XpanDH Hospital Discharge Report
0.1.0 - ci-build 150

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

Resource Profile: Composition: Hospital Discharge Report

Official URL: http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Composition-hdr-eu-xpandh Version: 0.1.0
Draft as of 2024-12-12 Computable Name: CompositionHdrXpandh

Copyright/Legal: XpanDH Project

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

Usage:

Formal Views of Profile Content

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

This structure is derived from Clinical Document

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... 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

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Clinical Document Hospital Discharge Report composition
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... information-recipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:information-recipient/practictionerRole 0..* Extension Extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... url 1..1 uri identifies the meaning of the extension
..... value[x] 0..1 Reference(PractitionerRole) Value of extension
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


ele-1: All FHIR elements must have a @value or children
... type 1..1 CodeableConceptIPS Kind of composition ("Hospital Discharge Report")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(Encounter | Inpatient Encounter Xpandh) Context of the Composition
ele-1: All FHIR elements must have a @value or children
... date Σ 1..1 dateTime HDR date
ele-1: All FHIR elements must have a @value or children
... Slices for author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Sliced per type of author
Slice: Unordered, Open by type:valueReference.resolve()
ele-1: All FHIR elements must have a @value or children
.... author:practictionerRole Σ 0..* Reference(PractitionerRole) Who and/or what authored the composition
ele-1: All FHIR elements must have a @value or children
... title Σ 1..1 string Hospital Discharge Report
ele-1: All FHIR elements must have a @value or children
... 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
ele-1: All FHIR elements must have a @value or children
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... 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
ele-1: All FHIR elements must have a @value or children
...... section:vitalSigns C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
...... section:physicalExamination C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
...... section:functionalStatus C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... entry C 1..1 Reference(Inpatient Encounter Xpandh) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
..... Slices for section C 0..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... section:diagnosticSummaryDescription C 0..1 BackboneElement Problem specification in narrative form
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 0..* Reference(Condition Xpandh Hospital Dischage Encounter) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:significantProcedures C 0..1 BackboneElement Significant procedures
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(Procedure (Xpandh)) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:medicalDevices C 0..1 BackboneElement Medical devices and implants
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(Device (Xpandh)) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:medications C 0..1 BackboneElement Pharmacotherapy
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(MedicationStatement) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:significantResults C 0..1 BackboneElement Significant Observation Results
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:synthesis C 0..1 BackboneElement Synthesis
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... Slices for section C 0..* See section (Composition) Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
ele-1: All FHIR elements must have a @value or children
........ section:problemSynthesis C 0..* BackboneElement Problem synthesis
ele-1: All FHIR elements must have a @value or children
......... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
......... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
......... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
......... entry C 0..* Reference(Condition Xpandh Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
........ section:clinicalReasoning C 0..* BackboneElement Clinical reasoning
ele-1: All FHIR elements must have a @value or children
......... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
......... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
......... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
......... entry C 0..* Reference(Xpandh Clinical Impression Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... 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
ele-1: All FHIR elements must have a @value or children
...... section:vitalSigns C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
...... section:physicalExamination C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
...... section:functionalStatus C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... entry C 0..* Reference(CarePlan | DocumentReference) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
..... Slices for section C 0..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... section:medicationSummary C 0..1 BackboneElement Medication summary
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(MedicationStatement | MedicationRequest | MedicationDispense Xpandh) Medication statement, Medication request/recommendation or Medications dispensation.
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... entry C 0..* Reference(Coverage: Encounter Payer) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 1..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:allergyIntolerance SC 0..* Reference(Allergy Intolerance (IPS)) HDR Allergy entry
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:flag SC 0..* Reference(Flag) Flags
ele-1: All FHIR elements must have a @value or children
...... entry:detectedIssue SC 0..* Reference(DetectedIssue) Detected Issue
ele-1: All FHIR elements must have a @value or children
...... entry:riskAssessment SC 0..* Reference(RiskAssessment) Risk Assessment
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:procedure SC 0..* Reference(Procedure (IPS)) Past Procedure entry
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 1..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:immunization SC 0..* Reference(Immunization (IPS)) Immunization entry
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... entry C 1..* Reference(Condition (IPS)) Conditions the patient suffered in the past.
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:cteam SC 0..* Reference(CareTeam) Care Team
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... entry C 0..* Reference(Consent | DocumentReference) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 34105-7("Hospital Discharge summary")
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.section:admissionEvaluationSection.codeexampleFixed 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.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.codeexamplePattern: 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.codeexamplePattern: 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.codeexamplePattern: 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.codeexampleFixed 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.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.codeexampleFixed 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.codeexampleFixed 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.codeexampleFixed 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.codeexampleFixed 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.codeexampleFixed 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.codeexampleFixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.codeexampleFixed 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.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.codeexamplePattern: 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.codeexamplePattern: 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.codeexamplePattern: 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.codeexampleFixed 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.codeexampleFixed 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.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.codeexampleFixed Value: LOINC Code 11329-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:alertSection.codeexampleFixed Value: LOINC Code 75310-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionImmunizations.codeexampleFixed Value: LOINC Code 11369-6("History of Immunization Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPastIllnessHx.codeexampleFixed Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CareTeamSection.codeexampleFixed Value: LOINC Code 85847-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexampleFixed Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.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:sectionAdvanceDirectivesA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.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:sectionAdvanceDirectivesA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 34105-7("Hospital Discharge summary")
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.codeexampleFixed Value: LOINC Code 67852-4("Hospital Admission evaluation note")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:sectionHospitalCourse.codeexampleFixed Value: LOINC Code 8648-8("Hospital course Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.codeexampleFixed Value: LOINC Code 8650-4("Hospital discharge disposition Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:sectionPlanOfCare.codeexampleFixed Value: LOINC Code 18776-5("Plan of care note")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPlanOfCare.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHealthInsurance.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHealthInsurance.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHealthInsurance.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:patientHxSection.codeexampleFixed Value: LOINC Code 11329-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:patientHxSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAllergies.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionAllergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:alertSection.codeexampleFixed Value: LOINC Code 75310-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:alertSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:alertSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionProceduresHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionProceduresHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionImmunizations.codeexampleFixed Value: LOINC Code 11369-6("History of Immunization Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionImmunizations.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionImmunizations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionPastIllnessHx.codeexampleFixed Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPastIllnessHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPastIllnessHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:CareTeamSection.codeexampleFixed Value: LOINC Code 85847-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CareTeamSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:CareTeamSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexampleFixed Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.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:sectionAdvanceDirectivesA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.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:sectionAdvanceDirectivesA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust 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:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... 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

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* Clinical Document Hospital Discharge Report composition
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... information-recipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:information-recipient/practictionerRole 0..* Extension Extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... url 1..1 uri identifies the meaning of the extension
..... value[x] 0..1 Reference(PractitionerRole) Value of extension
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


ele-1: All FHIR elements must have a @value or children
... type 1..1 CodeableConceptIPS Kind of composition ("Hospital Discharge Report")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(Encounter | Inpatient Encounter Xpandh) Context of the Composition
ele-1: All FHIR elements must have a @value or children
... date Σ 1..1 dateTime HDR date
ele-1: All FHIR elements must have a @value or children
... Slices for author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Sliced per type of author
Slice: Unordered, Open by type:valueReference.resolve()
ele-1: All FHIR elements must have a @value or children
.... author:practictionerRole Σ 0..* Reference(PractitionerRole) Who and/or what authored the composition
ele-1: All FHIR elements must have a @value or children
... title Σ 1..1 string Hospital Discharge Report
ele-1: All FHIR elements must have a @value or children
... 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
ele-1: All FHIR elements must have a @value or children
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... 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
ele-1: All FHIR elements must have a @value or children
...... section:vitalSigns C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
...... section:physicalExamination C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
...... section:functionalStatus C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... entry C 1..1 Reference(Inpatient Encounter Xpandh) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
..... Slices for section C 0..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... section:diagnosticSummaryDescription C 0..1 BackboneElement Problem specification in narrative form
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 0..* Reference(Condition Xpandh Hospital Dischage Encounter) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:significantProcedures C 0..1 BackboneElement Significant procedures
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(Procedure (Xpandh)) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:medicalDevices C 0..1 BackboneElement Medical devices and implants
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(Device (Xpandh)) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:medications C 0..1 BackboneElement Pharmacotherapy
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(MedicationStatement) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:significantResults C 0..1 BackboneElement Significant Observation Results
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:synthesis C 0..1 BackboneElement Synthesis
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... Slices for section C 0..* See section (Composition) Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
ele-1: All FHIR elements must have a @value or children
........ section:problemSynthesis C 0..* BackboneElement Problem synthesis
ele-1: All FHIR elements must have a @value or children
......... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
......... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
......... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
......... entry C 0..* Reference(Condition Xpandh Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
........ section:clinicalReasoning C 0..* BackboneElement Clinical reasoning
ele-1: All FHIR elements must have a @value or children
......... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
......... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
......... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
......... entry C 0..* Reference(Xpandh Clinical Impression Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... 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
ele-1: All FHIR elements must have a @value or children
...... section:vitalSigns C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
...... section:physicalExamination C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
...... section:functionalStatus C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... entry C 0..* Reference(CarePlan | DocumentReference) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
..... Slices for section C 0..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... section:medicationSummary C 0..1 BackboneElement Medication summary
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(MedicationStatement | MedicationRequest | MedicationDispense Xpandh) Medication statement, Medication request/recommendation or Medications dispensation.
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... entry C 0..* Reference(Coverage: Encounter Payer) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 1..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:allergyIntolerance SC 0..* Reference(Allergy Intolerance (IPS)) HDR Allergy entry
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:flag SC 0..* Reference(Flag) Flags
ele-1: All FHIR elements must have a @value or children
...... entry:detectedIssue SC 0..* Reference(DetectedIssue) Detected Issue
ele-1: All FHIR elements must have a @value or children
...... entry:riskAssessment SC 0..* Reference(RiskAssessment) Risk Assessment
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 1..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:procedure SC 0..* Reference(Procedure (IPS)) Past Procedure entry
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 1..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:immunization SC 0..* Reference(Immunization (IPS)) Immunization entry
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... entry C 1..* Reference(Condition (IPS)) Conditions the patient suffered in the past.
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:cteam SC 0..* Reference(CareTeam) Care Team
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... entry C 0..* Reference(Consent | DocumentReference) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 34105-7("Hospital Discharge summary")
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.section:admissionEvaluationSection.codeexampleFixed 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.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.codeexamplePattern: 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.codeexamplePattern: 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.codeexamplePattern: 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.codeexampleFixed 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.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.codeexampleFixed 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.codeexampleFixed 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.codeexampleFixed 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.codeexampleFixed 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.codeexampleFixed 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.codeexampleFixed Value: SNOMED-CT Code 424836000("Assessment section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.codeexampleFixed 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.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.codeexamplePattern: 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.codeexamplePattern: 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.codeexamplePattern: 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.codeexampleFixed 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.codeexampleFixed 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.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.codeexampleFixed Value: LOINC Code 11329-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:alertSection.codeexampleFixed Value: LOINC Code 75310-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionImmunizations.codeexampleFixed Value: LOINC Code 11369-6("History of Immunization Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPastIllnessHx.codeexampleFixed Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CareTeamSection.codeexampleFixed Value: LOINC Code 85847-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexampleFixed Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.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:sectionAdvanceDirectivesA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.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:sectionAdvanceDirectivesA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 34105-7("Hospital Discharge summary")
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.codeexampleFixed Value: LOINC Code 67852-4("Hospital Admission evaluation note")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:sectionHospitalCourse.codeexampleFixed Value: LOINC Code 8648-8("Hospital course Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.codeexampleFixed Value: LOINC Code 8650-4("Hospital discharge disposition Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.codeexamplePattern: 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:sectionPlanOfCare.codeexampleFixed Value: LOINC Code 18776-5("Plan of care note")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPlanOfCare.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.codeexampleFixed 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.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionHealthInsurance.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHealthInsurance.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionHealthInsurance.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:patientHxSection.codeexampleFixed Value: LOINC Code 11329-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:patientHxSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAllergies.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionAllergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:alertSection.codeexampleFixed Value: LOINC Code 75310-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:alertSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:alertSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionProceduresHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionProceduresHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionImmunizations.codeexampleFixed Value: LOINC Code 11369-6("History of Immunization Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionImmunizations.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionImmunizations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionPastIllnessHx.codeexampleFixed Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPastIllnessHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionPastIllnessHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:CareTeamSection.codeexampleFixed Value: LOINC Code 85847-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CareTeamSection.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:CareTeamSection.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexampleFixed Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.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:sectionAdvanceDirectivesA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.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:sectionAdvanceDirectivesA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust 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:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron