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

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

Resource Profile: Composition: obligations

Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr Version: 1.0.0-ci-build
Standards status: Informative Maturity Level: 0 Computable Name: CompositionEuHdrObligation

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

This profile defines obligations for a Hospital Discharge Report (HDR) for the scope of this guide.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition C 0..* CompositionEuHdr Hospital Discharge Report composition
Constraints: text-or-section
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 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"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!OΣ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... type OΣ 1..1 CodeableConceptIPS Kind of composition ("Hospital Discharge Report")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject OΣ 1..1 Reference(Patient (EU core)) Who and/or what the composition is about
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... encounter OΣ 0..1 Reference(Encounter (HDR)) Context of the Composition
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... date OΣ 1..1 dateTime HDR date
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... author OΣ 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... title OΣ 1..1 string Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... attester O 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... 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.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... time O 0..1 dateTime When the composition was attested.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... party O 0..1 Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) Who attested the composition.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... Slices for section OC 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... section:sectionAdmissionEvaluation OC 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67851-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionHospitalCourse OC 1..1 BackboneElement Significant information about course of hospital stay
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionDiagnosticSummary OC 0..1 BackboneElement Problem specification in narrative form
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(Condition (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionSignificantProcedures OC 0..1 BackboneElement Significant procedures
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionMedicalDevices OC 0..1 BackboneElement Medical devices and implants
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionPharmacotherapy OC 0..1 BackboneElement Pharmacotherapy
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionSignificantResults OC 0..1 BackboneElement Significant medical test results
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry OC 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:results-medicalTestResult C 0..* Reference(MedicalTestResult (EU core)) Medical test results
...... entry:results-diagnosticReport C 0..* Reference(DiagnosticReport (EU core)) DiagnosticReport
.... section:sectionSynthesis C 0..1 BackboneElement Synthesis
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67781-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionPlanOfCare OC 0..1 BackboneElement Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionDischargeInstructions OC 0..1 BackboneElement Hospital Discharge Instructions
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionDischargeMedications OC 0..1 BackboneElement Hospital discharge medications
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionAllergies OC 0..1 BackboneElement Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry OC 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:allergyOrIntolerance C 0..* Reference(Allergy Intolerance (EU core)) Relevant allergies or intolerances for that patient.
.... section:sectionAlert OC 0..1 BackboneElement Alert Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry OC 0..* Reference(Flag | DocumentReference) EPS Alerts entry
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:flag C 0..* Reference(Flag:Patient (EU core)) Alert information
.... section:sectionPatientHx OC 0..1 BackboneElement Hx general Reported Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionProblems OC 0..1 BackboneElement Problem List Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by type:resolve()
...... entry:problem C 0..* Reference(Condition (EU core)) A reference to data that supports this section
.... section:sectionImmunizations OC 0..1 BackboneElement Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..* Reference(Immunization (EU core)) A reference to data that supports this section
.... section:sectionDischargeDetails OC 0..1 BackboneElement Discharge details
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionAttachments C 0..1 BackboneElement Attachments
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77599-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(DocumentReference | Binary) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator

doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from CompositionEuHdr

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionEuHdr Hospital Discharge Report composition
... identifier O 0..1 Identifier HDR business identifier
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... status O 1..1 code HDR status
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... type O 1..1 CodeableConceptIPS Kind of composition ("Hospital Discharge Report")
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... encounter O 0..1 Reference(Encounter (HDR)) Context of the Composition
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... date O 1..1 dateTime HDR date
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... author O 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... title O 1..1 string Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... attester O 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... mode O 1..1 code The type of attestation
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... time O 0..1 dateTime When the composition was attested.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... party O 0..1 Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) Who attested the composition.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... section O 1..* BackboneElement Sections composing the Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... text O 0..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... Slices for section Content/Rules for all slices
.... section:sectionAdmissionEvaluation O 0..1 BackboneElement Hospital Admission evaluation
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionHospitalCourse O 1..1 BackboneElement Significant information about course of hospital stay
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... section:sectionDiagnosticSummary O 0..1 BackboneElement Problem specification in narrative form
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(Condition (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionSignificantProcedures O 0..1 BackboneElement Significant procedures
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionMedicalDevices O 0..1 BackboneElement Medical devices and implants
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionPharmacotherapy O 0..1 BackboneElement Pharmacotherapy
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionSignificantResults O 0..1 BackboneElement Significant medical test results
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionPlanOfCare O 0..1 BackboneElement Plan of Care Section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionDischargeInstructions O 0..1 BackboneElement Hospital Discharge Instructions
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionDischargeMedications O 0..1 BackboneElement Hospital discharge medications
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionAllergies O 0..1 BackboneElement Allergies and Intolerances Section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionAlert O 0..1 BackboneElement Alert Section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(Flag | DocumentReference) EPS Alerts entry
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionPatientHx O 0..1 BackboneElement Hx general Reported Section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionProblems O 0..1 BackboneElement Problem List Section
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
.... section:sectionImmunizations O 0..1 BackboneElement Immunizations Section
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
.... section:sectionDischargeDetails O 0..1 BackboneElement Discharge details
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionAttachments 0..1 BackboneElement Attachments
..... entry O 0..* Reference(DocumentReference | Binary) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:version 0..1 string Business version
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
.... extension:information-recipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier OΣ 0..1 Identifier HDR business identifier
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... status ?!OΣ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... type OΣ 1..1 CodeableConceptIPS Kind of composition ("Hospital Discharge Report")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject OΣ 1..1 Reference(Patient (EU core)) Who and/or what the composition is about
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... encounter OΣ 0..1 Reference(Encounter (HDR)) Context of the Composition
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... date OΣ 1..1 dateTime HDR date
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... author OΣ 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... title OΣ 1..1 string Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... 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
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... 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.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... time O 0..1 dateTime When the composition was attested.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... party O 0..1 Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) Who attested the composition.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section OC 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text 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
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAdmissionEvaluation OC 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67851-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Observation | DocumentReference | Vital Signs Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Condition | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionHospitalCourse OC 1..1 BackboneElement Significant information about course of hospital stay
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDiagnosticSummary OC 0..1 BackboneElement Problem specification in narrative form
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(Condition (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... 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
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... 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 and implants
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPharmacotherapy OC 0..1 BackboneElement Pharmacotherapy
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... 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
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry OC 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:results-medicalTestResult C 0..* Reference(MedicalTestResult (EU core)) Medical test results
...... entry:results-diagnosticReport C 0..* Reference(DiagnosticReport (EU core)) DiagnosticReport
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionSynthesis C 0..1 BackboneElement Synthesis
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67781-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPlanOfCare OC 0..1 BackboneElement Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Care Plan (HDR) | DocumentReference) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeInstructions OC 0..1 BackboneElement Hospital Discharge Instructions
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeMedications OC 0..1 BackboneElement Hospital discharge medications
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... 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 OC 0..1 BackboneElement Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry OC 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:allergyOrIntolerance C 0..* Reference(Allergy Intolerance (EU core)) Relevant allergies or intolerances for that patient.
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAlert OC 0..1 BackboneElement Alert Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry OC 0..* Reference(Flag | DocumentReference) EPS Alerts entry
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:flag C 0..* Reference(Flag:Patient (EU core)) Alert information
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPatientHx OC 0..1 BackboneElement Hx general Reported Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionProblems OC 0..1 BackboneElement Problem List Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by type:resolve()
...... entry:problem C 0..* Reference(Condition (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionImmunizations OC 0..1 BackboneElement Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..* Reference(Immunization (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeDetails OC 0..1 BackboneElement Discharge details
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAttachments C 0..1 BackboneElement Attachments
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77599-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(DocumentReference | Binary) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from CompositionEuHdr

Summary

Maturity: 0

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!OΣ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... type OΣ 1..1 CodeableConceptIPS Kind of composition ("Hospital Discharge Report")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject OΣ 1..1 Reference(Patient (EU core)) Who and/or what the composition is about
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... encounter OΣ 0..1 Reference(Encounter (HDR)) Context of the Composition
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... date OΣ 1..1 dateTime HDR date
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... author OΣ 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... title OΣ 1..1 string Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... attester O 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... 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.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... time O 0..1 dateTime When the composition was attested.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... party O 0..1 Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) Who attested the composition.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... Slices for section OC 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... section:sectionAdmissionEvaluation OC 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67851-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionHospitalCourse OC 1..1 BackboneElement Significant information about course of hospital stay
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionDiagnosticSummary OC 0..1 BackboneElement Problem specification in narrative form
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(Condition (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionSignificantProcedures OC 0..1 BackboneElement Significant procedures
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionMedicalDevices OC 0..1 BackboneElement Medical devices and implants
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionPharmacotherapy OC 0..1 BackboneElement Pharmacotherapy
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionSignificantResults OC 0..1 BackboneElement Significant medical test results
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry OC 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:results-medicalTestResult C 0..* Reference(MedicalTestResult (EU core)) Medical test results
...... entry:results-diagnosticReport C 0..* Reference(DiagnosticReport (EU core)) DiagnosticReport
.... section:sectionSynthesis C 0..1 BackboneElement Synthesis
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67781-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionPlanOfCare OC 0..1 BackboneElement Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionDischargeInstructions OC 0..1 BackboneElement Hospital Discharge Instructions
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionDischargeMedications OC 0..1 BackboneElement Hospital discharge medications
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionAllergies OC 0..1 BackboneElement Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry OC 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:allergyOrIntolerance C 0..* Reference(Allergy Intolerance (EU core)) Relevant allergies or intolerances for that patient.
.... section:sectionAlert OC 0..1 BackboneElement Alert Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry OC 0..* Reference(Flag | DocumentReference) EPS Alerts entry
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:flag C 0..* Reference(Flag:Patient (EU core)) Alert information
.... section:sectionPatientHx OC 0..1 BackboneElement Hx general Reported Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionProblems OC 0..1 BackboneElement Problem List Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by type:resolve()
...... entry:problem C 0..* Reference(Condition (EU core)) A reference to data that supports this section
.... section:sectionImmunizations OC 0..1 BackboneElement Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..* Reference(Immunization (EU core)) A reference to data that supports this section
.... section:sectionDischargeDetails OC 0..1 BackboneElement Discharge details
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... section:sectionAttachments C 0..1 BackboneElement Attachments
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77599-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... entry OC 0..* Reference(DocumentReference | Binary) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator

doco Documentation for this format

Terminology Bindings

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

Constraints

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

Differential View

This structure is derived from CompositionEuHdr

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* CompositionEuHdr Hospital Discharge Report composition
... identifier O 0..1 Identifier HDR business identifier
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... status O 1..1 code HDR status
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... type O 1..1 CodeableConceptIPS Kind of composition ("Hospital Discharge Report")
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... encounter O 0..1 Reference(Encounter (HDR)) Context of the Composition
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... date O 1..1 dateTime HDR date
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... author O 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... title O 1..1 string Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... attester O 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... mode O 1..1 code The type of attestation
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... time O 0..1 dateTime When the composition was attested.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... party O 0..1 Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) Who attested the composition.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... section O 1..* BackboneElement Sections composing the Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... text O 0..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... Slices for section Content/Rules for all slices
.... section:sectionAdmissionEvaluation O 0..1 BackboneElement Hospital Admission evaluation
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionHospitalCourse O 1..1 BackboneElement Significant information about course of hospital stay
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... section:sectionDiagnosticSummary O 0..1 BackboneElement Problem specification in narrative form
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(Condition (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionSignificantProcedures O 0..1 BackboneElement Significant procedures
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionMedicalDevices O 0..1 BackboneElement Medical devices and implants
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionPharmacotherapy O 0..1 BackboneElement Pharmacotherapy
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionSignificantResults O 0..1 BackboneElement Significant medical test results
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionPlanOfCare O 0..1 BackboneElement Plan of Care Section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionDischargeInstructions O 0..1 BackboneElement Hospital Discharge Instructions
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionDischargeMedications O 0..1 BackboneElement Hospital discharge medications
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionAllergies O 0..1 BackboneElement Allergies and Intolerances Section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionAlert O 0..1 BackboneElement Alert Section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... entry O 0..* Reference(Flag | DocumentReference) EPS Alerts entry
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionPatientHx O 0..1 BackboneElement Hx general Reported Section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionProblems O 0..1 BackboneElement Problem List Section
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
.... section:sectionImmunizations O 0..1 BackboneElement Immunizations Section
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
.... section:sectionDischargeDetails O 0..1 BackboneElement Discharge details
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... section:sectionAttachments 0..1 BackboneElement Attachments
..... entry O 0..* Reference(DocumentReference | Binary) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:basedOn 0..* (Complex) Fulfills plan, proposal or order
URL: http://hl7.org/fhir/StructureDefinition/event-basedOn
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/event-basedOn"
..... value[x] 1..1 Reference(Resource | ServiceRequest) Value of extension
.... extension:version 0..1 string Business version
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Constraints: ext-1
.... extension:information-recipient 0..* (Complex) Composition: Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier OΣ 0..1 Identifier HDR business identifier
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... status ?!OΣ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... type OΣ 1..1 CodeableConceptIPS Kind of composition ("Hospital Discharge Report")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34105-7
..... display 1..1 string Representation defined by the system
Fixed Value: Hospital Discharge summary
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject OΣ 1..1 Reference(Patient (EU core)) Who and/or what the composition is about
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... encounter OΣ 0..1 Reference(Encounter (HDR)) Context of the Composition
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... date OΣ 1..1 dateTime HDR date
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... author OΣ 1..* Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core)) Who and/or what authored the Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... title OΣ 1..1 string Hospital Discharge Report
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... 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
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... 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.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... time O 0..1 dateTime When the composition was attested.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... party O 0..1 Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) Who attested the composition.
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
... custodian Σ 0..1 Reference(Organization) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section OC 1..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text 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
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAdmissionEvaluation OC 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67851-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionVitalSigns C 0..1 BackboneElement Vital signs
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Observation | DocumentReference | Vital Signs Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPhysicalFindings C 0..1 BackboneElement Physical findings
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29545-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionFunctionalStatus C 0..1 BackboneElement Functional status
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Condition | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) Optional entry used to represent disabilities and functional assessments
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionHospitalCourse OC 1..1 BackboneElement Significant information about course of hospital stay
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDiagnosticSummary OC 0..1 BackboneElement Problem specification in narrative form
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(Condition (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... 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
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10185-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... 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 and implants
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57080-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(DeviceUseStatement (HDR) | Procedure (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPharmacotherapy OC 0..1 BackboneElement Pharmacotherapy
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87232-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(MedicationStatement (EU core) | MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationAdministration (HDR)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... 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
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry OC 0..* Reference(Observation | DiagnosticReport | DocumentReference) Significant medical test results
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:results-medicalTestResult C 0..* Reference(MedicalTestResult (EU core)) Medical test results
...... entry:results-diagnosticReport C 0..* Reference(DiagnosticReport (EU core)) DiagnosticReport
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionSynthesis C 0..1 BackboneElement Synthesis
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 67781-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPlanOfCare OC 0..1 BackboneElement Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Care Plan (HDR) | DocumentReference) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeInstructions OC 0..1 BackboneElement Hospital Discharge Instructions
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeMedications OC 0..1 BackboneElement Hospital discharge medications
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75311-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(MedicationRequest (HDR) | MedicationDispense (HDR) | MedicationStatement (EU core)) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... 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 OC 0..1 BackboneElement Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry OC 0..* Reference(AllergyIntolerance | DocumentReference) allergyOrIntolerance
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:allergyOrIntolerance C 0..* Reference(Allergy Intolerance (EU core)) Relevant allergies or intolerances for that patient.
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAlert OC 0..1 BackboneElement Alert Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry OC 0..* Reference(Flag | DocumentReference) EPS Alerts entry
Slice: Unordered, Open by type:resolve()
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
...... entry:flag C 0..* Reference(Flag:Patient (EU core)) Alert information
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionPatientHx OC 0..1 BackboneElement Hx general Reported Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionProblems OC 0..1 BackboneElement Problem List Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by type:resolve()
...... entry:problem C 0..* Reference(Condition (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionImmunizations OC 0..1 BackboneElement Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
...... entry:immunization C 0..* Reference(Immunization (EU core)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionDischargeDetails OC 0..1 BackboneElement Discharge details
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8650-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:sectionAttachments C 0..1 BackboneElement Attachments
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77599-9
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry OC 0..* Reference(DocumentReference | Binary) A reference to data that supports this section
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section

doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from CompositionEuHdr

Summary

Maturity: 0

 

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