PanCareSurPass Project HL7 FHIR Implementation Guide
0.2.0 - CI Build 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

Resource Profile: CompositionSurpassPcsp - Detailed Descriptions

Draft as of 2024-09-11

Definitions for the Composition-surpass-eu-pcsp resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Composition
2. Composition.identifier
ShortBusiness identifier for this SurPass
NoteThis is a business identifier, not a resource identifier (see discussion)
4. Composition.status
Shortpreliminary|final|amended|entered-in-error
6. Composition.type
Pattern Value{
  "coding" : [{
    "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
    "code" : "surpass"
  }]
}
8. Composition.type.coding
10. Composition.type.coding.display
ShortChildhood Cancer Survivor Passport
12. Composition.subject
Control1..?
TypeReference(Patient: PCSP)
14. Composition.date
ShortSurPass Composition editing time
16. Composition.author
ShortWho and/or what authored this SurPass
18. Composition.title
ShortChildhood Cancer Survivor Passport
20. Composition.attester
ShortWho attested the accuracy of this SurPass
22. Composition.section
Control1..?
SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
  • 24. Composition.section:flt
    Slice Nameflt
    ShortCancer diagnosis Narrative
    Control1..*
    26. Composition.section:flt.title
    Control1..?
    28. Composition.section:flt.code
    Control1..?
    Pattern Value{
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "72135-7"
      }]
    }
    30. Composition.section:flt.text
    Control1..?
    32. Composition.section:flt.entry
    Definition

    Entrdescribing the primary cancer and optionally FLT anmetastasis.

    ShortTumor FLT detail
    Control1..?
    TypeReference(Condition, Procedure, DocumentReference)
    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • type @ resolve()
    • profile @ resolve()
    • 34. Composition.section:flt.entry:primaryCancer
      Slice NameprimaryCancer
      Definition

      Primary Cancer or relapse during the treatment

      ShortPrimary Cancer
      Control1..*
      TypeReference(Condition: Primary Cancer)
      36. Composition.section:flt.entry:metastasis
      Slice Namemetastasis
      Definition

      Metastasis

      ShortMetastasis
      Control0..*
      TypeReference(Condition: Metastatic Cancer)
      38. Composition.section:flt.entry:flt
      Slice Nameflt
      Definition

      FronLine Treatment

      ShortFLT
      Control0..*
      TypeReference(Procedure: Front Line Treatment)
      40. Composition.section:flt.emptyReason
      ShortWhy this section is empty
      42. Composition.section:flt.section
      Control1..?
      SlicingThis element introduces a set of slices on Composition.section.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • pattern @ code
      • 44. Composition.section:flt.section:chemotherapy
        Slice Namechemotherapy
        ShortChemotherapy
        Control0..1
        TypeBackboneElement
        46. Composition.section:flt.section:chemotherapy.title
        Control1..?
        48. Composition.section:flt.section:chemotherapy.code
        Control1..?
        Pattern Value{
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "11486-8"
          }]
        }
        50. Composition.section:flt.section:chemotherapy.text
        Control1..?
        52. Composition.section:flt.section:chemotherapy.entry
        Definition

        Chemotherapy

        ShortChemotherapy
        Control1..?
        TypeReference(MedicationAdministration, MedicationStatement, Procedure, DocumentReference)
        SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • type @ resolve()
        • profile @ resolve()
        • 54. Composition.section:flt.section:chemotherapy.entry:medicationAdministration
          Slice NamemedicationAdministration
          Definition

          MedicationAdministration Chemotherapy

          ShortMedicationAdministration Chemotherapy
          Control1..*
          TypeReference(MedicationAdministration: Chemotherapy)
          56. Composition.section:flt.section:chemotherapy.entry:medicationStatement
          Slice NamemedicationStatement
          Definition

          MedicationStatementChemotherapy

          ShortMedicationStatement: Chemotherapy
          Control0..*
          TypeReference(MedicationStatement: Chemotherapy)
          58. Composition.section:flt.section:chemotherapy.emptyReason
          ShortWhy this section is empty
          60. Composition.section:flt.section:stemCellTransplantation
          Slice NamestemCellTransplantation
          ShortStem Cell Transplantation
          Control0..1
          TypeBackboneElement
          62. Composition.section:flt.section:stemCellTransplantation.title
          Control1..?
          64. Composition.section:flt.section:stemCellTransplantation.code
          Control1..?
          Pattern Value{
            "coding" : [{
              "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
              "code" : "section-sct"
            }]
          }
          66. Composition.section:flt.section:stemCellTransplantation.text
          Control1..?
          68. Composition.section:flt.section:stemCellTransplantation.entry
          Definition

          Stem Cell Transplantation

          ShortStem CelTransplantation
          Control1..?
          TypeReference(Procedure, Condition, Observation, DocumentReference)
          SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • type @ resolve()
          • profile @ resolve()
          • 70. Composition.section:flt.section:stemCellTransplantation.entry:sct
            Slice Namesct
            Control0..*
            TypeReference(Procedure: Stem Cell Transplantation)
            72. Composition.section:flt.section:stemCellTransplantation.entry:gvdh-prophylaxis
            Slice Namegvdh-prophylaxis
            Definition

            GVHD prophylaxis

            ShortGVHD prophylaxis
            Control0..*
            TypeReference(Procedure: SCT Prophylaxis)
            74. Composition.section:flt.section:stemCellTransplantation.entry:gvdh
            Slice Namegvdh
            Definition

            Grafversus host disease (GvHD)

            ShortGvHD
            Control0..*
            TypeReference(Condition: GvHD)
            76. Composition.section:flt.section:stemCellTransplantation.entry:blood-abo
            Slice Nameblood-abo
            Definition

            Blood type/RH

            ShortBlootype/RH
            Control0..*
            TypeReference(Observation: Blood type/RH)
            78. Composition.section:flt.section:stemCellTransplantation.emptyReason
            ShortWhy this section is empty
            80. Composition.section:flt.section:radiotherapy
            Slice Nameradiotherapy
            ShortRadiotherapy
            Control0..1
            TypeBackboneElement
            82. Composition.section:flt.section:radiotherapy.title
            Control1..?
            84. Composition.section:flt.section:radiotherapy.code
            Control1..?
            Pattern Value{
              "coding" : [{
                "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                "code" : "section-rt"
              }]
            }
            86. Composition.section:flt.section:radiotherapy.text
            Control1..?
            88. Composition.section:flt.section:radiotherapy.entry
            Definition

            Radiotherapy

            ShortRadiotherapy
            Control1..?
            TypeReference(Procedure, DocumentReference)
            SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • type @ resolve()
            • profile @ resolve()
            • 90. Composition.section:flt.section:radiotherapy.entry:radiotherapy
              Slice Nameradiotherapy
              Control0..*
              TypeReference(Procedure: Radiotherapy)
              92. Composition.section:flt.section:radiotherapy.entry:boost
              Slice Nameboost
              Definition

              Radiotherapy Boost

              ShortRadiotherapy Boost
              Control0..*
              TypeReference(Procedure: Radiotherapy Boost)
              94. Composition.section:flt.section:radiotherapy.entry:shield
              Slice Nameshield
              Definition

              Radiotherapy Shielding

              ShortRadiotherapy Shielding
              Control0..*
              TypeReference(Procedure: Radiotherapy Shielding)
              96. Composition.section:flt.section:radiotherapy.emptyReason
              ShortWhy this section is empty
              98. Composition.section:flt.section:majorSurgery
              Slice NamemajorSurgery
              ShortHistory of Surgical procedures
              Control0..1
              TypeBackboneElement
              100. Composition.section:flt.section:majorSurgery.title
              Control1..?
              102. Composition.section:flt.section:majorSurgery.code
              Control1..?
              Pattern Value{
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "8690-0"
                }]
              }
              104. Composition.section:flt.section:majorSurgery.text
              Control1..?
              106. Composition.section:flt.section:majorSurgery.entry
              Definition

              Major Surgery

              ShortMajor Surgery
              Control1..?
              TypeReference(Procedure, DocumentReference)
              SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • type @ resolve()
              • profile @ resolve()
              • 108. Composition.section:flt.section:majorSurgery.entry:procedure
                Slice Nameprocedure
                Definition

                Surgical procedure

                ShortSurgical procedure
                Control0..*
                TypeReference(Procedure: Surgery)
                110. Composition.section:flt.section:majorSurgery.emptyReason
                ShortWhy this section is empty
                112. Composition.section:flt.section:otherInfos
                Slice NameotherInfos
                ShortOther Medical Information
                Control0..1
                TypeBackboneElement
                114. Composition.section:flt.section:otherInfos.title
                Control1..?
                116. Composition.section:flt.section:otherInfos.code
                Control1..?
                Pattern Value{
                  "coding" : [{
                    "system" : "http://loinc.org",
                    "code" : "55752-0"
                  }]
                }
                118. Composition.section:flt.section:otherInfos.text
                Control1..?
                120. Composition.section:flt.section:otherInfos.entry
                Definition

                Other infos

                ShortOther infos
                TypeReference(Condition, Procedure, DocumentReference)
                SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • type @ resolve()
                • profile @ resolve()
                • 122. Composition.section:flt.section:otherInfos.entry:conditionToxicity
                  Slice NameconditionToxicity
                  Definition

                  Condition: Severe Toxicity

                  ShortCondition: Severe Toxicity
                  Control0..*
                  TypeReference(Condition: Severe Toxicity)
                  124. Composition.section:flt.section:otherInfos.entry:conditionOtherInfos
                  Slice NameconditionOtherInfos
                  Definition

                  Other Conditions

                  ShortOther Conditions
                  Control0..*
                  TypeReference(Condition: Others)
                  126. Composition.section:flt.section:otherInfos.entry:procedureCVC
                  Slice NameprocedureCVC
                  Definition

                  Procedure: Catheter

                  ShortProcedure: Catheter
                  Control0..*
                  TypeReference(Procedure: Catheter)
                  128. Composition.section:flt.section:otherInfos.entry:procedureTransfusion
                  Slice NameprocedureTransfusion
                  Definition

                  Procedure: Transfusion

                  ShortProcedure: Transfusion
                  Control0..*
                  TypeReference(Procedure: Transfusion other infos)
                  130. Composition.section:flt.section:otherInfos.entry:procedureCryopreservation
                  Slice NameprocedureCryopreservation
                  Definition

                  Procedure: Cryopreservation

                  ShortProcedure: Cryopreservation
                  Control0..*
                  TypeReference(Procedure: Cryopreservation)
                  132. Composition.section:flt.section:otherInfos.entry:procedureOtherTreatment
                  Slice NameprocedureOtherTreatment
                  Definition

                  Procedure: Other Treatments

                  ShortProcedure: Other Treatments
                  Control0..*
                  TypeReference(Procedure: Other Treatments)
                  134. Composition.section:flt.section:otherInfos.emptyReason
                  ShortWhy this section is empty
                  136. Composition.section:flt.section:medicalSuggestion
                  Slice NamemedicalSuggestion
                  ShortMedical Suggestions
                  Control0..1
                  TypeBackboneElement
                  138. Composition.section:flt.section:medicalSuggestion.title
                  Control1..?
                  140. Composition.section:flt.section:medicalSuggestion.code
                  Control1..?
                  Pattern Value{
                    "coding" : [{
                      "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                      "code" : "section-suggestion"
                    }]
                  }
                  142. Composition.section:flt.section:medicalSuggestion.text
                  Control1..?
                  144. Composition.section:flt.section:medicalSuggestion.emptyReason
                  ShortWhy this section is empty
                  146. Composition.section:flt.section:relapseAfterEOT
                  Slice NamerelapseAfterEOT
                  ShortRelapse After EOT
                  Control0..*
                  TypeBackboneElement
                  148. Composition.section:flt.section:relapseAfterEOT.code
                  Control1..?
                  Pattern Value{
                    "coding" : [{
                      "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                      "code" : "section-relapseAfterEOT"
                    }]
                  }
                  150. Composition.section:flt.section:relapseAfterEOT.entry
                  Definition

                  Entry describing the primary cancer and optionally FLT and metastasis.

                  ShortTumor FLT detail
                  TypeReference(Condition, Procedure, DocumentReference)
                  SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • type @ resolve()
                  • profile @ resolve()
                  • 152. Composition.section:flt.section:relapseAfterEOT.entry:primaryCancer
                    Slice NameprimaryCancer
                    Definition

                    Relapse or progression after the end of treatment

                    ShortRelapse
                    Control0..*
                    TypeReference(Condition: Primary Cancer)
                    154. Composition.section:flt.section:relapseAfterEOT.entry:metastasis
                    Slice Namemetastasis
                    Definition

                    Metastasis

                    ShortMetastasis
                    Control0..*
                    TypeReference(Condition: Metastatic Cancer)
                    156. Composition.section:flt.section:relapseAfterEOT.section
                    ShortChemo, Radio, SCT and other subsections
                    SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • pattern @ code
                    • 158. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy
                      Slice Namechemotherapy
                      ShortChemotherapy
                      Control0..1
                      TypeBackboneElement
                      160. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.title
                      Control1..?
                      162. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.code
                      Control1..?
                      Pattern Value{
                        "coding" : [{
                          "system" : "http://loinc.org",
                          "code" : "11486-8"
                        }]
                      }
                      164. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.text
                      Control1..?
                      166. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry
                      Definition

                      Chemotherapy

                      ShortChemotherapy
                      Control1..?
                      TypeReference(MedicationAdministration, MedicationStatement, Procedure, DocumentReference)
                      SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • type @ resolve()
                      • profile @ resolve()
                      • 168. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry:medicationAdministration
                        Slice NamemedicationAdministration
                        Definition

                        MedicationAdministration Chemotherapy

                        ShortMedicationAdministration Chemotherapy
                        Control1..*
                        TypeReference(MedicationAdministration: Chemotherapy)
                        170. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry:medicationStatement
                        Slice NamemedicationStatement
                        Definition

                        MedicationStatementChemotherapy

                        ShortMedicationStatement: Chemotherapy
                        Control0..*
                        TypeReference(MedicationStatement: Chemotherapy)
                        172. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.emptyReason
                        ShortWhy this section is empty
                        174. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation
                        Slice NamestemCellTransplantation
                        ShortStem Cell Transplantation
                        Control0..1
                        TypeBackboneElement
                        176. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.title
                        Control1..?
                        178. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.code
                        Control1..?
                        Pattern Value{
                          "coding" : [{
                            "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                            "code" : "section-sct"
                          }]
                        }
                        180. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.text
                        Control1..?
                        182. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry
                        Definition

                        Stem Cell Transplantation

                        ShortStem CelTransplantation
                        Control1..?
                        TypeReference(Procedure, Condition, Observation, DocumentReference)
                        SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • type @ resolve()
                        • profile @ resolve()
                        • 184. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:sct
                          Slice Namesct
                          Control0..*
                          TypeReference(Procedure: Stem Cell Transplantation)
                          186. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:gvdh-prophylaxis
                          Slice Namegvdh-prophylaxis
                          Definition

                          GVHD prophylaxis

                          ShortGVHD prophylaxis
                          Control0..*
                          TypeReference(Procedure: SCT Prophylaxis)
                          188. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:gvdh
                          Slice Namegvdh
                          Definition

                          Grafversus host disease (GvHD)

                          ShortGvHD
                          Control0..*
                          TypeReference(Condition: GvHD)
                          190. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:blood-abo
                          Slice Nameblood-abo
                          Definition

                          Blood type/RH

                          ShortBlootype/RH
                          Control0..*
                          TypeReference(Observation: Blood type/RH)
                          192. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.emptyReason
                          ShortWhy this section is empty
                          194. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy
                          Slice Nameradiotherapy
                          ShortRadiotherapy
                          Control0..1
                          TypeBackboneElement
                          196. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.title
                          Control1..?
                          198. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.code
                          Control1..?
                          Pattern Value{
                            "coding" : [{
                              "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                              "code" : "section-rt"
                            }]
                          }
                          200. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.text
                          Control1..?
                          202. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry
                          Definition

                          Radiotherapy

                          ShortRadiotherapy
                          Control1..?
                          TypeReference(Procedure, DocumentReference)
                          SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • type @ resolve()
                          • profile @ resolve()
                          • 204. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:radiotherapy
                            Slice Nameradiotherapy
                            Control0..*
                            TypeReference(Procedure: Radiotherapy)
                            206. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:boost
                            Slice Nameboost
                            Definition

                            Radiotherapy Boost

                            ShortRadiotherapy Boost
                            Control0..*
                            TypeReference(Procedure: Radiotherapy Boost)
                            208. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:shield
                            Slice Nameshield
                            Definition

                            Radiotherapy Shielding

                            ShortRadiotherapy Shielding
                            Control0..*
                            TypeReference(Procedure: Radiotherapy Shielding)
                            210. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.emptyReason
                            ShortWhy this section is empty
                            212. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery
                            Slice NamemajorSurgery
                            ShortHistory of Surgical procedures
                            Control0..1
                            TypeBackboneElement
                            214. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.title
                            Control1..?
                            216. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.code
                            Control1..?
                            Pattern Value{
                              "coding" : [{
                                "system" : "http://loinc.org",
                                "code" : "8690-0"
                              }]
                            }
                            218. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.text
                            Control1..?
                            220. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.entry
                            Definition

                            Major Surgery

                            ShortMajor Surgery
                            Control1..?
                            TypeReference(Procedure, DocumentReference)
                            SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • type @ resolve()
                            • profile @ resolve()
                            • 222. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.entry:procedure
                              Slice Nameprocedure
                              Definition

                              Surgical procedure

                              ShortSurgical procedure
                              Control0..*
                              TypeReference(Procedure: Surgery)
                              224. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.emptyReason
                              ShortWhy this section is empty
                              226. Composition.section:flt.section:relapseAfterEOT.section:otherInfos
                              Slice NameotherInfos
                              ShortOther Medical Information
                              Control0..1
                              TypeBackboneElement
                              228. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.title
                              Control1..?
                              230. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.code
                              Control1..?
                              Pattern Value{
                                "coding" : [{
                                  "system" : "http://loinc.org",
                                  "code" : "55752-0"
                                }]
                              }
                              232. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.text
                              Control1..?
                              234. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry
                              Definition

                              Other infos

                              ShortOther infos
                              TypeReference(Condition, Procedure, DocumentReference)
                              SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • type @ resolve()
                              • profile @ resolve()
                              • 236. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:conditionToxicity
                                Slice NameconditionToxicity
                                Definition

                                Condition: Severe Toxicity

                                ShortCondition: Severe Toxicity
                                Control0..*
                                TypeReference(Condition: Severe Toxicity)
                                238. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:conditionOtherInfos
                                Slice NameconditionOtherInfos
                                Definition

                                Other Conditions

                                ShortOther Conditions
                                Control0..*
                                TypeReference(Condition: Others)
                                240. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureCVC
                                Slice NameprocedureCVC
                                Definition

                                Procedure: Catheter

                                ShortProcedure: Catheter
                                Control0..*
                                TypeReference(Procedure: Catheter)
                                242. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureTransfusion
                                Slice NameprocedureTransfusion
                                Definition

                                Procedure: Transfusion

                                ShortProcedure: Transfusion
                                Control0..*
                                TypeReference(Procedure: Transfusion other infos)
                                244. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureCryopreservation
                                Slice NameprocedureCryopreservation
                                Definition

                                Procedure: Cryopreservation

                                ShortProcedure: Cryopreservation
                                Control0..*
                                TypeReference(Procedure: Cryopreservation)
                                246. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureOtherTreatment
                                Slice NameprocedureOtherTreatment
                                Definition

                                Procedure: Other Treatments

                                ShortProcedure: Other Treatments
                                Control0..*
                                TypeReference(Procedure: Other Treatments)
                                248. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.emptyReason
                                ShortWhy this section is empty
                                250. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion
                                Slice NamemedicalSuggestion
                                ShortMedical Suggestions
                                Control0..1
                                TypeBackboneElement
                                252. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.title
                                Control1..?
                                254. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.code
                                Control1..?
                                Pattern Value{
                                  "coding" : [{
                                    "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                    "code" : "section-suggestion"
                                  }]
                                }
                                256. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.text
                                Control1..?
                                258. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.emptyReason
                                ShortWhy this section is empty
                                260. Composition.section:flt.section:otherConditions
                                Slice NameotherConditions
                                ShortOther Health Conditions
                                Control0..1
                                TypeBackboneElement
                                262. Composition.section:flt.section:otherConditions.title
                                Control1..?
                                264. Composition.section:flt.section:otherConditions.code
                                Control1..?
                                Pattern Value{
                                  "coding" : [{
                                    "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                    "code" : "section-otherConditions"
                                  }]
                                }
                                266. Composition.section:flt.section:otherConditions.text
                                Control1..?
                                268. Composition.section:flt.section:otherConditions.emptyReason
                                ShortWhy this section is empty
                                270. Composition.section:carePlan
                                Slice NamecarePlan
                                ShortPlan of Care Section
                                Control0..1
                                272. Composition.section:carePlan.title
                                Control1..?
                                274. Composition.section:carePlan.code
                                Control1..?
                                Pattern Value{
                                  "coding" : [{
                                    "system" : "http://loinc.org",
                                    "code" : "18776-5"
                                  }]
                                }
                                276. Composition.section:carePlan.text
                                Control1..?
                                278. Composition.section:carePlan.entry
                                Definition

                                Care Plan

                                ShortCare Plan
                                Control1..?
                                TypeReference(CarePlan, DocumentReference)
                                SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • type @ resolve()
                                • profile @ resolve()
                                • 280. Composition.section:carePlan.entry:carePlan
                                  Slice NamecarePlan
                                  Control1..*
                                  TypeReference(CarePlan: PCSP-generated plan)
                                  282. Composition.section:carePlan.emptyReason
                                  ShortWhy this section is empty

                                  Guidance on how to interpret the contents of this table can be found here

                                  0. Composition
                                  Definition

                                  A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

                                  ShortA set of resources composed into a single coherent clinical statement with clinical attestation
                                  Comments

                                  While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

                                  Control0..*
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                  dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                  2. Composition.implicitRules
                                  Definition

                                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                  ShortA set of rules under which this content was created
                                  Comments

                                  Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                  Control0..1
                                  Typeuri
                                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  4. Composition.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                  Summaryfalse
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  6. Composition.identifier
                                  Definition

                                  A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

                                  ShortBusiness identifier for this SurPassVersion-independent identifier for the Composition
                                  Comments

                                  Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                  Control0..1
                                  TypeIdentifier
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  8. Composition.status
                                  Definition

                                  The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

                                  Shortpreliminary|final|amended|entered-in-errorpreliminary | final | amended | entered-in-error
                                  Comments

                                  If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

                                  Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

                                  Control1..1
                                  BindingThe codes SHALL be taken from CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1
                                  (required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)

                                  The workflow/clinical status of the composition.

                                  Typecode
                                  Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to be able to mark interim, amended, or withdrawn compositions or documents.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  10. Composition.type
                                  Definition

                                  Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

                                  ShortKind of composition (LOINC if possible)
                                  Comments

                                  For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

                                  Control1..1
                                  BindingThe codes SHOULD be taken from FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes
                                  (preferred to http://hl7.org/fhir/ValueSet/doc-typecodes)

                                  Type of a composition.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Key metadata element describing the composition, used in searching/filtering.

                                  Pattern Value{
                                    "coding" : [{
                                      "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                      "code" : "surpass"
                                    }]
                                  }
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  12. Composition.subject
                                  Definition

                                  Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

                                  ShortWho and/or what the composition is about
                                  Comments

                                  For clinical documents, this is usually the patient.

                                  Control10..1
                                  TypeReference(Patient: PCSP, Resource)
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  14. Composition.date
                                  Definition

                                  The composition editing time, when the composition was last logically changed by the author.

                                  ShortSurPass Composition editing timeComposition editing time
                                  Comments

                                  The Last Modified Date on the composition may be after the date of the document was attested without being changed.

                                  Control1..1
                                  TypedateTime
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  16. Composition.author
                                  Definition

                                  Identifies who is responsible for the information in the composition, not necessarily who typed it in.

                                  ShortWho and/or what authored this SurPassWho and/or what authored the composition
                                  Control1..*
                                  TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Identifies who is responsible for the content.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  18. Composition.title
                                  Definition

                                  Official human-readable label for the composition.

                                  ShortChildhood Cancer Survivor PassportHuman Readable name/title
                                  Comments

                                  For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

                                  Control1..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  20. Composition.attester
                                  Definition

                                  A participant who has attested to the accuracy of the composition/document.

                                  ShortWho attested the accuracy of this SurPassAttests to accuracy of composition
                                  Comments

                                  Only list each attester once.

                                  Control0..*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Identifies responsibility for the accuracy of the composition content.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  22. Composition.attester.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  24. Composition.attester.mode
                                  Definition

                                  The type of attestation the authenticator offers.

                                  Shortpersonal | professional | legal | official
                                  Control1..1
                                  BindingThe codes SHALL be taken from CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
                                  (required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

                                  The way in which a person authenticated a composition.

                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Requirements

                                  Indicates the level of authority of the attestation.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  26. Composition.section
                                  Definition

                                  The root of the sections that make up the composition.

                                  ShortComposition is broken into sections
                                  Control10..*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                  cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                  cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                  SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • pattern @ code
                                  • 28. Composition.section.modifierExtension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Summarytrue
                                    Requirements

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    30. Composition.section:flt
                                    Slice Nameflt
                                    Definition

                                    The root of the sections that make up the composition.

                                    ShortCancer diagnosis NarrativeComposition is broken into sections
                                    Control10..*
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                    32. Composition.section:flt.modifierExtension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Summarytrue
                                    Requirements

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    34. Composition.section:flt.title
                                    Definition

                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                    ShortLabel for section (e.g. for ToC)
                                    Comments

                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                    Control10..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summaryfalse
                                    Requirements

                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                    Alternate Namesheader, label, caption
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    36. Composition.section:flt.code
                                    Definition

                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                    ShortClassification of section (recommended)
                                    Comments

                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                    Control10..1
                                    BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                    Classification of a section of a composition/document.

                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summaryfalse
                                    Requirements

                                    Provides computable standardized labels to topics within the document.

                                    Pattern Value{
                                      "coding" : [{
                                        "system" : "http://loinc.org",
                                        "code" : "72135-7"
                                      }]
                                    }
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    38. Composition.section:flt.text
                                    Definition

                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                    ShortText summary of the section, for human interpretation
                                    Comments

                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                    Control10..1
                                    This element is affected by the following invariants: cmp-1
                                    TypeNarrative
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    40. Composition.section:flt.entry
                                    Definition

                                    Entrdescribing the primary cancer and optionally FLT anmetastasis.


                                    A reference to the actual resource from which the narrative in the section is derived.

                                    ShortTumor FLT detailA reference to data that supports this section
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control10..*
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Condition, Procedure, DocumentReference, Resource)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • type @ resolve()
                                    • profile @ resolve()
                                    • 42. Composition.section:flt.entry:primaryCancer
                                      Slice NameprimaryCancer
                                      Definition

                                      Primary Cancer or relapse during the treatment


                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortPrimary CancerA reference to data that supports this section
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control10..*
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Condition: Primary Cancer, Resource)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      44. Composition.section:flt.entry:metastasis
                                      Slice Namemetastasis
                                      Definition

                                      Metastasis


                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortMetastasisA reference to data that supports this section
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..*
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Condition: Metastatic Cancer, Resource)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      46. Composition.section:flt.entry:flt
                                      Slice Nameflt
                                      Definition

                                      FronLine Treatment


                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortFLTA reference to data that supports this section
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..*
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Procedure: Front Line Treatment, Resource)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      48. Composition.section:flt.emptyReason
                                      Definition

                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                      ShortWhy this section is emptyWhy the section is empty
                                      Comments

                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                      Control0..1
                                      This element is affected by the following invariants: cmp-2
                                      BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                      If a section is empty, why it is empty.

                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      50. Composition.section:flt.section
                                      Definition

                                      A nested sub-section within this section.

                                      ShortNested Section
                                      Comments

                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                      Control10..*
                                      This element is affected by the following invariants: cmp-1
                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      SlicingThis element introduces a set of slices on Composition.section.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • pattern @ code
                                      • 52. Composition.section:flt.section:chemotherapy
                                        Slice Namechemotherapy
                                        Definition

                                        A nested sub-section within this section.

                                        ShortChemotherapyNested Section
                                        Comments

                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                        Control0..1*
                                        This element is affected by the following invariants: cmp-1
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        54. Composition.section:flt.section:chemotherapy.modifierExtension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                        ShortExtensions that cannot be ignored even if unrecognized
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                        Summarytrue
                                        Requirements

                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                        Alternate Namesextensions, user content, modifiers
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        56. Composition.section:flt.section:chemotherapy.title
                                        Definition

                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                        ShortLabel for section (e.g. for ToC)
                                        Comments

                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                        Control10..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summaryfalse
                                        Requirements

                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                        Alternate Namesheader, label, caption
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        58. Composition.section:flt.section:chemotherapy.code
                                        Definition

                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                        ShortClassification of section (recommended)
                                        Comments

                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                        Control10..1
                                        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                        Classification of a section of a composition/document.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summaryfalse
                                        Requirements

                                        Provides computable standardized labels to topics within the document.

                                        Pattern Value{
                                          "coding" : [{
                                            "system" : "http://loinc.org",
                                            "code" : "11486-8"
                                          }]
                                        }
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        60. Composition.section:flt.section:chemotherapy.text
                                        Definition

                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                        ShortText summary of the section, for human interpretation
                                        Comments

                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                        Control10..1
                                        This element is affected by the following invariants: cmp-1
                                        TypeNarrative
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        62. Composition.section:flt.section:chemotherapy.entry
                                        Definition

                                        Chemotherapy


                                        A reference to the actual resource from which the narrative in the section is derived.

                                        ShortChemotherapyA reference to data that supports this section
                                        Comments

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Control10..*
                                        This element is affected by the following invariants: cmp-2
                                        TypeReference(MedicationAdministration, MedicationStatement, Procedure, DocumentReference, Resource)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • type @ resolve()
                                        • profile @ resolve()
                                        • 64. Composition.section:flt.section:chemotherapy.entry:medicationAdministration
                                          Slice NamemedicationAdministration
                                          Definition

                                          MedicationAdministration Chemotherapy


                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortMedicationAdministration ChemotherapyA reference to data that supports this section
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control10..*
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(MedicationAdministration: Chemotherapy, Resource)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          66. Composition.section:flt.section:chemotherapy.entry:medicationStatement
                                          Slice NamemedicationStatement
                                          Definition

                                          MedicationStatementChemotherapy


                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortMedicationStatement: ChemotherapyA reference to data that supports this section
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..*
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(MedicationStatement: Chemotherapy, Resource)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          68. Composition.section:flt.section:chemotherapy.emptyReason
                                          Definition

                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                          ShortWhy this section is emptyWhy the section is empty
                                          Comments

                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                          If a section is empty, why it is empty.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summaryfalse
                                          Requirements

                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          70. Composition.section:flt.section:stemCellTransplantation
                                          Slice NamestemCellTransplantation
                                          Definition

                                          A nested sub-section within this section.

                                          ShortStem Cell TransplantationNested Section
                                          Comments

                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                          Control0..1*
                                          This element is affected by the following invariants: cmp-1
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          72. Composition.section:flt.section:stemCellTransplantation.modifierExtension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          Requirements

                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                          Alternate Namesextensions, user content, modifiers
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          74. Composition.section:flt.section:stemCellTransplantation.title
                                          Definition

                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                          ShortLabel for section (e.g. for ToC)
                                          Comments

                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                          Control10..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summaryfalse
                                          Requirements

                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                          Alternate Namesheader, label, caption
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          76. Composition.section:flt.section:stemCellTransplantation.code
                                          Definition

                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                          ShortClassification of section (recommended)
                                          Comments

                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                          Control10..1
                                          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                          Classification of a section of a composition/document.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summaryfalse
                                          Requirements

                                          Provides computable standardized labels to topics within the document.

                                          Pattern Value{
                                            "coding" : [{
                                              "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                              "code" : "section-sct"
                                            }]
                                          }
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          78. Composition.section:flt.section:stemCellTransplantation.text
                                          Definition

                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                          ShortText summary of the section, for human interpretation
                                          Comments

                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                          Control10..1
                                          This element is affected by the following invariants: cmp-1
                                          TypeNarrative
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          80. Composition.section:flt.section:stemCellTransplantation.entry
                                          Definition

                                          Stem Cell Transplantation


                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortStem CelTransplantationA reference to data that supports this section
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control10..*
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(Procedure, Condition, Observation, DocumentReference, Resource)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • type @ resolve()
                                          • profile @ resolve()
                                          • 82. Composition.section:flt.section:stemCellTransplantation.entry:sct
                                            Slice Namesct
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortA reference to data that supports this section
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..*
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(Procedure: Stem Cell Transplantation, Resource)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            84. Composition.section:flt.section:stemCellTransplantation.entry:gvdh-prophylaxis
                                            Slice Namegvdh-prophylaxis
                                            Definition

                                            GVHD prophylaxis


                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortGVHD prophylaxisA reference to data that supports this section
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..*
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(Procedure: SCT Prophylaxis, Resource)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            86. Composition.section:flt.section:stemCellTransplantation.entry:gvdh
                                            Slice Namegvdh
                                            Definition

                                            Grafversus host disease (GvHD)


                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortGvHDA reference to data that supports this section
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..*
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(Condition: GvHD, Resource)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            88. Composition.section:flt.section:stemCellTransplantation.entry:blood-abo
                                            Slice Nameblood-abo
                                            Definition

                                            Blood type/RH


                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortBlootype/RHA reference to data that supports this section
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..*
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(Observation: Blood type/RH, Resource)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            90. Composition.section:flt.section:stemCellTransplantation.emptyReason
                                            Definition

                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                            ShortWhy this section is emptyWhy the section is empty
                                            Comments

                                            The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                            If a section is empty, why it is empty.

                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Summaryfalse
                                            Requirements

                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            92. Composition.section:flt.section:radiotherapy
                                            Slice Nameradiotherapy
                                            Definition

                                            A nested sub-section within this section.

                                            ShortRadiotherapyNested Section
                                            Comments

                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                            Control0..1*
                                            This element is affected by the following invariants: cmp-1
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            94. Composition.section:flt.section:radiotherapy.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            96. Composition.section:flt.section:radiotherapy.title
                                            Definition

                                            The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                            ShortLabel for section (e.g. for ToC)
                                            Comments

                                            The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                            Control10..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Requirements

                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                            Alternate Namesheader, label, caption
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            98. Composition.section:flt.section:radiotherapy.code
                                            Definition

                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                            ShortClassification of section (recommended)
                                            Comments

                                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                            Control10..1
                                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                            Classification of a section of a composition/document.

                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Summaryfalse
                                            Requirements

                                            Provides computable standardized labels to topics within the document.

                                            Pattern Value{
                                              "coding" : [{
                                                "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                                "code" : "section-rt"
                                              }]
                                            }
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            100. Composition.section:flt.section:radiotherapy.text
                                            Definition

                                            A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                            ShortText summary of the section, for human interpretation
                                            Comments

                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                            Control10..1
                                            This element is affected by the following invariants: cmp-1
                                            TypeNarrative
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            102. Composition.section:flt.section:radiotherapy.entry
                                            Definition

                                            Radiotherapy


                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortRadiotherapyA reference to data that supports this section
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control10..*
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(Procedure, DocumentReference, Resource)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • type @ resolve()
                                            • profile @ resolve()
                                            • 104. Composition.section:flt.section:radiotherapy.entry:radiotherapy
                                              Slice Nameradiotherapy
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              ShortA reference to data that supports this section
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..*
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(Procedure: Radiotherapy, Resource)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              106. Composition.section:flt.section:radiotherapy.entry:boost
                                              Slice Nameboost
                                              Definition

                                              Radiotherapy Boost


                                              A reference to the actual resource from which the narrative in the section is derived.

                                              ShortRadiotherapy BoostA reference to data that supports this section
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..*
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(Procedure: Radiotherapy Boost, Resource)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              108. Composition.section:flt.section:radiotherapy.entry:shield
                                              Slice Nameshield
                                              Definition

                                              Radiotherapy Shielding


                                              A reference to the actual resource from which the narrative in the section is derived.

                                              ShortRadiotherapy ShieldingA reference to data that supports this section
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..*
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(Procedure: Radiotherapy Shielding, Resource)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              110. Composition.section:flt.section:radiotherapy.emptyReason
                                              Definition

                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                              ShortWhy this section is emptyWhy the section is empty
                                              Comments

                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                              If a section is empty, why it is empty.

                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              112. Composition.section:flt.section:majorSurgery
                                              Slice NamemajorSurgery
                                              Definition

                                              A nested sub-section within this section.

                                              ShortHistory of Surgical proceduresNested Section
                                              Comments

                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                              Control0..1*
                                              This element is affected by the following invariants: cmp-1
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              114. Composition.section:flt.section:majorSurgery.modifierExtension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              Requirements

                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              116. Composition.section:flt.section:majorSurgery.title
                                              Definition

                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                              ShortLabel for section (e.g. for ToC)
                                              Comments

                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                              Control10..1
                                              Typestring
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summaryfalse
                                              Requirements

                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                              Alternate Namesheader, label, caption
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              118. Composition.section:flt.section:majorSurgery.code
                                              Definition

                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                              ShortClassification of section (recommended)
                                              Comments

                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                              Control10..1
                                              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                              Classification of a section of a composition/document.

                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              Provides computable standardized labels to topics within the document.

                                              Pattern Value{
                                                "coding" : [{
                                                  "system" : "http://loinc.org",
                                                  "code" : "8690-0"
                                                }]
                                              }
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              120. Composition.section:flt.section:majorSurgery.text
                                              Definition

                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                              ShortText summary of the section, for human interpretation
                                              Comments

                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                              Control10..1
                                              This element is affected by the following invariants: cmp-1
                                              TypeNarrative
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              122. Composition.section:flt.section:majorSurgery.entry
                                              Definition

                                              Major Surgery


                                              A reference to the actual resource from which the narrative in the section is derived.

                                              ShortMajor SurgeryA reference to data that supports this section
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control10..*
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(Procedure, DocumentReference, Resource)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • type @ resolve()
                                              • profile @ resolve()
                                              • 124. Composition.section:flt.section:majorSurgery.entry:procedure
                                                Slice Nameprocedure
                                                Definition

                                                Surgical procedure


                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortSurgical procedureA reference to data that supports this section
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..*
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(Procedure: Surgery, Resource)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                126. Composition.section:flt.section:majorSurgery.emptyReason
                                                Definition

                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                ShortWhy this section is emptyWhy the section is empty
                                                Comments

                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                If a section is empty, why it is empty.

                                                TypeCodeableConcept
                                                Is Modifierfalse
                                                Summaryfalse
                                                Requirements

                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                128. Composition.section:flt.section:otherInfos
                                                Slice NameotherInfos
                                                Definition

                                                A nested sub-section within this section.

                                                ShortOther Medical InformationNested Section
                                                Comments

                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                Control0..1*
                                                This element is affected by the following invariants: cmp-1
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                130. Composition.section:flt.section:otherInfos.modifierExtension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                ShortExtensions that cannot be ignored even if unrecognized
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                Summarytrue
                                                Requirements

                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                Alternate Namesextensions, user content, modifiers
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                132. Composition.section:flt.section:otherInfos.title
                                                Definition

                                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                ShortLabel for section (e.g. for ToC)
                                                Comments

                                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                Control10..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summaryfalse
                                                Requirements

                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                Alternate Namesheader, label, caption
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                134. Composition.section:flt.section:otherInfos.code
                                                Definition

                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                ShortClassification of section (recommended)
                                                Comments

                                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                Control10..1
                                                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                Classification of a section of a composition/document.

                                                TypeCodeableConcept
                                                Is Modifierfalse
                                                Summaryfalse
                                                Requirements

                                                Provides computable standardized labels to topics within the document.

                                                Pattern Value{
                                                  "coding" : [{
                                                    "system" : "http://loinc.org",
                                                    "code" : "55752-0"
                                                  }]
                                                }
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                136. Composition.section:flt.section:otherInfos.text
                                                Definition

                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                ShortText summary of the section, for human interpretation
                                                Comments

                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                Control10..1
                                                This element is affected by the following invariants: cmp-1
                                                TypeNarrative
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                138. Composition.section:flt.section:otherInfos.entry
                                                Definition

                                                Other infos


                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortOther infosA reference to data that supports this section
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..*
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(Condition, Procedure, DocumentReference, Resource)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • type @ resolve()
                                                • profile @ resolve()
                                                • 140. Composition.section:flt.section:otherInfos.entry:conditionToxicity
                                                  Slice NameconditionToxicity
                                                  Definition

                                                  Condition: Severe Toxicity


                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                  ShortCondition: Severe ToxicityA reference to data that supports this section
                                                  Comments

                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                  Control0..*
                                                  This element is affected by the following invariants: cmp-2
                                                  TypeReference(Condition: Severe Toxicity, Resource)
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  142. Composition.section:flt.section:otherInfos.entry:conditionOtherInfos
                                                  Slice NameconditionOtherInfos
                                                  Definition

                                                  Other Conditions


                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                  ShortOther ConditionsA reference to data that supports this section
                                                  Comments

                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                  Control0..*
                                                  This element is affected by the following invariants: cmp-2
                                                  TypeReference(Condition: Others, Resource)
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  144. Composition.section:flt.section:otherInfos.entry:procedureCVC
                                                  Slice NameprocedureCVC
                                                  Definition

                                                  Procedure: Catheter


                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                  ShortProcedure: CatheterA reference to data that supports this section
                                                  Comments

                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                  Control0..*
                                                  This element is affected by the following invariants: cmp-2
                                                  TypeReference(Procedure: Catheter, Resource)
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  146. Composition.section:flt.section:otherInfos.entry:procedureTransfusion
                                                  Slice NameprocedureTransfusion
                                                  Definition

                                                  Procedure: Transfusion


                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                  ShortProcedure: TransfusionA reference to data that supports this section
                                                  Comments

                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                  Control0..*
                                                  This element is affected by the following invariants: cmp-2
                                                  TypeReference(Procedure: Transfusion other infos, Resource)
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  148. Composition.section:flt.section:otherInfos.entry:procedureCryopreservation
                                                  Slice NameprocedureCryopreservation
                                                  Definition

                                                  Procedure: Cryopreservation


                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                  ShortProcedure: CryopreservationA reference to data that supports this section
                                                  Comments

                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                  Control0..*
                                                  This element is affected by the following invariants: cmp-2
                                                  TypeReference(Procedure: Cryopreservation, Resource)
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  150. Composition.section:flt.section:otherInfos.entry:procedureOtherTreatment
                                                  Slice NameprocedureOtherTreatment
                                                  Definition

                                                  Procedure: Other Treatments


                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                  ShortProcedure: Other TreatmentsA reference to data that supports this section
                                                  Comments

                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                  Control0..*
                                                  This element is affected by the following invariants: cmp-2
                                                  TypeReference(Procedure: Other Treatments, Resource)
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  152. Composition.section:flt.section:otherInfos.emptyReason
                                                  Definition

                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                  ShortWhy this section is emptyWhy the section is empty
                                                  Comments

                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                  Control0..1
                                                  This element is affected by the following invariants: cmp-2
                                                  BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                  If a section is empty, why it is empty.

                                                  TypeCodeableConcept
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Requirements

                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  154. Composition.section:flt.section:medicalSuggestion
                                                  Slice NamemedicalSuggestion
                                                  Definition

                                                  A nested sub-section within this section.

                                                  ShortMedical SuggestionsNested Section
                                                  Comments

                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                  Control0..1*
                                                  This element is affected by the following invariants: cmp-1
                                                  TypeBackboneElement
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  156. Composition.section:flt.section:medicalSuggestion.modifierExtension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                  Summarytrue
                                                  Requirements

                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                  Alternate Namesextensions, user content, modifiers
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  158. Composition.section:flt.section:medicalSuggestion.title
                                                  Definition

                                                  The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                  ShortLabel for section (e.g. for ToC)
                                                  Comments

                                                  The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                  Control10..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summaryfalse
                                                  Requirements

                                                  Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                  Alternate Namesheader, label, caption
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  160. Composition.section:flt.section:medicalSuggestion.code
                                                  Definition

                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                  ShortClassification of section (recommended)
                                                  Comments

                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                  Control10..1
                                                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                  Classification of a section of a composition/document.

                                                  TypeCodeableConcept
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Requirements

                                                  Provides computable standardized labels to topics within the document.

                                                  Pattern Value{
                                                    "coding" : [{
                                                      "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                                      "code" : "section-suggestion"
                                                    }]
                                                  }
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  162. Composition.section:flt.section:medicalSuggestion.text
                                                  Definition

                                                  A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                  ShortText summary of the section, for human interpretation
                                                  Comments

                                                  Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                  Control10..1
                                                  This element is affected by the following invariants: cmp-1
                                                  TypeNarrative
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  164. Composition.section:flt.section:medicalSuggestion.emptyReason
                                                  Definition

                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                  ShortWhy this section is emptyWhy the section is empty
                                                  Comments

                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                  Control0..1
                                                  This element is affected by the following invariants: cmp-2
                                                  BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                  If a section is empty, why it is empty.

                                                  TypeCodeableConcept
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Requirements

                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  166. Composition.section:flt.section:relapseAfterEOT
                                                  Slice NamerelapseAfterEOT
                                                  Definition

                                                  A nested sub-section within this section.

                                                  ShortRelapse After EOTNested Section
                                                  Comments

                                                  Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                  Control0..*
                                                  This element is affected by the following invariants: cmp-1
                                                  TypeBackboneElement
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  168. Composition.section:flt.section:relapseAfterEOT.modifierExtension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                  Summarytrue
                                                  Requirements

                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                  Alternate Namesextensions, user content, modifiers
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  170. Composition.section:flt.section:relapseAfterEOT.code
                                                  Definition

                                                  A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                  ShortClassification of section (recommended)
                                                  Comments

                                                  The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                  If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                  Control10..1
                                                  BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                  (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                  Classification of a section of a composition/document.

                                                  TypeCodeableConcept
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Requirements

                                                  Provides computable standardized labels to topics within the document.

                                                  Pattern Value{
                                                    "coding" : [{
                                                      "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                                      "code" : "section-relapseAfterEOT"
                                                    }]
                                                  }
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  172. Composition.section:flt.section:relapseAfterEOT.entry
                                                  Definition

                                                  Entry describing the primary cancer and optionally FLT and metastasis.


                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                  ShortTumor FLT detailA reference to data that supports this section
                                                  Comments

                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                  Control0..*
                                                  This element is affected by the following invariants: cmp-2
                                                  TypeReference(Condition, Procedure, DocumentReference, Resource)
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • type @ resolve()
                                                  • profile @ resolve()
                                                  • 174. Composition.section:flt.section:relapseAfterEOT.entry:primaryCancer
                                                    Slice NameprimaryCancer
                                                    Definition

                                                    Relapse or progression after the end of treatment


                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                    ShortRelapseA reference to data that supports this section
                                                    Comments

                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                    Control0..*
                                                    This element is affected by the following invariants: cmp-2
                                                    TypeReference(Condition: Primary Cancer, Resource)
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    176. Composition.section:flt.section:relapseAfterEOT.entry:metastasis
                                                    Slice Namemetastasis
                                                    Definition

                                                    Metastasis


                                                    A reference to the actual resource from which the narrative in the section is derived.

                                                    ShortMetastasisA reference to data that supports this section
                                                    Comments

                                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                                    Control0..*
                                                    This element is affected by the following invariants: cmp-2
                                                    TypeReference(Condition: Metastatic Cancer, Resource)
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    178. Composition.section:flt.section:relapseAfterEOT.section
                                                    Definition

                                                    A nested sub-section within this section.

                                                    ShortChemo, Radio, SCT and other subsectionsNested Section
                                                    Comments

                                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                    Control0..*
                                                    This element is affected by the following invariants: cmp-1
                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    SlicingThis element introduces a set of slices on Composition.section.section.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • pattern @ code
                                                    • 180. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy
                                                      Slice Namechemotherapy
                                                      Definition

                                                      A nested sub-section within this section.

                                                      ShortChemotherapyNested Section
                                                      Comments

                                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                      Control0..1*
                                                      This element is affected by the following invariants: cmp-1
                                                      TypeBackboneElement
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      182. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.modifierExtension
                                                      Definition

                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                      Comments

                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                      Summarytrue
                                                      Requirements

                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                      Alternate Namesextensions, user content, modifiers
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      184. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.title
                                                      Definition

                                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                      ShortLabel for section (e.g. for ToC)
                                                      Comments

                                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                      Control10..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summaryfalse
                                                      Requirements

                                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                      Alternate Namesheader, label, caption
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      186. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.code
                                                      Definition

                                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                      ShortClassification of section (recommended)
                                                      Comments

                                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                      Control10..1
                                                      BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                      Classification of a section of a composition/document.

                                                      TypeCodeableConcept
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Requirements

                                                      Provides computable standardized labels to topics within the document.

                                                      Pattern Value{
                                                        "coding" : [{
                                                          "system" : "http://loinc.org",
                                                          "code" : "11486-8"
                                                        }]
                                                      }
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      188. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.text
                                                      Definition

                                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                      ShortText summary of the section, for human interpretation
                                                      Comments

                                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                      Control10..1
                                                      This element is affected by the following invariants: cmp-1
                                                      TypeNarrative
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      190. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry
                                                      Definition

                                                      Chemotherapy


                                                      A reference to the actual resource from which the narrative in the section is derived.

                                                      ShortChemotherapyA reference to data that supports this section
                                                      Comments

                                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                                      Control10..*
                                                      This element is affected by the following invariants: cmp-2
                                                      TypeReference(MedicationAdministration, MedicationStatement, Procedure, DocumentReference, Resource)
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • type @ resolve()
                                                      • profile @ resolve()
                                                      • 192. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry:medicationAdministration
                                                        Slice NamemedicationAdministration
                                                        Definition

                                                        MedicationAdministration Chemotherapy


                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                        ShortMedicationAdministration ChemotherapyA reference to data that supports this section
                                                        Comments

                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                        Control10..*
                                                        This element is affected by the following invariants: cmp-2
                                                        TypeReference(MedicationAdministration: Chemotherapy, Resource)
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        194. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry:medicationStatement
                                                        Slice NamemedicationStatement
                                                        Definition

                                                        MedicationStatementChemotherapy


                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                        ShortMedicationStatement: ChemotherapyA reference to data that supports this section
                                                        Comments

                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                        Control0..*
                                                        This element is affected by the following invariants: cmp-2
                                                        TypeReference(MedicationStatement: Chemotherapy, Resource)
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        196. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.emptyReason
                                                        Definition

                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                        ShortWhy this section is emptyWhy the section is empty
                                                        Comments

                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                        Control0..1
                                                        This element is affected by the following invariants: cmp-2
                                                        BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                        If a section is empty, why it is empty.

                                                        TypeCodeableConcept
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Requirements

                                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        198. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation
                                                        Slice NamestemCellTransplantation
                                                        Definition

                                                        A nested sub-section within this section.

                                                        ShortStem Cell TransplantationNested Section
                                                        Comments

                                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                        Control0..1*
                                                        This element is affected by the following invariants: cmp-1
                                                        TypeBackboneElement
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        200. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.modifierExtension
                                                        Definition

                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                        Comments

                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                        Summarytrue
                                                        Requirements

                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                        Alternate Namesextensions, user content, modifiers
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        202. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.title
                                                        Definition

                                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                        ShortLabel for section (e.g. for ToC)
                                                        Comments

                                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                        Control10..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summaryfalse
                                                        Requirements

                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                        Alternate Namesheader, label, caption
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        204. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.code
                                                        Definition

                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                        ShortClassification of section (recommended)
                                                        Comments

                                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                        Control10..1
                                                        BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                        Classification of a section of a composition/document.

                                                        TypeCodeableConcept
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Requirements

                                                        Provides computable standardized labels to topics within the document.

                                                        Pattern Value{
                                                          "coding" : [{
                                                            "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                                            "code" : "section-sct"
                                                          }]
                                                        }
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        206. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.text
                                                        Definition

                                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                        ShortText summary of the section, for human interpretation
                                                        Comments

                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                        Control10..1
                                                        This element is affected by the following invariants: cmp-1
                                                        TypeNarrative
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        208. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry
                                                        Definition

                                                        Stem Cell Transplantation


                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                        ShortStem CelTransplantationA reference to data that supports this section
                                                        Comments

                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                        Control10..*
                                                        This element is affected by the following invariants: cmp-2
                                                        TypeReference(Procedure, Condition, Observation, DocumentReference, Resource)
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • type @ resolve()
                                                        • profile @ resolve()
                                                        • 210. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:sct
                                                          Slice Namesct
                                                          Definition

                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                          ShortA reference to data that supports this section
                                                          Comments

                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                          Control0..*
                                                          This element is affected by the following invariants: cmp-2
                                                          TypeReference(Procedure: Stem Cell Transplantation, Resource)
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          212. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:gvdh-prophylaxis
                                                          Slice Namegvdh-prophylaxis
                                                          Definition

                                                          GVHD prophylaxis


                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                          ShortGVHD prophylaxisA reference to data that supports this section
                                                          Comments

                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                          Control0..*
                                                          This element is affected by the following invariants: cmp-2
                                                          TypeReference(Procedure: SCT Prophylaxis, Resource)
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          214. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:gvdh
                                                          Slice Namegvdh
                                                          Definition

                                                          Grafversus host disease (GvHD)


                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                          ShortGvHDA reference to data that supports this section
                                                          Comments

                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                          Control0..*
                                                          This element is affected by the following invariants: cmp-2
                                                          TypeReference(Condition: GvHD, Resource)
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          216. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:blood-abo
                                                          Slice Nameblood-abo
                                                          Definition

                                                          Blood type/RH


                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                          ShortBlootype/RHA reference to data that supports this section
                                                          Comments

                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                          Control0..*
                                                          This element is affected by the following invariants: cmp-2
                                                          TypeReference(Observation: Blood type/RH, Resource)
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          218. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.emptyReason
                                                          Definition

                                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                          ShortWhy this section is emptyWhy the section is empty
                                                          Comments

                                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                          Control0..1
                                                          This element is affected by the following invariants: cmp-2
                                                          BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                          If a section is empty, why it is empty.

                                                          TypeCodeableConcept
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Requirements

                                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          220. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy
                                                          Slice Nameradiotherapy
                                                          Definition

                                                          A nested sub-section within this section.

                                                          ShortRadiotherapyNested Section
                                                          Comments

                                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                          Control0..1*
                                                          This element is affected by the following invariants: cmp-1
                                                          TypeBackboneElement
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          222. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.modifierExtension
                                                          Definition

                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                          Comments

                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                          Summarytrue
                                                          Requirements

                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                          Alternate Namesextensions, user content, modifiers
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          224. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.title
                                                          Definition

                                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                          ShortLabel for section (e.g. for ToC)
                                                          Comments

                                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                          Control10..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summaryfalse
                                                          Requirements

                                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                          Alternate Namesheader, label, caption
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          226. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.code
                                                          Definition

                                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                          ShortClassification of section (recommended)
                                                          Comments

                                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                          Control10..1
                                                          BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                          (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                          Classification of a section of a composition/document.

                                                          TypeCodeableConcept
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Requirements

                                                          Provides computable standardized labels to topics within the document.

                                                          Pattern Value{
                                                            "coding" : [{
                                                              "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                                              "code" : "section-rt"
                                                            }]
                                                          }
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          228. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.text
                                                          Definition

                                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                          ShortText summary of the section, for human interpretation
                                                          Comments

                                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                          Control10..1
                                                          This element is affected by the following invariants: cmp-1
                                                          TypeNarrative
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          230. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry
                                                          Definition

                                                          Radiotherapy


                                                          A reference to the actual resource from which the narrative in the section is derived.

                                                          ShortRadiotherapyA reference to data that supports this section
                                                          Comments

                                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                                          Control10..*
                                                          This element is affected by the following invariants: cmp-2
                                                          TypeReference(Procedure, DocumentReference, Resource)
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • type @ resolve()
                                                          • profile @ resolve()
                                                          • 232. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:radiotherapy
                                                            Slice Nameradiotherapy
                                                            Definition

                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                            ShortA reference to data that supports this section
                                                            Comments

                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                            Control0..*
                                                            This element is affected by the following invariants: cmp-2
                                                            TypeReference(Procedure: Radiotherapy, Resource)
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            234. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:boost
                                                            Slice Nameboost
                                                            Definition

                                                            Radiotherapy Boost


                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                            ShortRadiotherapy BoostA reference to data that supports this section
                                                            Comments

                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                            Control0..*
                                                            This element is affected by the following invariants: cmp-2
                                                            TypeReference(Procedure: Radiotherapy Boost, Resource)
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            236. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:shield
                                                            Slice Nameshield
                                                            Definition

                                                            Radiotherapy Shielding


                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                            ShortRadiotherapy ShieldingA reference to data that supports this section
                                                            Comments

                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                            Control0..*
                                                            This element is affected by the following invariants: cmp-2
                                                            TypeReference(Procedure: Radiotherapy Shielding, Resource)
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            238. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.emptyReason
                                                            Definition

                                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                            ShortWhy this section is emptyWhy the section is empty
                                                            Comments

                                                            The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                            Control0..1
                                                            This element is affected by the following invariants: cmp-2
                                                            BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                            If a section is empty, why it is empty.

                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Requirements

                                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            240. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery
                                                            Slice NamemajorSurgery
                                                            Definition

                                                            A nested sub-section within this section.

                                                            ShortHistory of Surgical proceduresNested Section
                                                            Comments

                                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                            Control0..1*
                                                            This element is affected by the following invariants: cmp-1
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            242. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            244. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.title
                                                            Definition

                                                            The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                            ShortLabel for section (e.g. for ToC)
                                                            Comments

                                                            The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                            Control10..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Requirements

                                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                            Alternate Namesheader, label, caption
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            246. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.code
                                                            Definition

                                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                            ShortClassification of section (recommended)
                                                            Comments

                                                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                            Control10..1
                                                            BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                            (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                            Classification of a section of a composition/document.

                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Requirements

                                                            Provides computable standardized labels to topics within the document.

                                                            Pattern Value{
                                                              "coding" : [{
                                                                "system" : "http://loinc.org",
                                                                "code" : "8690-0"
                                                              }]
                                                            }
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            248. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.text
                                                            Definition

                                                            A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                            ShortText summary of the section, for human interpretation
                                                            Comments

                                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                            Control10..1
                                                            This element is affected by the following invariants: cmp-1
                                                            TypeNarrative
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            250. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.entry
                                                            Definition

                                                            Major Surgery


                                                            A reference to the actual resource from which the narrative in the section is derived.

                                                            ShortMajor SurgeryA reference to data that supports this section
                                                            Comments

                                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                                            Control10..*
                                                            This element is affected by the following invariants: cmp-2
                                                            TypeReference(Procedure, DocumentReference, Resource)
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • type @ resolve()
                                                            • profile @ resolve()
                                                            • 252. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.entry:procedure
                                                              Slice Nameprocedure
                                                              Definition

                                                              Surgical procedure


                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                              ShortSurgical procedureA reference to data that supports this section
                                                              Comments

                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                              Control0..*
                                                              This element is affected by the following invariants: cmp-2
                                                              TypeReference(Procedure: Surgery, Resource)
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              254. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.emptyReason
                                                              Definition

                                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                              ShortWhy this section is emptyWhy the section is empty
                                                              Comments

                                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                              Control0..1
                                                              This element is affected by the following invariants: cmp-2
                                                              BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                              If a section is empty, why it is empty.

                                                              TypeCodeableConcept
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Requirements

                                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              256. Composition.section:flt.section:relapseAfterEOT.section:otherInfos
                                                              Slice NameotherInfos
                                                              Definition

                                                              A nested sub-section within this section.

                                                              ShortOther Medical InformationNested Section
                                                              Comments

                                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                              Control0..1*
                                                              This element is affected by the following invariants: cmp-1
                                                              TypeBackboneElement
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              258. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.modifierExtension
                                                              Definition

                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                              Comments

                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                              Summarytrue
                                                              Requirements

                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                              Alternate Namesextensions, user content, modifiers
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              260. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.title
                                                              Definition

                                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                              ShortLabel for section (e.g. for ToC)
                                                              Comments

                                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                              Control10..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summaryfalse
                                                              Requirements

                                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                              Alternate Namesheader, label, caption
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              262. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.code
                                                              Definition

                                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                              ShortClassification of section (recommended)
                                                              Comments

                                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                              Control10..1
                                                              BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                              (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                              Classification of a section of a composition/document.

                                                              TypeCodeableConcept
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Requirements

                                                              Provides computable standardized labels to topics within the document.

                                                              Pattern Value{
                                                                "coding" : [{
                                                                  "system" : "http://loinc.org",
                                                                  "code" : "55752-0"
                                                                }]
                                                              }
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              264. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.text
                                                              Definition

                                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                              ShortText summary of the section, for human interpretation
                                                              Comments

                                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                              Control10..1
                                                              This element is affected by the following invariants: cmp-1
                                                              TypeNarrative
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              266. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry
                                                              Definition

                                                              Other infos


                                                              A reference to the actual resource from which the narrative in the section is derived.

                                                              ShortOther infosA reference to data that supports this section
                                                              Comments

                                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                                              Control0..*
                                                              This element is affected by the following invariants: cmp-2
                                                              TypeReference(Condition, Procedure, DocumentReference, Resource)
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • type @ resolve()
                                                              • profile @ resolve()
                                                              • 268. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:conditionToxicity
                                                                Slice NameconditionToxicity
                                                                Definition

                                                                Condition: Severe Toxicity


                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                ShortCondition: Severe ToxicityA reference to data that supports this section
                                                                Comments

                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                Control0..*
                                                                This element is affected by the following invariants: cmp-2
                                                                TypeReference(Condition: Severe Toxicity, Resource)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                270. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:conditionOtherInfos
                                                                Slice NameconditionOtherInfos
                                                                Definition

                                                                Other Conditions


                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                ShortOther ConditionsA reference to data that supports this section
                                                                Comments

                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                Control0..*
                                                                This element is affected by the following invariants: cmp-2
                                                                TypeReference(Condition: Others, Resource)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                272. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureCVC
                                                                Slice NameprocedureCVC
                                                                Definition

                                                                Procedure: Catheter


                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                ShortProcedure: CatheterA reference to data that supports this section
                                                                Comments

                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                Control0..*
                                                                This element is affected by the following invariants: cmp-2
                                                                TypeReference(Procedure: Catheter, Resource)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                274. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureTransfusion
                                                                Slice NameprocedureTransfusion
                                                                Definition

                                                                Procedure: Transfusion


                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                ShortProcedure: TransfusionA reference to data that supports this section
                                                                Comments

                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                Control0..*
                                                                This element is affected by the following invariants: cmp-2
                                                                TypeReference(Procedure: Transfusion other infos, Resource)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                276. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureCryopreservation
                                                                Slice NameprocedureCryopreservation
                                                                Definition

                                                                Procedure: Cryopreservation


                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                ShortProcedure: CryopreservationA reference to data that supports this section
                                                                Comments

                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                Control0..*
                                                                This element is affected by the following invariants: cmp-2
                                                                TypeReference(Procedure: Cryopreservation, Resource)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                278. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureOtherTreatment
                                                                Slice NameprocedureOtherTreatment
                                                                Definition

                                                                Procedure: Other Treatments


                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                ShortProcedure: Other TreatmentsA reference to data that supports this section
                                                                Comments

                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                Control0..*
                                                                This element is affected by the following invariants: cmp-2
                                                                TypeReference(Procedure: Other Treatments, Resource)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                280. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.emptyReason
                                                                Definition

                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                ShortWhy this section is emptyWhy the section is empty
                                                                Comments

                                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                Control0..1
                                                                This element is affected by the following invariants: cmp-2
                                                                BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                If a section is empty, why it is empty.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Requirements

                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                282. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion
                                                                Slice NamemedicalSuggestion
                                                                Definition

                                                                A nested sub-section within this section.

                                                                ShortMedical SuggestionsNested Section
                                                                Comments

                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                Control0..1*
                                                                This element is affected by the following invariants: cmp-1
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                284. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                286. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.title
                                                                Definition

                                                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                ShortLabel for section (e.g. for ToC)
                                                                Comments

                                                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                Control10..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Requirements

                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                Alternate Namesheader, label, caption
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                288. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.code
                                                                Definition

                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                ShortClassification of section (recommended)
                                                                Comments

                                                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                Control10..1
                                                                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                Classification of a section of a composition/document.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Requirements

                                                                Provides computable standardized labels to topics within the document.

                                                                Pattern Value{
                                                                  "coding" : [{
                                                                    "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                                                    "code" : "section-suggestion"
                                                                  }]
                                                                }
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                290. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.text
                                                                Definition

                                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                ShortText summary of the section, for human interpretation
                                                                Comments

                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                Control10..1
                                                                This element is affected by the following invariants: cmp-1
                                                                TypeNarrative
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                292. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.emptyReason
                                                                Definition

                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                ShortWhy this section is emptyWhy the section is empty
                                                                Comments

                                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                Control0..1
                                                                This element is affected by the following invariants: cmp-2
                                                                BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                If a section is empty, why it is empty.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Requirements

                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                294. Composition.section:flt.section:otherConditions
                                                                Slice NameotherConditions
                                                                Definition

                                                                A nested sub-section within this section.

                                                                ShortOther Health ConditionsNested Section
                                                                Comments

                                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                                Control0..1*
                                                                This element is affected by the following invariants: cmp-1
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                296. Composition.section:flt.section:otherConditions.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                298. Composition.section:flt.section:otherConditions.title
                                                                Definition

                                                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                ShortLabel for section (e.g. for ToC)
                                                                Comments

                                                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                Control10..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Requirements

                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                Alternate Namesheader, label, caption
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                300. Composition.section:flt.section:otherConditions.code
                                                                Definition

                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                ShortClassification of section (recommended)
                                                                Comments

                                                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                Control10..1
                                                                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                Classification of a section of a composition/document.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Requirements

                                                                Provides computable standardized labels to topics within the document.

                                                                Pattern Value{
                                                                  "coding" : [{
                                                                    "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                                                    "code" : "section-otherConditions"
                                                                  }]
                                                                }
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                302. Composition.section:flt.section:otherConditions.text
                                                                Definition

                                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                ShortText summary of the section, for human interpretation
                                                                Comments

                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                Control10..1
                                                                This element is affected by the following invariants: cmp-1
                                                                TypeNarrative
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                304. Composition.section:flt.section:otherConditions.emptyReason
                                                                Definition

                                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                ShortWhy this section is emptyWhy the section is empty
                                                                Comments

                                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                Control0..1
                                                                This element is affected by the following invariants: cmp-2
                                                                BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                If a section is empty, why it is empty.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Requirements

                                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                306. Composition.section:carePlan
                                                                Slice NamecarePlan
                                                                Definition

                                                                The root of the sections that make up the composition.

                                                                ShortPlan of Care SectionComposition is broken into sections
                                                                Control0..1*
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                308. Composition.section:carePlan.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                310. Composition.section:carePlan.title
                                                                Definition

                                                                The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                ShortLabel for section (e.g. for ToC)
                                                                Comments

                                                                The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                Control10..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Requirements

                                                                Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                Alternate Namesheader, label, caption
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                312. Composition.section:carePlan.code
                                                                Definition

                                                                A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                ShortClassification of section (recommended)
                                                                Comments

                                                                The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                Control10..1
                                                                BindingFor example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
                                                                (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                Classification of a section of a composition/document.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Requirements

                                                                Provides computable standardized labels to topics within the document.

                                                                Pattern Value{
                                                                  "coding" : [{
                                                                    "system" : "http://loinc.org",
                                                                    "code" : "18776-5"
                                                                  }]
                                                                }
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                314. Composition.section:carePlan.text
                                                                Definition

                                                                A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                ShortText summary of the section, for human interpretation
                                                                Comments

                                                                Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                Control10..1
                                                                This element is affected by the following invariants: cmp-1
                                                                TypeNarrative
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                316. Composition.section:carePlan.entry
                                                                Definition

                                                                Care Plan


                                                                A reference to the actual resource from which the narrative in the section is derived.

                                                                ShortCare PlanA reference to data that supports this section
                                                                Comments

                                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                Control10..*
                                                                This element is affected by the following invariants: cmp-2
                                                                TypeReference(CarePlan, DocumentReference, Resource)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • type @ resolve()
                                                                • profile @ resolve()
                                                                • 318. Composition.section:carePlan.entry:carePlan
                                                                  Slice NamecarePlan
                                                                  Definition

                                                                  A reference to the actual resource from which the narrative in the section is derived.

                                                                  ShortA reference to data that supports this section
                                                                  Comments

                                                                  If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                  Control10..*
                                                                  This element is affected by the following invariants: cmp-2
                                                                  TypeReference(CarePlan: PCSP-generated plan, Resource)
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  320. Composition.section:carePlan.emptyReason
                                                                  Definition

                                                                  If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                  ShortWhy this section is emptyWhy the section is empty
                                                                  Comments

                                                                  The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                  Control0..1
                                                                  This element is affected by the following invariants: cmp-2
                                                                  BindingThe codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
                                                                  (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                  If a section is empty, why it is empty.

                                                                  TypeCodeableConcept
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Requirements

                                                                  Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                                                                  Guidance on how to interpret the contents of this table can be found here

                                                                  0. Composition
                                                                  Definition

                                                                  A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

                                                                  ShortA set of resources composed into a single coherent clinical statement with clinical attestation
                                                                  Comments

                                                                  While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

                                                                  Control0..*
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                                  dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                                  2. Composition.id
                                                                  Definition

                                                                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                                  ShortLogical id of this artifact
                                                                  Comments

                                                                  The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                                                  Control0..1
                                                                  Typeid
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  4. Composition.meta
                                                                  Definition

                                                                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                                  ShortMetadata about the resource
                                                                  Control0..1
                                                                  TypeMeta
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  6. Composition.implicitRules
                                                                  Definition

                                                                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                                  ShortA set of rules under which this content was created
                                                                  Comments

                                                                  Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                                                  Control0..1
                                                                  Typeuri
                                                                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  8. Composition.language
                                                                  Definition

                                                                  The base language in which the resource is written.

                                                                  ShortLanguage of the resource content
                                                                  Comments

                                                                  Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                                                  Control0..1
                                                                  BindingThe codes SHOULD be taken from CommonLanguages
                                                                  (preferred to http://hl7.org/fhir/ValueSet/languages)

                                                                  A human language.

                                                                  Additional BindingsPurpose
                                                                  AllLanguagesMax Binding
                                                                  Typecode
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  10. Composition.text
                                                                  Definition

                                                                  A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                                                  ShortText summary of the resource, for human interpretation
                                                                  Comments

                                                                  Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                                                  Control0..1
                                                                  TypeNarrative
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesnarrative, html, xhtml, display
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  12. Composition.contained
                                                                  Definition

                                                                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                                                  ShortContained, inline Resources
                                                                  Comments

                                                                  This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                                                  Control0..*
                                                                  TypeResource
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesinline resources, anonymous resources, contained resources
                                                                  14. Composition.extension
                                                                  Definition

                                                                  May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                  ShortAdditional content defined by implementations
                                                                  Comments

                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesextensions, user content
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  16. Composition.modifierExtension
                                                                  Definition

                                                                  May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                  ShortExtensions that cannot be ignored
                                                                  Comments

                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                                  Summaryfalse
                                                                  Requirements

                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                  Alternate Namesextensions, user content
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  18. Composition.identifier
                                                                  Definition

                                                                  A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

                                                                  ShortBusiness identifier for this SurPass
                                                                  Comments

                                                                  Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

                                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                  Control0..1
                                                                  TypeIdentifier
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  20. Composition.status
                                                                  Definition

                                                                  The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

                                                                  Shortpreliminary|final|amended|entered-in-error
                                                                  Comments

                                                                  If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

                                                                  Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

                                                                  Control1..1
                                                                  BindingThe codes SHALL be taken from CompositionStatus
                                                                  (required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)

                                                                  The workflow/clinical status of the composition.

                                                                  Typecode
                                                                  Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to be able to mark interim, amended, or withdrawn compositions or documents.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  22. Composition.type
                                                                  Definition

                                                                  Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

                                                                  ShortKind of composition (LOINC if possible)
                                                                  Comments

                                                                  For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

                                                                  Control1..1
                                                                  BindingThe codes SHOULD be taken from FHIRDocumentTypeCodes
                                                                  (preferred to http://hl7.org/fhir/ValueSet/doc-typecodes)

                                                                  Type of a composition.

                                                                  TypeCodeableConcept
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Requirements

                                                                  Key metadata element describing the composition, used in searching/filtering.

                                                                  Pattern Value{
                                                                    "coding" : [{
                                                                      "system" : "http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp",
                                                                      "code" : "surpass"
                                                                    }]
                                                                  }
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  24. Composition.type.id
                                                                  Definition

                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  26. Composition.type.extension
                                                                  Definition

                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                  ShortAdditional content defined by implementations
                                                                  Comments

                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesextensions, user content
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  SlicingThis element introduces a set of slices on Composition.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 28. Composition.type.coding
                                                                    Definition

                                                                    A reference to a code defined by a terminology system.

                                                                    ShortCode defined by a terminology system
                                                                    Comments

                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                    Control0..*
                                                                    TypeCoding
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Requirements

                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    30. Composition.type.coding.id
                                                                    Definition

                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    32. Composition.type.coding.extension
                                                                    Definition

                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                    ShortAdditional content defined by implementations
                                                                    Comments

                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Alternate Namesextensions, user content
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    SlicingThis element introduces a set of slices on Composition.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 34. Composition.type.coding.system
                                                                      Definition

                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                      ShortIdentity of the terminology system
                                                                      Comments

                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                      Control0..1
                                                                      Typeuri
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      36. Composition.type.coding.version
                                                                      Definition

                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                      ShortVersion of the system - if relevant
                                                                      Comments

                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      38. Composition.type.coding.code
                                                                      Definition

                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                      ShortSymbol in syntax defined by the system
                                                                      Control0..1
                                                                      Typecode
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      Need to refer to a particular code in the system.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      40. Composition.type.coding.display
                                                                      Definition

                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                      ShortChildhood Cancer Survivor Passport
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      42. Composition.type.coding.userSelected
                                                                      Definition

                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                      ShortIf this coding was chosen directly by the user
                                                                      Comments

                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                      Control0..1
                                                                      Typeboolean
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      44. Composition.type.text
                                                                      Definition

                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                      ShortPlain text representation of the concept
                                                                      Comments

                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      46. Composition.category
                                                                      Definition

                                                                      A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

                                                                      ShortCategorization of Composition
                                                                      Comments

                                                                      This is a metadata field from XDS/MHD.

                                                                      Control0..*
                                                                      BindingFor example codes, see DocumentClassValueSet
                                                                      (example to http://hl7.org/fhir/ValueSet/document-classcodes)

                                                                      High-level kind of a clinical document at a macro level.

                                                                      TypeCodeableConcept
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Requirements

                                                                      Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      48. Composition.subject
                                                                      Definition

                                                                      Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

                                                                      ShortWho and/or what the composition is about
                                                                      Comments

                                                                      For clinical documents, this is usually the patient.

                                                                      Control1..1
                                                                      TypeReference(Patient: PCSP)
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Requirements

                                                                      Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      50. Composition.encounter
                                                                      Definition

                                                                      Describes the clinical encounter or type of care this documentation is associated with.

                                                                      ShortContext of the Composition
                                                                      Control0..1
                                                                      TypeReference(Encounter)
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Requirements

                                                                      Provides context for the composition and supports searching.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      52. Composition.date
                                                                      Definition

                                                                      The composition editing time, when the composition was last logically changed by the author.

                                                                      ShortSurPass Composition editing time
                                                                      Comments

                                                                      The Last Modified Date on the composition may be after the date of the document was attested without being changed.

                                                                      Control1..1
                                                                      TypedateTime
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      54. Composition.author
                                                                      Definition

                                                                      Identifies who is responsible for the information in the composition, not necessarily who typed it in.

                                                                      ShortWho and/or what authored this SurPass
                                                                      Control1..*
                                                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Requirements

                                                                      Identifies who is responsible for the content.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      56. Composition.title
                                                                      Definition

                                                                      Official human-readable label for the composition.

                                                                      ShortChildhood Cancer Survivor Passport
                                                                      Comments

                                                                      For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

                                                                      Control1..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      58. Composition.confidentiality
                                                                      Definition

                                                                      The code specifying the level of confidentiality of the Composition.

                                                                      ShortAs defined by affinity domain
                                                                      Comments

                                                                      The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.

                                                                      Control0..1
                                                                      BindingThe codes SHALL be taken from v3.ConfidentialityClassification (2014-03-26)
                                                                      (required to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26)

                                                                      Codes specifying the level of confidentiality of the composition.

                                                                      Typecode
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      60. Composition.attester
                                                                      Definition

                                                                      A participant who has attested to the accuracy of the composition/document.

                                                                      ShortWho attested the accuracy of this SurPass
                                                                      Comments

                                                                      Only list each attester once.

                                                                      Control0..*
                                                                      TypeBackboneElement
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Requirements

                                                                      Identifies responsibility for the accuracy of the composition content.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      62. Composition.attester.id
                                                                      Definition

                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      64. Composition.attester.extension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      66. Composition.attester.modifierExtension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                      Comments

                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                      Summarytrue
                                                                      Requirements

                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                      Alternate Namesextensions, user content, modifiers
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      68. Composition.attester.mode
                                                                      Definition

                                                                      The type of attestation the authenticator offers.

                                                                      Shortpersonal | professional | legal | official
                                                                      Control1..1
                                                                      BindingThe codes SHALL be taken from CompositionAttestationMode
                                                                      (required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

                                                                      The way in which a person authenticated a composition.

                                                                      Typecode
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summaryfalse
                                                                      Requirements

                                                                      Indicates the level of authority of the attestation.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      70. Composition.attester.time
                                                                      Definition

                                                                      When the composition was attested by the party.

                                                                      ShortWhen the composition was attested
                                                                      Control0..1
                                                                      TypedateTime
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summaryfalse
                                                                      Requirements

                                                                      Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      72. Composition.attester.party
                                                                      Definition

                                                                      Who attested the composition in the specified way.

                                                                      ShortWho attested the composition
                                                                      Control0..1
                                                                      TypeReference(Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Requirements

                                                                      Identifies who has taken on the responsibility for accuracy of the composition content.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      74. Composition.custodian
                                                                      Definition

                                                                      Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

                                                                      ShortOrganization which maintains the composition
                                                                      Comments

                                                                      This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.

                                                                      Control0..1
                                                                      TypeReference(Organization)
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Requirements

                                                                      Identifies where to go to find the current version, where to report issues, etc.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      76. Composition.relatesTo
                                                                      Definition

                                                                      Relationships that this composition has with other compositions or documents that already exist.

                                                                      ShortRelationships to other compositions/documents
                                                                      Comments

                                                                      A document is a version specific composition.

                                                                      Control0..*
                                                                      TypeBackboneElement
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      78. Composition.relatesTo.id
                                                                      Definition

                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      80. Composition.relatesTo.extension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      82. Composition.relatesTo.modifierExtension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                      Comments

                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                      Summarytrue
                                                                      Requirements

                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                      Alternate Namesextensions, user content, modifiers
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      84. Composition.relatesTo.code
                                                                      Definition

                                                                      The type of relationship that this composition has with anther composition or document.

                                                                      Shortreplaces | transforms | signs | appends
                                                                      Comments

                                                                      If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

                                                                      Control1..1
                                                                      BindingThe codes SHALL be taken from DocumentRelationshipType
                                                                      (required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

                                                                      The type of relationship between documents.

                                                                      Typecode
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      86. Composition.relatesTo.target[x]
                                                                      Definition

                                                                      The target composition/document of this relationship.

                                                                      ShortTarget of the relationship
                                                                      Control1..1
                                                                      TypeChoice of: Identifier, Reference(Composition)
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      88. Composition.event
                                                                      Definition

                                                                      The clinical service, such as a colonoscopy or an appendectomy, being documented.

                                                                      ShortThe clinical service(s) being documented
                                                                      Comments

                                                                      The event needs to be consistent with the type element, though can provide further information if desired.

                                                                      Control0..*
                                                                      TypeBackboneElement
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Requirements

                                                                      Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      90. Composition.event.id
                                                                      Definition

                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      92. Composition.event.extension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      94. Composition.event.modifierExtension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                      Comments

                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                      Summarytrue
                                                                      Requirements

                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                      Alternate Namesextensions, user content, modifiers
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      96. Composition.event.code
                                                                      Definition

                                                                      This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

                                                                      ShortCode(s) that apply to the event being documented
                                                                      Comments

                                                                      An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

                                                                      Control0..*
                                                                      BindingFor example codes, see v3 Code System ActCode
                                                                      (example to http://terminology.hl7.org/ValueSet/v3-ActCode)

                                                                      This list of codes represents the main clinical acts being documented.

                                                                      TypeCodeableConcept
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      98. Composition.event.period
                                                                      Definition

                                                                      The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

                                                                      ShortThe period covered by the documentation
                                                                      Control0..1
                                                                      TypePeriod
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      100. Composition.event.detail
                                                                      Definition

                                                                      The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

                                                                      ShortThe event(s) being documented
                                                                      Control0..*
                                                                      TypeReference(Resource)
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      102. Composition.section
                                                                      Definition

                                                                      The root of the sections that make up the composition.

                                                                      ShortComposition is broken into sections
                                                                      Control1..*
                                                                      TypeBackboneElement
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                                                      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • pattern @ code
                                                                      • 104. Composition.section.id
                                                                        Definition

                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        106. Composition.section.extension
                                                                        Definition

                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                        ShortAdditional content defined by implementations
                                                                        Comments

                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                        Control0..*
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Alternate Namesextensions, user content
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        108. Composition.section.modifierExtension
                                                                        Definition

                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                        Comments

                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                        Control0..*
                                                                        TypeExtension
                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                        Summarytrue
                                                                        Requirements

                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                        Alternate Namesextensions, user content, modifiers
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        110. Composition.section.title
                                                                        Definition

                                                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                                                        ShortLabel for section (e.g. for ToC)
                                                                        Comments

                                                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summaryfalse
                                                                        Requirements

                                                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                                                        Alternate Namesheader, label, caption
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        112. Composition.section.code
                                                                        Definition

                                                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                                                        ShortClassification of section (recommended)
                                                                        Comments

                                                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                                                        Control0..1
                                                                        BindingFor example codes, see DocumentSectionCodes
                                                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                                                        Classification of a section of a composition/document.

                                                                        TypeCodeableConcept
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Requirements

                                                                        Provides computable standardized labels to topics within the document.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        114. Composition.section.author
                                                                        Definition

                                                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                                                        ShortWho and/or what authored the section
                                                                        Control0..*
                                                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Requirements

                                                                        Identifies who is responsible for the content.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        116. Composition.section.focus
                                                                        Definition

                                                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                                                        ShortWho/what the section is about, when it is not about the subject of composition
                                                                        Comments

                                                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                                                        Control0..1
                                                                        TypeReference(Resource)
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        118. Composition.section.text
                                                                        Definition

                                                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                                                        ShortText summary of the section, for human interpretation
                                                                        Comments

                                                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                                                        Control0..1
                                                                        This element is affected by the following invariants: cmp-1
                                                                        TypeNarrative
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        120. Composition.section.mode
                                                                        Definition

                                                                        How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                                                        Shortworking | snapshot | changes
                                                                        Comments

                                                                        This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                                                        Control0..1
                                                                        BindingThe codes SHALL be taken from ListMode
                                                                        (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                                                        The processing mode that applies to this section.

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summaryfalse
                                                                        Requirements

                                                                        Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        122. Composition.section.orderedBy
                                                                        Definition

                                                                        Specifies the order applied to the items in the section entries.

                                                                        ShortOrder of section entries
                                                                        Comments

                                                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                                                        Control0..1
                                                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                                                        What order applies to the items in the entry.

                                                                        TypeCodeableConcept
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Requirements

                                                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        124. Composition.section.entry
                                                                        Definition

                                                                        A reference to the actual resource from which the narrative in the section is derived.

                                                                        ShortA reference to data that supports this section
                                                                        Comments

                                                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                                                        Control0..*
                                                                        This element is affected by the following invariants: cmp-2
                                                                        TypeReference(Resource)
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        126. Composition.section.emptyReason
                                                                        Definition

                                                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                                        ShortWhy the section is empty
                                                                        Comments

                                                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                                        Control0..1
                                                                        This element is affected by the following invariants: cmp-2
                                                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                                                        If a section is empty, why it is empty.

                                                                        TypeCodeableConcept
                                                                        Is Modifierfalse