDevices |
OC | 0..1 | BackboneElement | Medical devices and implants Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations) | 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 |
OC | 0..1 | BackboneElement | Significant medical test results Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Observation: obligations | DiagnosticReport | DocumentReference) | Significant medical test results Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:results-medicalTestResult |
OC | 0..* | Reference(Observation: obligations) | Medical test results
| ||||||||
| entry:results-diagnosticReport |
OC | 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 |
OC | 0..1 | BackboneElement | Synthesis Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 |
OC | 0..1 | BackboneElement | Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
OC | 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 |
OC | 0..* | Reference(Care Plan: obligations | 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:sectionDischargeMedications |
OC | 0..1 | BackboneElement | Hospital discharge medications Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 |
OC | 0..* | Reference(MedicationRequest: obligations | MedicationDispense: obligations | MedicationStatement: obligations) | 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 | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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(Allergy Intolerance: obligations | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve() | ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:allergyOrIntolerance |
OC | 0..* | Reference(Allergy Intolerance: obligations) | 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:sectionPatientHx |
OC | 0..1 | BackboneElement | Hx general Reported Section Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
OC | 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 |
OC | 0..1 | BackboneElement | Problem List Section Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Condition: obligations | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:problem |
OC | 0..* | Reference(Condition: obligations) | 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 | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: obligations | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve() | ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:immunization |
OC | 0..* | Reference(Immunization: obligations) | 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 |
OC | 0..1 | BackboneElement | Discharge details Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 | ||||||||
| Documentation for this format | ||||||||||||
| 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 | extensible | Document Category Value Set | 📦1.0.0-ci | This IG |
| 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 v7.2 |
| 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: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: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:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section: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:sectionImplantedDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImplantedDevices.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImplantedDevices.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImplantedDevices.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: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: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. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionAlert, 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:sectionProceduresHx, Composition.section:sectionPharmacotherapy, Composition.section:sectionImplantedDevices, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, 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:sectionAlert, 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:sectionProceduresHx, Composition.section:sectionPharmacotherapy, Composition.section:sectionImplantedDevices, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, 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 CompositionEuHdr
Summary
Structures
This structure refers to these other structures:
Maturity: 0
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | CompositionEuHdr | Hospital Discharge Report composition Constraints: text-or-section | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
O | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| 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: obligations | Practitioner: obligations | Device: obligations | Patient: obligations | RelatedPerson: obligations | Organization: obligations) | Value of extension | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
OΣ | 0..1 | Identifier | HDR business identifier
| ||||||||
| status |
?!OΣ | 1..1 | code | HDR status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||||||
| type |
OΣ | 1..1 | CodeableConcept | 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 |
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 | |||||||||
| category |
OΣ | 0..* | CodeableConcept | Categorization of Composition Binding: Document Category Value Set (extensible) Example Document category: {"code":"LP72467-1","display":"Discharge summary note"}
| ||||||||
| subject |
OΣ | 1..1 | Reference(Patient: obligations) | Who and/or what the composition is about
| ||||||||
| encounter |
OΣ | 1..1 | Reference(Encounter: obligations) | Context of the Composition
| ||||||||
| date |
OΣ | 1..1 | dateTime | HDR date
| ||||||||
| author |
OΣ | 1..* | Reference(Practitioner: obligations | PractitionerRole: obligations | Device: obligations | Organization: obligations) | Who and/or what authored the Hospital Discharge Report
| ||||||||
| title |
OΣ | 1..1 | string | Hospital Discharge Report
| ||||||||
| attester |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| mode |
O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| ||||||||
| time |
O | 0..1 | dateTime | When the composition was attested.
| ||||||||
| party |
O | 0..1 | Reference(Practitioner: obligations | PractitionerRole: obligations | Organization: obligations) | Who attested the composition.
| ||||||||
| custodian |
OΣ | 0..1 | Reference(Organization) | Organization which maintains the composition
| ||||||||
| Slices for section |
OC | 1..* | BackboneElement | Sections composing the HDR Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
| ||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionAlert |
OC | 0..1 | BackboneElement | Alert Section Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| text |
OC | 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
| ||||||||
| Slices for entry |
OC | 0..* | Reference(Flag: obligations | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:flag |
OC | 0..* | Reference(Flag: obligations) | Alert information
| ||||||||
| section:sectionAdmissionEvaluation |
OC | 0..1 | BackboneElement | Hospital Admission evaluation Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionVitalSigns |
C | 0..1 | BackboneElement | Vital signs Constraints: cmp-1, cmp-2 | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: obligations | DocumentReference | Vital Signs Profile) | A reference to data that supports this section | ||||||||
| section:sectionPhysicalFindings |
OC | 0..1 | BackboneElement | Physical findings Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| entry |
OC | 0..* | Reference(Observation: obligations | DocumentReference) | A reference to data that supports this section
| ||||||||
| section:sectionFunctionalStatus |
OC | 0..1 | BackboneElement | Functional status Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 | |||||||||
| Slices for entry |
OC | 0..* | Reference(Condition: obligations | ClinicalImpression | Observation: obligations | DocumentReference | QuestionnaireResponse) | Disabilities and Functional assessments Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:condition |
OC | 0..* | Reference(Condition: obligations) | Functional status condition entry
| ||||||||
| entry:observation |
OC | 0..* | Reference(Observation: obligations) | Functional status observation entry
| ||||||||
| section:sectionHospitalCourse |
OC | 1..1 | BackboneElement | Significant information about course of hospital stay Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionDiagnosticSummary |
OC | 0..1 | BackboneElement | Problem specification in narrative form Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Condition: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionSignificantProcedures |
OC | 0..1 | BackboneElement | Significant procedures Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Procedure: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionMedicalDevices |
OC | 0..1 | BackboneElement | Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| Slices for entry |
OC | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations | DocumentReference) | Medical Device entry Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:deviceStatement |
OC | 0..* | Reference(DeviceUseStatement: obligations) | Patient history of medical device use
| ||||||||
| section:sectionProceduresHx |
OC | 0..1 | BackboneElement | History of Procedures Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| Slices for entry |
OC | 0..* | Reference(Procedure: obligations | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:procedure |
OC | 0..* | Reference(Procedure: obligations) | Patient past procedures pertinent to the scope of this document.
| ||||||||
| section:sectionPharmacotherapy |
OC | 0..1 | BackboneElement | Pharmacotherapy Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| Slices for entry |
OC | 0..* | Reference(MedicationStatement: obligations | MedicationRequest: obligations | MedicationDispense: obligations | MedicationAdministration: obligations) | Medication Use slice Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:medicationStatement |
OC | 0..* | Reference(MedicationStatement: obligations) | Medication Use
| ||||||||
| section:sectionImplantedDevices |
OC | 0..1 | BackboneElement | Medical devices and implants Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionSignificantResults |
OC | 0..1 | BackboneElement | Significant medical test results Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Observation: obligations | DiagnosticReport | DocumentReference) | Significant medical test results Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:results-medicalTestResult |
OC | 0..* | Reference(Observation: obligations) | Medical test results
| ||||||||
| entry:results-diagnosticReport |
OC | 0..* | Reference(DiagnosticReport (EU core)) | DiagnosticReport
| ||||||||
| section:sectionSynthesis |
OC | 0..1 | BackboneElement | Synthesis Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionPlanOfCare |
OC | 0..1 | BackboneElement | Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| text |
OC | 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
| ||||||||
| entry |
OC | 0..* | Reference(Care Plan: obligations | DocumentReference) | A reference to data that supports this section
| ||||||||
| section:sectionDischargeMedications |
OC | 0..1 | BackboneElement | Hospital discharge medications Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| text |
OC | 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
| ||||||||
| entry |
OC | 0..* | Reference(MedicationRequest: obligations | MedicationDispense: obligations | MedicationStatement: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionAllergies |
C | 0..1 | BackboneElement | Allergies and Intolerances Section Constraints: cmp-1, cmp-2 | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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(Allergy Intolerance: obligations | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve() | ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:allergyOrIntolerance |
OC | 0..* | Reference(Allergy Intolerance: obligations) | Relevant allergies or intolerances for that patient.
| ||||||||
| section:sectionPatientHx |
OC | 0..1 | BackboneElement | Hx general Reported Section Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionProblems |
OC | 0..1 | BackboneElement | Problem List Section Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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 |
OC | 0..* | Reference(Condition: obligations | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:problem |
OC | 0..* | Reference(Condition: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionImmunizations |
C | 0..1 | BackboneElement | Immunizations Section Constraints: cmp-1, cmp-2 | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: 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: obligations | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve() | ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:immunization |
OC | 0..* | Reference(Immunization: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionDischargeDetails |
OC | 0..1 | BackboneElement | Discharge details Constraints: cmp-1, cmp-2
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |||||||||
| text |
OC | 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
| ||||||||
| section:sectionAttachments |
C | 0..1 | BackboneElement | Attachments Constraints: cmp-1, cmp-2 | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(DocumentReference | Binary) | A reference to data that supports this section
| ||||||||
| Documentation for this format | ||||||||||||
| 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 | extensible | Document Category Value Set | 📦1.0.0-ci | This IG |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.section.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: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:sectionProceduresHx.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:sectionImplantedDevices.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: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: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. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionAlert, 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:sectionProceduresHx, Composition.section:sectionPharmacotherapy, Composition.section:sectionImplantedDevices, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, 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:sectionAlert, 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:sectionProceduresHx, Composition.section:sectionPharmacotherapy, Composition.section:sectionImplantedDevices, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, 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 CompositionEuHdr
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
CompositionEuHdr | |||||||||||
| language |
O | 0..1 | code | Language of the resource content
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:information-recipient |
0..* | InformationRecipient | Composition: Information recipient | |||||||||
| value[x] |
0..1 | Reference(PractitionerRole: obligations | Practitioner: obligations | Device: obligations | Patient: obligations | RelatedPerson: obligations | Organization: obligations) | Value of extension | |||||||||
| identifier |
O | 0..1 | Identifier | HDR business identifier
| ||||||||
| status |
O | 1..1 | code | HDR status
| ||||||||
| type |
O | 1..1 | CodeableConcept | Kind of composition ("Hospital Discharge Report")
| ||||||||
| category |
O | 0..* | CodeableConcept | Categorization of Composition
| ||||||||
| subject |
O | 1..1 | Reference(Patient: obligations) | Who and/or what the composition is about
| ||||||||
| encounter |
O | 1..1 | Reference(Encounter: obligations) | Context of the Composition
| ||||||||
| date |
O | 1..1 | dateTime | HDR date
| ||||||||
| author |
O | 1..* | Reference(Practitioner: obligations | PractitionerRole: obligations | Device: obligations | Organization: obligations) | Who and/or what authored the Hospital Discharge Report
| ||||||||
| title |
O | 1..1 | string | Hospital Discharge Report
| ||||||||
| attester |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||
| mode |
O | 1..1 | code | The type of attestation
| ||||||||
| time |
O | 0..1 | dateTime | When the composition was attested.
| ||||||||
| party |
O | 0..1 | Reference(Practitioner: obligations | PractitionerRole: obligations | Organization: obligations) | Who attested the composition.
| ||||||||
| custodian |
O | 0..1 | Reference(Organization) | Organization which maintains the composition
| ||||||||
| event |
||||||||||||
| period |
O | 0..1 | Period | The period covered by the documentation
| ||||||||
| section |
O | 1..* | BackboneElement | Sections composing the HDR
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| Slices for section |
Content/Rules for all slices | |||||||||||
| section:sectionAlert |
O | 0..1 | BackboneElement | Alert Section
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| entry |
O | 0..* | Reference(Flag: obligations | DocumentReference) | EPS Alerts entry
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:flag |
O | 0..* | Reference(Flag: obligations) | Alert information
| ||||||||
| section:sectionAdmissionEvaluation |
O | 0..1 | BackboneElement | Hospital Admission evaluation
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Note(5.3.0) | Additional notes that apply to this resource or element.
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| section:sectionVitalSigns |
0..1 | BackboneElement | Vital signs | |||||||||
| entry |
0..* | Reference(Observation: obligations | DocumentReference | Vital Signs Profile) | A reference to data that supports this section | |||||||||
| section:sectionPhysicalFindings |
O | 0..1 | BackboneElement | Physical findings
| ||||||||
| entry |
O | 0..* | Reference(Observation: obligations | DocumentReference) | A reference to data that supports this section
| ||||||||
| section:sectionFunctionalStatus |
O | 0..1 | BackboneElement | Functional status
| ||||||||
| entry |
O | 0..* | Reference(Condition: obligations | ClinicalImpression | Observation: obligations | DocumentReference | QuestionnaireResponse) | Disabilities and Functional assessments
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:condition |
O | 0..* | Reference(Condition: obligations) | Functional status condition entry
| ||||||||
| entry:observation |
O | 0..* | Reference(Observation: obligations) | Functional status observation entry
| ||||||||
| section:sectionHospitalCourse |
O | 1..1 | BackboneElement | Significant information about course of hospital stay
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Note(5.3.0) | Additional notes that apply to this resource or element.
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| section:sectionDiagnosticSummary |
O | 0..1 | BackboneElement | Problem specification in narrative form
| ||||||||
| entry |
O | 0..* | Reference(Condition: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionSignificantProcedures |
O | 0..1 | BackboneElement | Significant procedures
| ||||||||
| entry |
O | 0..* | Reference(Procedure: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionMedicalDevices |
O | 0..1 | BackboneElement | Medical Devices Section
| ||||||||
| entry |
O | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations | DocumentReference) | Medical Device entry
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:deviceStatement |
O | 0..* | Reference(DeviceUseStatement: obligations) | Patient history of medical device use
| ||||||||
| section:sectionProceduresHx |
O | 0..1 | BackboneElement | History of Procedures
| ||||||||
| entry |
O | 0..* | Reference(Procedure: obligations | DocumentReference) | Slice on procedure
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:procedure |
O | 0..* | Reference(Procedure: obligations) | Patient past procedures pertinent to the scope of this document.
| ||||||||
| section:sectionPharmacotherapy |
O | 0..1 | BackboneElement | Pharmacotherapy
| ||||||||
| entry |
O | 0..* | Reference(MedicationStatement: obligations | MedicationRequest: obligations | MedicationDispense: obligations | MedicationAdministration: obligations) | Medication Use slice
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:medicationStatement |
O | 0..* | Reference(MedicationStatement: obligations) | Medication Use
| ||||||||
| section:sectionImplantedDevices |
O | 0..1 | BackboneElement | Medical devices and implants
| ||||||||
| entry |
O | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionSignificantResults |
O | 0..1 | BackboneElement | Significant medical test results
| ||||||||
| entry |
O | 0..* | Reference(Observation: obligations | DiagnosticReport | DocumentReference) | Significant medical test results
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:results-medicalTestResult |
O | 0..* | Reference(Observation: obligations) | Medical test results
| ||||||||
| entry:results-diagnosticReport |
O | 0..* | Reference(DiagnosticReport (EU core)) | DiagnosticReport
| ||||||||
| section:sectionSynthesis |
O | 0..1 | BackboneElement | Synthesis
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| section:sectionPlanOfCare |
O | 0..1 | BackboneElement | Plan of Care Section
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| entry |
O | 0..* | Reference(Care Plan: obligations | DocumentReference) | A reference to data that supports this section
| ||||||||
| section:sectionDischargeMedications |
O | 0..1 | BackboneElement | Hospital discharge medications
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Note(5.3.0) | Additional notes that apply to this resource or element.
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| entry |
O | 0..* | Reference(MedicationRequest: obligations | MedicationDispense: obligations | MedicationStatement: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionAllergies |
0..1 | BackboneElement | Allergies and Intolerances Section | |||||||||
| entry |
0..* | Reference(Allergy Intolerance: obligations | DocumentReference) | allergyOrIntolerance | |||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:allergyOrIntolerance |
O | 0..* | Reference(Allergy Intolerance: obligations) | Relevant allergies or intolerances for that patient.
| ||||||||
| section:sectionPatientHx |
O | 0..1 | BackboneElement | Hx general Reported Section
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Note(5.3.0) | Additional notes that apply to this resource or element.
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| section:sectionProblems |
O | 0..1 | BackboneElement | Problem List Section
| ||||||||
| entry |
O | 0..* | Reference(Condition: obligations | DocumentReference) | Clinical problems or conditions currently being monitored for the patient.
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:problem |
O | 0..* | Reference(Condition: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionImmunizations |
0..1 | BackboneElement | Immunizations Section | |||||||||
| entry |
0..* | Reference(Immunization: obligations | DocumentReference) | Patient's immunization status and pertinent history. | |||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:immunization |
O | 0..* | Reference(Immunization: obligations) | A reference to data that supports this section
| ||||||||
| section:sectionDischargeDetails |
O | 0..1 | BackboneElement | Discharge details
| ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Note(5.3.0) | Additional notes that apply to this resource or element.
| ||||||||
| text |
O | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||
| section:sectionAttachments |
0..1 | BackboneElement | Attachments | |||||||||
| entry |
O | 0..* | Reference(DocumentReference | Binary) | A reference to data that supports this section
| ||||||||
| Documentation for this format | ||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | CompositionEuHdr | 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 | ||||||||
| language |
O | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:basedOn |
0..* | (Complex) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn | |||||||||
| 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.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: obligations | Practitioner: obligations | Device: obligations | Patient: obligations | RelatedPerson: obligations | Organization: obligations) | Value of extension | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
OΣ | 0..1 | Identifier | HDR business identifier
| ||||||||
| status |
?!OΣ | 1..1 | code | HDR status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||||||
| type |
OΣ | 1..1 | CodeableConcept | 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 Slice: Unordered, Open by value:url | |||||||||
| coding |
Σ | 0..* | 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 Slice: Unordered, Open by value:url | |||||||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 34105-7 | ||||||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||
| category |
OΣ | 0..* | CodeableConcept | Categorization of Composition Binding: Document Category Value Set (extensible) Example Document category: {"code":"LP72467-1","display":"Discharge summary note"}
| ||||||||
| subject |
OΣ | 1..1 | Reference(Patient: obligations) | Who and/or what the composition is about
| ||||||||
| encounter |
OΣ | 1..1 | Reference(Encounter: obligations) | Context of the Composition
| ||||||||
| date |
OΣ | 1..1 | dateTime | HDR date
| ||||||||
| author |
OΣ | 1..* | Reference(Practitioner: obligations | PractitionerRole: obligations | Device: obligations | Organization: obligations) | Who and/or what authored the Hospital Discharge Report
| ||||||||
| title |
OΣ | 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 |
O | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| mode |
O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| ||||||||
| time |
O | 0..1 | dateTime | When the composition was attested.
| ||||||||
| party |
O | 0..1 | Reference(Practitioner: obligations | PractitionerRole: obligations | Organization: obligations) | Who attested the composition.
| ||||||||
| custodian |
OΣ | 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 |
OΣ | 0..1 | Period | The period covered by the documentation
| ||||||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||||||
| Slices for section |
OC | 1..* | BackboneElement | Sections composing the HDR Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
| ||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
OC | 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:sectionAlert |
OC | 0..1 | BackboneElement | Alert Section Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
OC | 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 |
OC | 0..* | Reference(Flag: obligations | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:flag |
OC | 0..* | Reference(Flag: obligations) | 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:sectionAdmissionEvaluation |
OC | 0..1 | BackboneElement | Hospital Admission evaluation Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: obligations | 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 |
OC | 0..1 | BackboneElement | Physical findings Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Observation: obligations | 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:sectionFunctionalStatus |
OC | 0..1 | BackboneElement | Functional status Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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. | |||||||||
| Slices for entry |
OC | 0..* | Reference(Condition: obligations | ClinicalImpression | Observation: obligations | DocumentReference | QuestionnaireResponse) | Disabilities and Functional assessments Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:condition |
OC | 0..* | Reference(Condition: obligations) | Functional status condition entry
| ||||||||
| entry:observation |
OC | 0..* | Reference(Observation: obligations) | Functional status observation entry
| ||||||||
| 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 |
OC | 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 | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 |
OC | 0..1 | BackboneElement | Problem specification in narrative form Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Condition: obligations) | 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 |
OC | 0..1 | BackboneElement | Significant procedures Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Procedure: obligations) | 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 |
OC | 0..1 | BackboneElement | Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
C | 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 |
OC | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations | DocumentReference) | Medical Device entry Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:deviceStatement |
OC | 0..* | Reference(DeviceUseStatement: obligations) | Patient history of medical device use
| ||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||
| section:sectionProceduresHx |
OC | 0..1 | BackboneElement | History of Procedures Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
C | 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 |
OC | 0..* | Reference(Procedure: obligations | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:procedure |
OC | 0..* | Reference(Procedure: obligations) | Patient past procedures pertinent to the scope of this document.
| ||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||||||
| section:sectionPharmacotherapy |
OC | 0..1 | BackboneElement | Pharmacotherapy Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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. | |||||||||
| Slices for entry |
OC | 0..* | Reference(MedicationStatement: obligations | MedicationRequest: obligations | MedicationDispense: obligations | MedicationAdministration: obligations) | Medication Use slice Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:medicationStatement |
OC | 0..* | Reference(MedicationStatement: obligations) | Medication Use
| ||||||||
| 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:sectionImplantedDevices |
OC | 0..1 | BackboneElement | Medical devices and implants Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(DeviceUseStatement: obligations | Procedure: obligations) | 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 |
OC | 0..1 | BackboneElement | Significant medical test results Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Observation: obligations | DiagnosticReport | DocumentReference) | Significant medical test results Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:results-medicalTestResult |
OC | 0..* | Reference(Observation: obligations) | Medical test results
| ||||||||
| entry:results-diagnosticReport |
OC | 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 |
OC | 0..1 | BackboneElement | Synthesis Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 |
OC | 0..1 | BackboneElement | Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
OC | 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 |
OC | 0..* | Reference(Care Plan: obligations | 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:sectionDischargeMedications |
OC | 0..1 | BackboneElement | Hospital discharge medications Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 |
OC | 0..* | Reference(MedicationRequest: obligations | MedicationDispense: obligations | MedicationStatement: obligations) | 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 | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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(Allergy Intolerance: obligations | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:resolve() | ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:allergyOrIntolerance |
OC | 0..* | Reference(Allergy Intolerance: obligations) | 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:sectionPatientHx |
OC | 0..1 | BackboneElement | Hx general Reported Section Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||
| text |
OC | 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 |
OC | 0..1 | BackboneElement | Problem List Section Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 0..* | Reference(Condition: obligations | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:resolve()
| ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:problem |
OC | 0..* | Reference(Condition: obligations) | 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 | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: obligations | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve() | ||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||
| entry:immunization |
OC | 0..* | Reference(Immunization: obligations) | 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 |
OC | 0..1 | BackboneElement | Discharge details Constraints: cmp-1, cmp-2
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
O | 0..* | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource). URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 |
OC | 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 | ||||||||
| Documentation for this format | ||||||||||||
| 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 | extensible | Document Category Value Set | 📦1.0.0-ci | This IG |
| 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 v7.2 |
| 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: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: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:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section: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:sectionImplantedDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImplantedDevices.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImplantedDevices.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImplantedDevices.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: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: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. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionAlert, 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:sectionProceduresHx, Composition.section:sectionPharmacotherapy, Composition.section:sectionImplantedDevices, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, 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:sectionAlert, 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:sectionProceduresHx, Composition.section:sectionPharmacotherapy, Composition.section:sectionImplantedDevices, Composition.section:sectionSignificantResults, Composition.section:sectionSynthesis, Composition.section:sectionPlanOfCare, Composition.section:sectionDischargeMedications, Composition.section:sectionAllergies, 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 CompositionEuHdr
Summary
Structures
This structure refers to these other structures:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.hdr#1.0.0-ci based on FHIR 4.0.1. Generated 2026-06-26
