XpanDH Hospital Discharge Report, published by XpanDH Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/xpandh-hdr/ and changes regularly. See the Directory of published versions

• Content
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• TTL

Resource Profile: Composition: Hospital Discharge Report

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

Usage:

• Use this Resource Profile: Bundle: EU Hospital Discharge Report

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Clinical Document

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	Hospital Discharge Report composition
Slices for extension				Content/Rules for all slices
information-recipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension:information-recipient/practictionerRole		0..*	Extension	Extension
value[x]		0..1	Reference(PractitionerRole)	Value of extension
identifier		0..1	Identifier	HDR business identifier
status		1..1	code	HDR status
type		1..1	CodeableConceptIPS	Kind of composition ("Hospital Discharge Report") Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 34105-7
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge summary
subject		1..1	Reference(Patient: HDR)	Who and/or what the composition is about
encounter		0..1	Reference(Encounter | Inpatient Encounter Xpandh)	Context of the Composition
date		1..1	dateTime	HDR date
Slices for author		1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve()
author:practictionerRole		0..*	Reference(PractitionerRole)	Who and/or what authored the composition
title		1..1	string	Hospital Discharge Report
attester
mode		1..1	code	The type of attestation
Slices for section		2..*	BackboneElement	Sections composing the Hospital Discharge Report Slice: Unordered, Open by value:code
section:admissionEvaluationSection		0..1	BackboneElement	Hospital Admission evaluation
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67852-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital Admission evaluation note
text		1..1	Narrative	Text summary of the section, for human interpretation
emptyReason		0..0
Slices for section		0..*		Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry		0..1	BackboneElement	Anthropometric observations
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Body measurements)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:vitalSigns		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
entry		1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
section		0..0
section:physicalExamination		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
section		0..0
section:functionalStatus		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
entry		0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
section		0..0
section:sectionHospitalCourse		1..1	BackboneElement	Significant information about course of hospital stay
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..1	Reference(Inpatient Encounter Xpandh)	A reference to data that supports this section
emptyReason		0..0
Slices for section		0..*		Nested Section Slice: Unordered, Open by type:resolve()
section:diagnosticSummaryDescription		0..1	BackboneElement	Problem specification in narrative form
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Diagnostic studies report (record artifact))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Condition Xpandh Hospital Dischage Encounter)	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:significantProcedures		0..1	BackboneElement	Significant procedures
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Diagnostic studies report (record artifact))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Procedure (Xpandh))	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:medicalDevices		0..1	BackboneElement	Medical devices and implants
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184586001
display		1..1	string	Representation defined by the system Fixed Value: Medical device document section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Device (Xpandh))	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:medications		0..1	BackboneElement	Pharmacotherapy
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1003606003
display		1..1	string	Representation defined by the system Fixed Value: Medication history section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(MedicationStatement)	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:significantResults		0..1	BackboneElement	Significant Observation Results
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423100009
display		1..1	string	Representation defined by the system Fixed Value: Results section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory)	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:synthesis		0..1	BackboneElement	Synthesis
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..0
emptyReason		0..0
Slices for section		0..*		Subsections of the Hospital Discharge Report Synthesis Slice: Unordered, Open by value:code
section:problemSynthesis		0..*	BackboneElement	Problem synthesis
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423016009
display		1..1	string	Representation defined by the system Fixed Value: Clinical statement entry (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Condition Xpandh Profile)	A reference to data that supports this section
emptyReason		0..0
section:clinicalReasoning		0..*	BackboneElement	Clinical reasoning
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Xpandh Clinical Impression Profile)	A reference to data that supports this section
emptyReason		0..0
section:dischargeDetails		1..1	BackboneElement	Discharge details
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8650-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge disposition Narrative
text		1..1	Narrative	Text summary of the section, for human interpretation
emptyReason		0..0
Slices for section		0..*		Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry		0..1	BackboneElement	Anthropometric observations
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Body measurements)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:vitalSigns		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
entry		1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
section		0..0
section:physicalExamination		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
section		0..0
section:functionalStatus		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
entry		0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
section		0..0
section:sectionPlanOfCare		0..1	BackboneElement	Care plan and other recommendations after discharge.
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
display		1..1	string	Representation defined by the system Fixed Value: Plan of care note
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(CarePlan | DocumentReference)	A reference to data that supports this section
emptyReason		0..0
Slices for section		0..*		Nested Section Slice: Unordered, Open by type:resolve()
section:medicationSummary		0..1	BackboneElement	Medication summary
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 736378000
display		1..1	string	Representation defined by the system Fixed Value: Medication management plan (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(MedicationStatement | MedicationRequest | MedicationDispense Xpandh)	Medication statement, Medication request/recommendation or Medications dispensation.
emptyReason		0..0
section		0..0
section:sectionHealthInsurance		0..1	BackboneElement	Health insurance and payment information.
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48768-6
display		1..1	string	Representation defined by the system Fixed Value: Payment sources Document
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Coverage: Encounter Payer)	A reference to data that supports this section
emptyReason		0..0
section:patientHxSection		0..1	BackboneElement	Patient History Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (History general Narrative - Reported)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
text		1..1	Narrative	Text summary of the section, for human interpretation
emptyReason		0..0
section:sectionAllergies		0..1	BackboneElement	HDR Allergies and Intolerances Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Allergies and adverse reactions Document)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		1..*	Reference(AllergyIntolerance | DocumentReference)	Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by type:resolve()
entry:allergyIntolerance	S	0..*	Reference(Allergy Intolerance (IPS))	HDR Allergy entry
emptyReason		0..0
section:alertSection	S	0..1	BackboneElement	Health Concern Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Health concerns Document)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75310-3
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Alerts Slice: Unordered, Open by type:resolve()
entry:flag	S	0..*	Reference(Flag)	Flags
entry:detectedIssue	S	0..*	Reference(DetectedIssue)	Detected Issue
entry:riskAssessment	S	0..*	Reference(RiskAssessment)	Risk Assessment
emptyReason		0..0
section:sectionProceduresHx		0..1	BackboneElement	HDR History of Procedures Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		1..*	Reference(Procedure | DocumentReference)	Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by type:resolve()
entry:procedure	S	0..*	Reference(Procedure (IPS))	Past Procedure entry
emptyReason		0..0
section:sectionImmunizations		0..1	BackboneElement	HDR Immunizations Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		1..*	Reference(Immunization | DocumentReference)	Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve()
entry:immunization	S	0..*	Reference(Immunization (IPS))	Immunization entry
emptyReason		0..0
section:sectionPastIllnessHx		0..1	BackboneElement	HDR History of Past Illness Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (History of Past illness Narrative)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Condition (IPS))	Conditions the patient suffered in the past.
emptyReason		0..0
section:CareTeamSection	S	0..1	BackboneElement	Care Team Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Patient Care team information)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85847-2
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Care Teams Slice: Unordered, Open by type:resolve()
entry:cteam	S	0..*	Reference(CareTeam)	Care Team
emptyReason		0..0
section		0..0
section:sectionAdvanceDirectives		0..1	BackboneElement	IPS Advance Directives Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Advance directives)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Consent | DocumentReference)	A reference to data that supports this section
emptyReason		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	Hospital Discharge Report composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
information-recipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension:information-recipient/practictionerRole		0..*	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	Reference(PractitionerRole)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	HDR business identifier
status	?!Σ	1..1	code	HDR status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type		1..1	CodeableConceptIPS	Kind of composition ("Hospital Discharge Report") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 34105-7
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge summary
subject	Σ	1..1	Reference(Patient: HDR)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter | Inpatient Encounter Xpandh)	Context of the Composition
date	Σ	1..1	dateTime	HDR date
Slices for author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve()
author:practictionerRole	Σ	0..*	Reference(PractitionerRole)	Who and/or what authored the composition
title	Σ	1..1	string	Hospital Discharge Report
Slices for section	C	2..*	BackboneElement	Sections composing the Hospital Discharge Report Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:admissionEvaluationSection	C	0..1	BackboneElement	Hospital Admission evaluation cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67852-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital Admission evaluation note
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for section	C	0..*	See section (Composition)	Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry	C	0..1	BackboneElement	Anthropometric observations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Body measurements)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
section:vitalSigns	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
entry	C	1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
section:physicalExamination	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
text	C	1..1	Narrative	Text summary of the section, for human interpretation
section:functionalStatus	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
entry	C	0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
section:sectionHospitalCourse	C	1..1	BackboneElement	Significant information about course of hospital stay cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..1	Reference(Inpatient Encounter Xpandh)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Nested Section Slice: Unordered, Open by type:resolve()
section:diagnosticSummaryDescription	C	0..1	BackboneElement	Problem specification in narrative form
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Diagnostic studies report (record artifact))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(Condition Xpandh Hospital Dischage Encounter)	A reference to data that supports this section
section:significantProcedures	C	0..1	BackboneElement	Significant procedures
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Diagnostic studies report (record artifact))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Procedure (Xpandh))	A reference to data that supports this section
section:medicalDevices	C	0..1	BackboneElement	Medical devices and implants
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184586001
display		1..1	string	Representation defined by the system Fixed Value: Medical device document section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Device (Xpandh))	A reference to data that supports this section
section:medications	C	0..1	BackboneElement	Pharmacotherapy
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1003606003
display		1..1	string	Representation defined by the system Fixed Value: Medication history section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(MedicationStatement)	A reference to data that supports this section
section:significantResults	C	0..1	BackboneElement	Significant Observation Results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423100009
display		1..1	string	Representation defined by the system Fixed Value: Results section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory)	A reference to data that supports this section
section:synthesis	C	0..1	BackboneElement	Synthesis
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for section	C	0..*	See section (Composition)	Subsections of the Hospital Discharge Report Synthesis Slice: Unordered, Open by value:code
section:problemSynthesis	C	0..*	BackboneElement	Problem synthesis
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423016009
display		1..1	string	Representation defined by the system Fixed Value: Clinical statement entry (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(Condition Xpandh Profile)	A reference to data that supports this section
section:clinicalReasoning	C	0..*	BackboneElement	Clinical reasoning
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(Xpandh Clinical Impression Profile)	A reference to data that supports this section
section:dischargeDetails	C	1..1	BackboneElement	Discharge details cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8650-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge disposition Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for section	C	0..*	See section (Composition)	Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry	C	0..1	BackboneElement	Anthropometric observations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Body measurements)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
section:vitalSigns	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
entry	C	1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
section:physicalExamination	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
text	C	1..1	Narrative	Text summary of the section, for human interpretation
section:functionalStatus	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
entry	C	0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
section:sectionPlanOfCare	C	0..1	BackboneElement	Care plan and other recommendations after discharge. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
display		1..1	string	Representation defined by the system Fixed Value: Plan of care note
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(CarePlan | DocumentReference)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Nested Section Slice: Unordered, Open by type:resolve()
section:medicationSummary	C	0..1	BackboneElement	Medication summary
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 736378000
display		1..1	string	Representation defined by the system Fixed Value: Medication management plan (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(MedicationStatement | MedicationRequest | MedicationDispense Xpandh)	Medication statement, Medication request/recommendation or Medications dispensation.
section:sectionHealthInsurance	C	0..1	BackboneElement	Health insurance and payment information. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48768-6
display		1..1	string	Representation defined by the system Fixed Value: Payment sources Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(Coverage: Encounter Payer)	A reference to data that supports this section
section:patientHxSection	C	0..1	BackboneElement	Patient History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History general Narrative - Reported)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
section:sectionAllergies	C	0..1	BackboneElement	HDR Allergies and Intolerances Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Allergies and adverse reactions Document)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	C	1..*	Reference(AllergyIntolerance | DocumentReference)	Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by type:resolve()
entry:allergyIntolerance	SC	0..*	Reference(Allergy Intolerance (IPS))	HDR Allergy entry
section:alertSection	SC	0..1	BackboneElement	Health Concern Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Health concerns Document)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75310-3
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	C	0..*	Reference(Resource)	Alerts Slice: Unordered, Open by type:resolve()
entry:flag	SC	0..*	Reference(Flag)	Flags
entry:detectedIssue	SC	0..*	Reference(DetectedIssue)	Detected Issue
entry:riskAssessment	SC	0..*	Reference(RiskAssessment)	Risk Assessment
section:sectionProceduresHx	C	0..1	BackboneElement	HDR History of Procedures Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	C	1..*	Reference(Procedure | DocumentReference)	Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by type:resolve()
entry:procedure	SC	0..*	Reference(Procedure (IPS))	Past Procedure entry
section:sectionImmunizations	C	0..1	BackboneElement	HDR Immunizations Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	C	1..*	Reference(Immunization | DocumentReference)	Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve()
entry:immunization	SC	0..*	Reference(Immunization (IPS))	Immunization entry
section:sectionPastIllnessHx	C	0..1	BackboneElement	HDR History of Past Illness Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History of Past illness Narrative)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Condition (IPS))	Conditions the patient suffered in the past.
section:CareTeamSection	SC	0..1	BackboneElement	Care Team Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Patient Care team information)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85847-2
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	C	0..*	Reference(Resource)	Care Teams Slice: Unordered, Open by type:resolve()
entry:cteam	SC	0..*	Reference(CareTeam)	Care Team
section:sectionAdvanceDirectives	C	0..1	BackboneElement	IPS Advance Directives Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Advance directives)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(Consent | DocumentReference)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 34105-7("Hospital Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.section:admissionEvaluationSection.code	example	Fixed Value: LOINC Code 67852-4("Hospital Admission evaluation note") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.code	example	Fixed Value: SNOMED-CT Code 248326004 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.code	example	Pattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.code	example	Pattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.code	example	Pattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.code	example	Fixed Value: LOINC Code 8648-8("Hospital course Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.code	example	Fixed Value: SNOMED-CT Code 721981007 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.code	example	Fixed Value: SNOMED-CT Code 721981007 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.code	example	Fixed Value: SNOMED-CT Code 1184586001("Medical device document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.code	example	Fixed Value: SNOMED-CT Code 1003606003("Medication history section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.code	example	Fixed Value: SNOMED-CT Code 423100009("Results section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.code	example	Fixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.code	example	Fixed Value: SNOMED-CT Code 423016009("Clinical statement entry (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.code	example	Fixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.code	example	Fixed Value: LOINC Code 8650-4("Hospital discharge disposition Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.code	example	Fixed Value: SNOMED-CT Code 248326004 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.code	example	Pattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.code	example	Pattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.code	example	Pattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.code	example	Fixed Value: LOINC Code 18776-5("Plan of care note") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.code	example	Fixed Value: SNOMED-CT Code 736378000("Medication management plan (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHealthInsurance.code	example	Fixed Value: LOINC Code 48768-6("Payment sources Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:patientHxSection.code	example	Fixed Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAllergies.code	example	Fixed Value: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:alertSection.code	example	Fixed Value: LOINC Code 75310-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProceduresHx.code	example	Fixed Value: LOINC Code 47519-4("History of Procedures Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionImmunizations.code	example	Fixed Value: LOINC Code 11369-6("History of Immunization Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPastIllnessHx.code	example	Fixed Value: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:CareTeamSection.code	example	Fixed Value: LOINC Code 85847-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAdvanceDirectives.code	example	Fixed Value: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	Hospital Discharge Report composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
information-recipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension:information-recipient/practictionerRole		0..*	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	Reference(PractitionerRole)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	HDR business identifier
status	?!Σ	1..1	code	HDR status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type		1..1	CodeableConceptIPS	Kind of composition ("Hospital Discharge Report") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 34105-7
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(Patient: HDR)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter | Inpatient Encounter Xpandh)	Context of the Composition
date	Σ	1..1	dateTime	HDR date
Slices for author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve()
author:practictionerRole	Σ	0..*	Reference(PractitionerRole)	Who and/or what authored the composition
title	Σ	1..1	string	Hospital Discharge Report
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	2..*	BackboneElement	Sections composing the Hospital Discharge Report Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:admissionEvaluationSection	C	0..1	BackboneElement	Hospital Admission evaluation cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67852-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital Admission evaluation note
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry	C	0..1	BackboneElement	Anthropometric observations
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Body measurements)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
section:vitalSigns	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:physicalExamination	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:functionalStatus	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionHospitalCourse	C	1..1	BackboneElement	Significant information about course of hospital stay cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..1	Reference(Inpatient Encounter Xpandh)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Nested Section Slice: Unordered, Open by type:resolve()
section:diagnosticSummaryDescription	C	0..1	BackboneElement	Problem specification in narrative form
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Diagnostic studies report (record artifact))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Condition Xpandh Hospital Dischage Encounter)	A reference to data that supports this section
section:significantProcedures	C	0..1	BackboneElement	Significant procedures
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Diagnostic studies report (record artifact))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Procedure (Xpandh))	A reference to data that supports this section
section:medicalDevices	C	0..1	BackboneElement	Medical devices and implants
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184586001
display		1..1	string	Representation defined by the system Fixed Value: Medical device document section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Device (Xpandh))	A reference to data that supports this section
section:medications	C	0..1	BackboneElement	Pharmacotherapy
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1003606003
display		1..1	string	Representation defined by the system Fixed Value: Medication history section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(MedicationStatement)	A reference to data that supports this section
section:significantResults	C	0..1	BackboneElement	Significant Observation Results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423100009
display		1..1	string	Representation defined by the system Fixed Value: Results section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory)	A reference to data that supports this section
section:synthesis	C	0..1	BackboneElement	Synthesis
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for section	C	0..*	See section (Composition)	Subsections of the Hospital Discharge Report Synthesis Slice: Unordered, Open by value:code
section:problemSynthesis	C	0..*	BackboneElement	Problem synthesis
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423016009
display		1..1	string	Representation defined by the system Fixed Value: Clinical statement entry (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Condition Xpandh Profile)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:clinicalReasoning	C	0..*	BackboneElement	Clinical reasoning
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Xpandh Clinical Impression Profile)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:dischargeDetails	C	1..1	BackboneElement	Discharge details cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8650-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge disposition Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry	C	0..1	BackboneElement	Anthropometric observations
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Body measurements)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
section:vitalSigns	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:physicalExamination	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:functionalStatus	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPlanOfCare	C	0..1	BackboneElement	Care plan and other recommendations after discharge. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
display		1..1	string	Representation defined by the system Fixed Value: Plan of care note
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(CarePlan | DocumentReference)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Nested Section Slice: Unordered, Open by type:resolve()
section:medicationSummary	C	0..1	BackboneElement	Medication summary
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 736378000
display		1..1	string	Representation defined by the system Fixed Value: Medication management plan (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(MedicationStatement | MedicationRequest | MedicationDispense Xpandh)	Medication statement, Medication request/recommendation or Medications dispensation.
section:sectionHealthInsurance	C	0..1	BackboneElement	Health insurance and payment information. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48768-6
display		1..1	string	Representation defined by the system Fixed Value: Payment sources Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Coverage: Encounter Payer)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:patientHxSection	C	0..1	BackboneElement	Patient History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History general Narrative - Reported)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionAllergies	C	0..1	BackboneElement	HDR Allergies and Intolerances Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Allergies and adverse reactions Document)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	1..*	Reference(AllergyIntolerance | DocumentReference)	Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by type:resolve()
entry:allergyIntolerance	SC	0..*	Reference(Allergy Intolerance (IPS))	HDR Allergy entry
section	C	0..*	See section (Composition)	Nested Section
section:alertSection	SC	0..1	BackboneElement	Health Concern Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Health concerns Document)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75310-3
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	Alerts Slice: Unordered, Open by type:resolve()
entry:flag	SC	0..*	Reference(Flag)	Flags
entry:detectedIssue	SC	0..*	Reference(DetectedIssue)	Detected Issue
entry:riskAssessment	SC	0..*	Reference(RiskAssessment)	Risk Assessment
section	C	0..*	See section (Composition)	Nested Section
section:sectionProceduresHx	C	0..1	BackboneElement	HDR History of Procedures Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	1..*	Reference(Procedure | DocumentReference)	Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by type:resolve()
entry:procedure	SC	0..*	Reference(Procedure (IPS))	Past Procedure entry
section	C	0..*	See section (Composition)	Nested Section
section:sectionImmunizations	C	0..1	BackboneElement	HDR Immunizations Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	1..*	Reference(Immunization | DocumentReference)	Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve()
entry:immunization	SC	0..*	Reference(Immunization (IPS))	Immunization entry
section	C	0..*	See section (Composition)	Nested Section
section:sectionPastIllnessHx	C	0..1	BackboneElement	HDR History of Past Illness Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History of Past illness Narrative)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Condition (IPS))	Conditions the patient suffered in the past.
section	C	0..*	See section (Composition)	Nested Section
section:CareTeamSection	SC	0..1	BackboneElement	Care Team Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Patient Care team information)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85847-2
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	Care Teams Slice: Unordered, Open by type:resolve()
entry:cteam	SC	0..*	Reference(CareTeam)	Care Team
section:sectionAdvanceDirectives	C	0..1	BackboneElement	IPS Advance Directives Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Advance directives)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Consent | DocumentReference)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 34105-7("Hospital Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:admissionEvaluationSection.code	example	Fixed Value: LOINC Code 67852-4("Hospital Admission evaluation note") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionEvaluationSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.code	example	Fixed Value: SNOMED-CT Code 248326004 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.code	example	Pattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.code	example	Pattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.code	example	Pattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionHospitalCourse.code	example	Fixed Value: LOINC Code 8648-8("Hospital course Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.code	example	Fixed Value: SNOMED-CT Code 721981007 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.code	example	Fixed Value: SNOMED-CT Code 721981007 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.code	example	Fixed Value: SNOMED-CT Code 1184586001("Medical device document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.code	example	Fixed Value: SNOMED-CT Code 1003606003("Medication history section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.code	example	Fixed Value: SNOMED-CT Code 423100009("Results section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.code	example	Fixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.code	example	Fixed Value: SNOMED-CT Code 423016009("Clinical statement entry (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.code	example	Fixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.code	example	Fixed Value: LOINC Code 8650-4("Hospital discharge disposition Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:dischargeDetails.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.code	example	Fixed Value: SNOMED-CT Code 248326004 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.code	example	Pattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.code	example	Pattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.code	example	Pattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionPlanOfCare.code	example	Fixed Value: LOINC Code 18776-5("Plan of care note") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.code	example	Fixed Value: SNOMED-CT Code 736378000("Medication management plan (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHealthInsurance.code	example	Fixed Value: LOINC Code 48768-6("Payment sources Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHealthInsurance.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHealthInsurance.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:patientHxSection.code	example	Fixed Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:patientHxSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:patientHxSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionAllergies.code	example	Fixed Value: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAllergies.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionAllergies.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:alertSection.code	example	Fixed Value: LOINC Code 75310-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:alertSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:alertSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionProceduresHx.code	example	Fixed Value: LOINC Code 47519-4("History of Procedures Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProceduresHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionProceduresHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionImmunizations.code	example	Fixed Value: LOINC Code 11369-6("History of Immunization Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionImmunizations.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionImmunizations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPastIllnessHx.code	example	Fixed Value: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPastIllnessHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPastIllnessHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:CareTeamSection.code	example	Fixed Value: LOINC Code 85847-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:CareTeamSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:CareTeamSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionAdvanceDirectives.code	example	Fixed Value: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAdvanceDirectives.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard

Constraints

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

This structure is derived from Clinical Document

Summary

Mandatory: 10 elements(81 nested mandatory elements)
Must-Support: 9 elements
Fixed: 24 elements
Prohibited: 40 elements

Structures

This structure refers to these other structures:

• PractitionerRole (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/PractitionerRole-eu-xpandh)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)
• Inpatient Encounter Xpandh (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/inpatient-encounter-hdr-xpandh)
• Xpandh Body Height Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/body-height-xpandh)
• Xpandh Body Weight Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/body-weight-xpandh)
• Xpandh BMI Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/bmi-xpandh)
• Xpandh Skinfold Thickness Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/skinfold-thickness-xpandh)
• Xpandh Circumference Measurement Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/circumference-measurement-xpandh)
• Xpandh Blood Pressure Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/blood-pressure-xpandh)
• Xpandh Heart Rate Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/heart-rate-xpandh)
• Xpandh Respiratory Rate Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/respiratory-rate-xpandh)
• Xpandh Body Temperature Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/body-temperature-xpandh)
• Xpandh Oxygen Saturation Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/oxygen-saturation-xpandh)
• Xpandh Functional Status Observation Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/functional-status-assessment-xpandh)
• Condition Xpandh Hospital Dischage Encounter (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/condition-encounter-hdr-xpandh)
• Procedure (Xpandh) (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Procedure-xpandh)
• Device (Xpandh) (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/device-xpandh)
• MedicationStatement (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/MedicationStatement-eu-xpandh)
• Observation Results: radiology (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips)
• Observation Results: laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab)
• Condition Xpandh Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/condition-hdr-xpandh)
• Xpandh Clinical Impression Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/clinical-impression-hdr-xpandh)
• MedicationDispense Xpandh (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/MedicationDispense-hdr-eu-xpandh)
• Coverage: Encounter Payer (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/coverage-hdr-eu-xpandh)
• Allergy Intolerance (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips)
• Flag (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Flag-eu-xpandh)
• Procedure (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips)
• Immunization (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips)
• Condition (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips)
• CareTeam (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/CareTeam-eu-xpandh)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/StructureDefinition/information-recipient

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Clinical Document

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	Hospital Discharge Report composition
Slices for extension				Content/Rules for all slices
information-recipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension:information-recipient/practictionerRole		0..*	Extension	Extension
value[x]		0..1	Reference(PractitionerRole)	Value of extension
identifier		0..1	Identifier	HDR business identifier
status		1..1	code	HDR status
type		1..1	CodeableConceptIPS	Kind of composition ("Hospital Discharge Report") Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 34105-7
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge summary
subject		1..1	Reference(Patient: HDR)	Who and/or what the composition is about
encounter		0..1	Reference(Encounter | Inpatient Encounter Xpandh)	Context of the Composition
date		1..1	dateTime	HDR date
Slices for author		1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve()
author:practictionerRole		0..*	Reference(PractitionerRole)	Who and/or what authored the composition
title		1..1	string	Hospital Discharge Report
attester
mode		1..1	code	The type of attestation
Slices for section		2..*	BackboneElement	Sections composing the Hospital Discharge Report Slice: Unordered, Open by value:code
section:admissionEvaluationSection		0..1	BackboneElement	Hospital Admission evaluation
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67852-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital Admission evaluation note
text		1..1	Narrative	Text summary of the section, for human interpretation
emptyReason		0..0
Slices for section		0..*		Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry		0..1	BackboneElement	Anthropometric observations
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Body measurements)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:vitalSigns		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
entry		1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
section		0..0
section:physicalExamination		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
section		0..0
section:functionalStatus		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
entry		0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
section		0..0
section:sectionHospitalCourse		1..1	BackboneElement	Significant information about course of hospital stay
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..1	Reference(Inpatient Encounter Xpandh)	A reference to data that supports this section
emptyReason		0..0
Slices for section		0..*		Nested Section Slice: Unordered, Open by type:resolve()
section:diagnosticSummaryDescription		0..1	BackboneElement	Problem specification in narrative form
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Diagnostic studies report (record artifact))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Condition Xpandh Hospital Dischage Encounter)	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:significantProcedures		0..1	BackboneElement	Significant procedures
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Diagnostic studies report (record artifact))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Procedure (Xpandh))	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:medicalDevices		0..1	BackboneElement	Medical devices and implants
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184586001
display		1..1	string	Representation defined by the system Fixed Value: Medical device document section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Device (Xpandh))	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:medications		0..1	BackboneElement	Pharmacotherapy
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1003606003
display		1..1	string	Representation defined by the system Fixed Value: Medication history section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(MedicationStatement)	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:significantResults		0..1	BackboneElement	Significant Observation Results
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423100009
display		1..1	string	Representation defined by the system Fixed Value: Results section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory)	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:synthesis		0..1	BackboneElement	Synthesis
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..0
emptyReason		0..0
Slices for section		0..*		Subsections of the Hospital Discharge Report Synthesis Slice: Unordered, Open by value:code
section:problemSynthesis		0..*	BackboneElement	Problem synthesis
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423016009
display		1..1	string	Representation defined by the system Fixed Value: Clinical statement entry (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Condition Xpandh Profile)	A reference to data that supports this section
emptyReason		0..0
section:clinicalReasoning		0..*	BackboneElement	Clinical reasoning
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Xpandh Clinical Impression Profile)	A reference to data that supports this section
emptyReason		0..0
section:dischargeDetails		1..1	BackboneElement	Discharge details
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8650-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge disposition Narrative
text		1..1	Narrative	Text summary of the section, for human interpretation
emptyReason		0..0
Slices for section		0..*		Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry		0..1	BackboneElement	Anthropometric observations
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Body measurements)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
emptyReason		0..0
section		0..0
section:vitalSigns		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
entry		1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
section		0..0
section:physicalExamination		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
section		0..0
section:functionalStatus		0..1	BackboneElement	Nested Section
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
entry		0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
section		0..0
section:sectionPlanOfCare		0..1	BackboneElement	Care plan and other recommendations after discharge.
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
display		1..1	string	Representation defined by the system Fixed Value: Plan of care note
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(CarePlan | DocumentReference)	A reference to data that supports this section
emptyReason		0..0
Slices for section		0..*		Nested Section Slice: Unordered, Open by type:resolve()
section:medicationSummary		0..1	BackboneElement	Medication summary
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 736378000
display		1..1	string	Representation defined by the system Fixed Value: Medication management plan (record artifact)
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(MedicationStatement | MedicationRequest | MedicationDispense Xpandh)	Medication statement, Medication request/recommendation or Medications dispensation.
emptyReason		0..0
section		0..0
section:sectionHealthInsurance		0..1	BackboneElement	Health insurance and payment information.
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48768-6
display		1..1	string	Representation defined by the system Fixed Value: Payment sources Document
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Coverage: Encounter Payer)	A reference to data that supports this section
emptyReason		0..0
section:patientHxSection		0..1	BackboneElement	Patient History Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (History general Narrative - Reported)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
text		1..1	Narrative	Text summary of the section, for human interpretation
emptyReason		0..0
section:sectionAllergies		0..1	BackboneElement	HDR Allergies and Intolerances Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Allergies and adverse reactions Document)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		1..*	Reference(AllergyIntolerance | DocumentReference)	Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by type:resolve()
entry:allergyIntolerance	S	0..*	Reference(Allergy Intolerance (IPS))	HDR Allergy entry
emptyReason		0..0
section:alertSection	S	0..1	BackboneElement	Health Concern Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Health concerns Document)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75310-3
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Alerts Slice: Unordered, Open by type:resolve()
entry:flag	S	0..*	Reference(Flag)	Flags
entry:detectedIssue	S	0..*	Reference(DetectedIssue)	Detected Issue
entry:riskAssessment	S	0..*	Reference(RiskAssessment)	Risk Assessment
emptyReason		0..0
section:sectionProceduresHx		0..1	BackboneElement	HDR History of Procedures Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		1..*	Reference(Procedure | DocumentReference)	Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by type:resolve()
entry:procedure	S	0..*	Reference(Procedure (IPS))	Past Procedure entry
emptyReason		0..0
section:sectionImmunizations		0..1	BackboneElement	HDR Immunizations Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		1..*	Reference(Immunization | DocumentReference)	Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve()
entry:immunization	S	0..*	Reference(Immunization (IPS))	Immunization entry
emptyReason		0..0
section:sectionPastIllnessHx		0..1	BackboneElement	HDR History of Past Illness Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (History of Past illness Narrative)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(Condition (IPS))	Conditions the patient suffered in the past.
emptyReason		0..0
section:CareTeamSection	S	0..1	BackboneElement	Care Team Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Patient Care team information)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85847-2
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Care Teams Slice: Unordered, Open by type:resolve()
entry:cteam	S	0..*	Reference(CareTeam)	Care Team
emptyReason		0..0
section		0..0
section:sectionAdvanceDirectives		0..1	BackboneElement	IPS Advance Directives Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (Advance directives)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..*	Reference(Consent | DocumentReference)	A reference to data that supports this section
emptyReason		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	Hospital Discharge Report composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
information-recipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension:information-recipient/practictionerRole		0..*	Extension	Extension
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	Reference(PractitionerRole)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	HDR business identifier
status	?!Σ	1..1	code	HDR status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type		1..1	CodeableConceptIPS	Kind of composition ("Hospital Discharge Report") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 34105-7
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge summary
subject	Σ	1..1	Reference(Patient: HDR)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter | Inpatient Encounter Xpandh)	Context of the Composition
date	Σ	1..1	dateTime	HDR date
Slices for author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve()
author:practictionerRole	Σ	0..*	Reference(PractitionerRole)	Who and/or what authored the composition
title	Σ	1..1	string	Hospital Discharge Report
Slices for section	C	2..*	BackboneElement	Sections composing the Hospital Discharge Report Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:admissionEvaluationSection	C	0..1	BackboneElement	Hospital Admission evaluation cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67852-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital Admission evaluation note
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for section	C	0..*	See section (Composition)	Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry	C	0..1	BackboneElement	Anthropometric observations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Body measurements)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
section:vitalSigns	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
entry	C	1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
section:physicalExamination	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
text	C	1..1	Narrative	Text summary of the section, for human interpretation
section:functionalStatus	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
entry	C	0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
section:sectionHospitalCourse	C	1..1	BackboneElement	Significant information about course of hospital stay cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..1	Reference(Inpatient Encounter Xpandh)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Nested Section Slice: Unordered, Open by type:resolve()
section:diagnosticSummaryDescription	C	0..1	BackboneElement	Problem specification in narrative form
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Diagnostic studies report (record artifact))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(Condition Xpandh Hospital Dischage Encounter)	A reference to data that supports this section
section:significantProcedures	C	0..1	BackboneElement	Significant procedures
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Diagnostic studies report (record artifact))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Procedure (Xpandh))	A reference to data that supports this section
section:medicalDevices	C	0..1	BackboneElement	Medical devices and implants
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184586001
display		1..1	string	Representation defined by the system Fixed Value: Medical device document section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Device (Xpandh))	A reference to data that supports this section
section:medications	C	0..1	BackboneElement	Pharmacotherapy
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1003606003
display		1..1	string	Representation defined by the system Fixed Value: Medication history section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(MedicationStatement)	A reference to data that supports this section
section:significantResults	C	0..1	BackboneElement	Significant Observation Results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423100009
display		1..1	string	Representation defined by the system Fixed Value: Results section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory)	A reference to data that supports this section
section:synthesis	C	0..1	BackboneElement	Synthesis
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for section	C	0..*	See section (Composition)	Subsections of the Hospital Discharge Report Synthesis Slice: Unordered, Open by value:code
section:problemSynthesis	C	0..*	BackboneElement	Problem synthesis
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423016009
display		1..1	string	Representation defined by the system Fixed Value: Clinical statement entry (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(Condition Xpandh Profile)	A reference to data that supports this section
section:clinicalReasoning	C	0..*	BackboneElement	Clinical reasoning
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(Xpandh Clinical Impression Profile)	A reference to data that supports this section
section:dischargeDetails	C	1..1	BackboneElement	Discharge details cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8650-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge disposition Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for section	C	0..*	See section (Composition)	Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry	C	0..1	BackboneElement	Anthropometric observations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Body measurements)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
section:vitalSigns	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
entry	C	1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
section:physicalExamination	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
text	C	1..1	Narrative	Text summary of the section, for human interpretation
section:functionalStatus	C	0..1	BackboneElement	Nested Section
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
entry	C	0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
section:sectionPlanOfCare	C	0..1	BackboneElement	Care plan and other recommendations after discharge. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
display		1..1	string	Representation defined by the system Fixed Value: Plan of care note
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(CarePlan | DocumentReference)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Nested Section Slice: Unordered, Open by type:resolve()
section:medicationSummary	C	0..1	BackboneElement	Medication summary
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 736378000
display		1..1	string	Representation defined by the system Fixed Value: Medication management plan (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(MedicationStatement | MedicationRequest | MedicationDispense Xpandh)	Medication statement, Medication request/recommendation or Medications dispensation.
section:sectionHealthInsurance	C	0..1	BackboneElement	Health insurance and payment information. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48768-6
display		1..1	string	Representation defined by the system Fixed Value: Payment sources Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(Coverage: Encounter Payer)	A reference to data that supports this section
section:patientHxSection	C	0..1	BackboneElement	Patient History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History general Narrative - Reported)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
section:sectionAllergies	C	0..1	BackboneElement	HDR Allergies and Intolerances Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Allergies and adverse reactions Document)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	C	1..*	Reference(AllergyIntolerance | DocumentReference)	Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by type:resolve()
entry:allergyIntolerance	SC	0..*	Reference(Allergy Intolerance (IPS))	HDR Allergy entry
section:alertSection	SC	0..1	BackboneElement	Health Concern Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Health concerns Document)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75310-3
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	C	0..*	Reference(Resource)	Alerts Slice: Unordered, Open by type:resolve()
entry:flag	SC	0..*	Reference(Flag)	Flags
entry:detectedIssue	SC	0..*	Reference(DetectedIssue)	Detected Issue
entry:riskAssessment	SC	0..*	Reference(RiskAssessment)	Risk Assessment
section:sectionProceduresHx	C	0..1	BackboneElement	HDR History of Procedures Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	C	1..*	Reference(Procedure | DocumentReference)	Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by type:resolve()
entry:procedure	SC	0..*	Reference(Procedure (IPS))	Past Procedure entry
section:sectionImmunizations	C	0..1	BackboneElement	HDR Immunizations Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	C	1..*	Reference(Immunization | DocumentReference)	Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve()
entry:immunization	SC	0..*	Reference(Immunization (IPS))	Immunization entry
section:sectionPastIllnessHx	C	0..1	BackboneElement	HDR History of Past Illness Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History of Past illness Narrative)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	1..*	Reference(Condition (IPS))	Conditions the patient suffered in the past.
section:CareTeamSection	SC	0..1	BackboneElement	Care Team Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Patient Care team information)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85847-2
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry	C	0..*	Reference(Resource)	Care Teams Slice: Unordered, Open by type:resolve()
entry:cteam	SC	0..*	Reference(CareTeam)	Care Team
section:sectionAdvanceDirectives	C	0..1	BackboneElement	IPS Advance Directives Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Advance directives)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	C	1..1	Narrative	Text summary of the section, for human interpretation
entry	C	0..*	Reference(Consent | DocumentReference)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 34105-7("Hospital Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.section:admissionEvaluationSection.code	example	Fixed Value: LOINC Code 67852-4("Hospital Admission evaluation note") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.code	example	Fixed Value: SNOMED-CT Code 248326004 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.code	example	Pattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.code	example	Pattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.code	example	Pattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.code	example	Fixed Value: LOINC Code 8648-8("Hospital course Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.code	example	Fixed Value: SNOMED-CT Code 721981007 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.code	example	Fixed Value: SNOMED-CT Code 721981007 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.code	example	Fixed Value: SNOMED-CT Code 1184586001("Medical device document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.code	example	Fixed Value: SNOMED-CT Code 1003606003("Medication history section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.code	example	Fixed Value: SNOMED-CT Code 423100009("Results section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.code	example	Fixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.code	example	Fixed Value: SNOMED-CT Code 423016009("Clinical statement entry (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.code	example	Fixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.code	example	Fixed Value: LOINC Code 8650-4("Hospital discharge disposition Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.code	example	Fixed Value: SNOMED-CT Code 248326004 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.code	example	Pattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.code	example	Pattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.code	example	Pattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.code	example	Fixed Value: LOINC Code 18776-5("Plan of care note") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.code	example	Fixed Value: SNOMED-CT Code 736378000("Medication management plan (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHealthInsurance.code	example	Fixed Value: LOINC Code 48768-6("Payment sources Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:patientHxSection.code	example	Fixed Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAllergies.code	example	Fixed Value: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:alertSection.code	example	Fixed Value: LOINC Code 75310-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProceduresHx.code	example	Fixed Value: LOINC Code 47519-4("History of Procedures Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionImmunizations.code	example	Fixed Value: LOINC Code 11369-6("History of Immunization Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPastIllnessHx.code	example	Fixed Value: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:CareTeamSection.code	example	Fixed Value: LOINC Code 85847-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAdvanceDirectives.code	example	Fixed Value: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	Hospital Discharge Report composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
information-recipient		0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension:information-recipient/practictionerRole		0..*	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1	Reference(PractitionerRole)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	HDR business identifier
status	?!Σ	1..1	code	HDR status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type		1..1	CodeableConceptIPS	Kind of composition ("Hospital Discharge Report") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 34105-7
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(Patient: HDR)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(Encounter | Inpatient Encounter Xpandh)	Context of the Composition
date	Σ	1..1	dateTime	HDR date
Slices for author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve()
author:practictionerRole	Σ	0..*	Reference(PractitionerRole)	Who and/or what authored the composition
title	Σ	1..1	string	Hospital Discharge Report
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	2..*	BackboneElement	Sections composing the Hospital Discharge Report Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:admissionEvaluationSection	C	0..1	BackboneElement	Hospital Admission evaluation cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67852-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital Admission evaluation note
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry	C	0..1	BackboneElement	Anthropometric observations
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Body measurements)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
section:vitalSigns	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:physicalExamination	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:functionalStatus	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionHospitalCourse	C	1..1	BackboneElement	Significant information about course of hospital stay cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..1	Reference(Inpatient Encounter Xpandh)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Nested Section Slice: Unordered, Open by type:resolve()
section:diagnosticSummaryDescription	C	0..1	BackboneElement	Problem specification in narrative form
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Diagnostic studies report (record artifact))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Condition Xpandh Hospital Dischage Encounter)	A reference to data that supports this section
section:significantProcedures	C	0..1	BackboneElement	Significant procedures
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Diagnostic studies report (record artifact))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 721981007
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Procedure (Xpandh))	A reference to data that supports this section
section:medicalDevices	C	0..1	BackboneElement	Medical devices and implants
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184586001
display		1..1	string	Representation defined by the system Fixed Value: Medical device document section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Device (Xpandh))	A reference to data that supports this section
section:medications	C	0..1	BackboneElement	Pharmacotherapy
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1003606003
display		1..1	string	Representation defined by the system Fixed Value: Medication history section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(MedicationStatement)	A reference to data that supports this section
section:significantResults	C	0..1	BackboneElement	Significant Observation Results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423100009
display		1..1	string	Representation defined by the system Fixed Value: Results section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory)	A reference to data that supports this section
section:synthesis	C	0..1	BackboneElement	Synthesis
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for section	C	0..*	See section (Composition)	Subsections of the Hospital Discharge Report Synthesis Slice: Unordered, Open by value:code
section:problemSynthesis	C	0..*	BackboneElement	Problem synthesis
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 423016009
display		1..1	string	Representation defined by the system Fixed Value: Clinical statement entry (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Condition Xpandh Profile)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:clinicalReasoning	C	0..*	BackboneElement	Clinical reasoning
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 424836000
display		1..1	string	Representation defined by the system Fixed Value: Assessment section (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Xpandh Clinical Impression Profile)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:dischargeDetails	C	1..1	BackboneElement	Discharge details cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8650-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge disposition Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Objective findings Slice: Unordered, Open by type:resolve()
section:anthropometry	C	0..1	BackboneElement	Anthropometric observations
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Body measurements)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 248326004
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile)	A reference to data that supports this section
section:vitalSigns	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Vital signs
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184593002
display		1..1	string	Representation defined by the system Fixed Value: Vital sign document section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:physicalExamination	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Physical examination
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 425044008
display		1..1	string	Representation defined by the system Fixed Value: Physical exam section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:functionalStatus	C	0..1	BackboneElement	Nested Section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Functional status assessment
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1184588000
display		1..1	string	Representation defined by the system Fixed Value: Functional status document section (record artifact)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Xpandh Functional Status Observation Profile)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPlanOfCare	C	0..1	BackboneElement	Care plan and other recommendations after discharge. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
display		1..1	string	Representation defined by the system Fixed Value: Plan of care note
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(CarePlan | DocumentReference)	A reference to data that supports this section
Slices for section	C	0..*	See section (Composition)	Nested Section Slice: Unordered, Open by type:resolve()
section:medicationSummary	C	0..1	BackboneElement	Medication summary
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 736378000
display		1..1	string	Representation defined by the system Fixed Value: Medication management plan (record artifact)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(MedicationStatement | MedicationRequest | MedicationDispense Xpandh)	Medication statement, Medication request/recommendation or Medications dispensation.
section:sectionHealthInsurance	C	0..1	BackboneElement	Health insurance and payment information. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48768-6
display		1..1	string	Representation defined by the system Fixed Value: Payment sources Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Coverage: Encounter Payer)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:patientHxSection	C	0..1	BackboneElement	Patient History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History general Narrative - Reported)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionAllergies	C	0..1	BackboneElement	HDR Allergies and Intolerances Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Allergies and adverse reactions Document)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	1..*	Reference(AllergyIntolerance | DocumentReference)	Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by type:resolve()
entry:allergyIntolerance	SC	0..*	Reference(Allergy Intolerance (IPS))	HDR Allergy entry
section	C	0..*	See section (Composition)	Nested Section
section:alertSection	SC	0..1	BackboneElement	Health Concern Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Health concerns Document)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 75310-3
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	Alerts Slice: Unordered, Open by type:resolve()
entry:flag	SC	0..*	Reference(Flag)	Flags
entry:detectedIssue	SC	0..*	Reference(DetectedIssue)	Detected Issue
entry:riskAssessment	SC	0..*	Reference(RiskAssessment)	Risk Assessment
section	C	0..*	See section (Composition)	Nested Section
section:sectionProceduresHx	C	0..1	BackboneElement	HDR History of Procedures Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
display		1..1	string	Representation defined by the system Fixed Value: History of Procedures Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	1..*	Reference(Procedure | DocumentReference)	Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by type:resolve()
entry:procedure	SC	0..*	Reference(Procedure (IPS))	Past Procedure entry
section	C	0..*	See section (Composition)	Nested Section
section:sectionImmunizations	C	0..1	BackboneElement	HDR Immunizations Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	1..*	Reference(Immunization | DocumentReference)	Patient's immunization status and pertinent history. Slice: Unordered, Open by type:resolve()
entry:immunization	SC	0..*	Reference(Immunization (IPS))	Immunization entry
section	C	0..*	See section (Composition)	Nested Section
section:sectionPastIllnessHx	C	0..1	BackboneElement	HDR History of Past Illness Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History of Past illness Narrative)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	1..*	Reference(Condition (IPS))	Conditions the patient suffered in the past.
section	C	0..*	See section (Composition)	Nested Section
section:CareTeamSection	SC	0..1	BackboneElement	Care Team Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Patient Care team information)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85847-2
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	Care Teams Slice: Unordered, Open by type:resolve()
entry:cteam	SC	0..*	Reference(CareTeam)	Care Team
section:sectionAdvanceDirectives	C	0..1	BackboneElement	IPS Advance Directives Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (Advance directives)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Consent | DocumentReference)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 34105-7("Hospital Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:admissionEvaluationSection.code	example	Fixed Value: LOINC Code 67852-4("Hospital Admission evaluation note") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionEvaluationSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.code	example	Fixed Value: SNOMED-CT Code 248326004 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.code	example	Pattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.code	example	Pattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.code	example	Pattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionHospitalCourse.code	example	Fixed Value: LOINC Code 8648-8("Hospital course Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.code	example	Fixed Value: SNOMED-CT Code 721981007 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.code	example	Fixed Value: SNOMED-CT Code 721981007 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.code	example	Fixed Value: SNOMED-CT Code 1184586001("Medical device document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.code	example	Fixed Value: SNOMED-CT Code 1003606003("Medication history section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.code	example	Fixed Value: SNOMED-CT Code 423100009("Results section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.code	example	Fixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.code	example	Fixed Value: SNOMED-CT Code 423016009("Clinical statement entry (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.code	example	Fixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.code	example	Fixed Value: LOINC Code 8650-4("Hospital discharge disposition Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:dischargeDetails.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.code	example	Fixed Value: SNOMED-CT Code 248326004 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.code	example	Pattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.code	example	Pattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.code	example	Pattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionPlanOfCare.code	example	Fixed Value: LOINC Code 18776-5("Plan of care note") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.code	example	Fixed Value: SNOMED-CT Code 736378000("Medication management plan (record artifact)") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionHealthInsurance.code	example	Fixed Value: LOINC Code 48768-6("Payment sources Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionHealthInsurance.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionHealthInsurance.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:patientHxSection.code	example	Fixed Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:patientHxSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:patientHxSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionAllergies.code	example	Fixed Value: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAllergies.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionAllergies.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:alertSection.code	example	Fixed Value: LOINC Code 75310-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:alertSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:alertSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionProceduresHx.code	example	Fixed Value: LOINC Code 47519-4("History of Procedures Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProceduresHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionProceduresHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionImmunizations.code	example	Fixed Value: LOINC Code 11369-6("History of Immunization Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionImmunizations.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionImmunizations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPastIllnessHx.code	example	Fixed Value: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPastIllnessHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPastIllnessHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:CareTeamSection.code	example	Fixed Value: LOINC Code 85847-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:CareTeamSection.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:CareTeamSection.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionAdvanceDirectives.code	example	Fixed Value: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAdvanceDirectives.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard

Constraints

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

This structure is derived from Clinical Document

Summary

Mandatory: 10 elements(81 nested mandatory elements)
Must-Support: 9 elements
Fixed: 24 elements
Prohibited: 40 elements

Structures

This structure refers to these other structures:

• PractitionerRole (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/PractitionerRole-eu-xpandh)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)
• Inpatient Encounter Xpandh (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/inpatient-encounter-hdr-xpandh)
• Xpandh Body Height Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/body-height-xpandh)
• Xpandh Body Weight Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/body-weight-xpandh)
• Xpandh BMI Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/bmi-xpandh)
• Xpandh Skinfold Thickness Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/skinfold-thickness-xpandh)
• Xpandh Circumference Measurement Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/circumference-measurement-xpandh)
• Xpandh Blood Pressure Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/blood-pressure-xpandh)
• Xpandh Heart Rate Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/heart-rate-xpandh)
• Xpandh Respiratory Rate Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/respiratory-rate-xpandh)
• Xpandh Body Temperature Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/body-temperature-xpandh)
• Xpandh Oxygen Saturation Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/oxygen-saturation-xpandh)
• Xpandh Functional Status Observation Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/functional-status-assessment-xpandh)
• Condition Xpandh Hospital Dischage Encounter (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/condition-encounter-hdr-xpandh)
• Procedure (Xpandh) (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Procedure-xpandh)
• Device (Xpandh) (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/device-xpandh)
• MedicationStatement (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/MedicationStatement-eu-xpandh)
• Observation Results: radiology (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips)
• Observation Results: laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab)
• Condition Xpandh Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/condition-hdr-xpandh)
• Xpandh Clinical Impression Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/clinical-impression-hdr-xpandh)
• MedicationDispense Xpandh (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/MedicationDispense-hdr-eu-xpandh)
• Coverage: Encounter Payer (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/coverage-hdr-eu-xpandh)
• Allergy Intolerance (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips)
• Flag (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Flag-eu-xpandh)
• Procedure (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips)
• Immunization (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips)
• Condition (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips)
• CareTeam (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/CareTeam-eu-xpandh)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/StructureDefinition/information-recipient

Slices

This structure defines the following Slices:

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