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 2025-10-10 Computable Name: CompositionHdrXpandh

Copyright/Legal: XpanDH Project

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

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Clinical Document Hospital Discharge Report composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... extension: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..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 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 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... 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:resolve()
.... author:practictionerRole Σ 0..* Reference(PractitionerRole) Who and/or what authored the composition
... title Σ 1..1 string Hospital Discharge Report
... Slices for section C 2..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:admissionEvaluationSection C 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital Admission evaluation note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... entry C 1..* Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile) A reference to data that supports this section
...... section:physicalExamination C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... section:functionalStatus C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... entry C 0..* Reference(Xpandh Functional Status Observation Profile) A reference to data that supports this section
.... section:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital course note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 1..1 Reference(Inpatient Encounter Xpandh) A reference to data that supports this section
..... Slices for section C 3..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... section:diagnosticSummaryDescription C 0..1 BackboneElement Diagnostic summary section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Condition Xpandh Hospital Dischage Encounter) A reference to data that supports this section
...... section:significantProcedures C 1..1 BackboneElement Significant procedures
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Procedure section (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: 1269501001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Procedure (Xpandh)) A reference to data that supports this section
...... section:medicalDevices C 1..1 BackboneElement Medical devices and implants
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medical device document section)
........ 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Device (Xpandh)) A reference to data that supports this section
...... section:medications C 0..1 BackboneElement Pharmacotherapy
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medication treatment plan 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: 761931002
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(MedicationStatement) A reference to data that supports this section
...... section:significantResults C 0..1 BackboneElement Significant Observation Results
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Results section (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: 423100009
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory) A reference to data that supports this section
...... section:synthesis C 1..1 BackboneElement Synthesis
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Encounter note)
........ 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: 866144008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... Slices for section C 0..* See section (Composition) Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
........ section:All Slices Content/Rules for all slices
......... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
........ section:problemSynthesis C 0..* BackboneElement Problem synthesis
......... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Clinical statement entry (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: 423016009
........... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
......... entry C 0..* Reference(Xpandh Clinical Impression Profile) A reference to data that supports this section
........ section:clinicalReasoning C 0..1 BackboneElement Clinical reasoning
......... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Informed clinical opinion document (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: 1331904007
........... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
......... entry C 0..* Reference(Xpandh Clinical Impression Profile) A reference to data that supports this section
.... section:dischargeDetails C 1..1 BackboneElement Discharge details
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital discharge disposition note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... entry C 1..* Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile) A reference to data that supports this section
...... section:physicalExamination C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... section:functionalStatus C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... entry C 0..* Reference(Xpandh Functional Status Observation Profile) A reference to data that supports this section
.... section:sectionPlanOfCare C 0..1 BackboneElement Care plan and other recommendations after discharge.
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Plan of care note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(CarePlan | DocumentReference) A reference to data that supports this section
..... Slices for section C 1..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... section:medicationSummary C 1..1 BackboneElement Medication summary
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medication summary document (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: 721912009
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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.
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Payment sources 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: 48768-6
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Coverage: Encounter Payer) A reference to data that supports this section
.... section:patientHxSection C 0..1 BackboneElement Patient History Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... Slices for section C 0..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... section:pastProblems C 0..1 BackboneElement History of Past Illness
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Past medical history section)
........ 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: 1003642006
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Condition Xpandh Profile) Condition details.
...... section:medicalDevicesHx C 0..1 BackboneElement Devices and Implants
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medical device document section)
........ 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(DeviceUseStatement) Devices and Implants.
...... section:proceduresHx C 0..1 BackboneElement History of procedures
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Procedure section (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: 1269501001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Procedure (Xpandh)) Procedures
...... section:vaccination C 0..1 BackboneElement Vaccination history
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Immunization record (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: 41000179103
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Xpandh Immunization Profile) Patient's immunization status and pertinent history.
...... section:infectiousContacts C 0..1 BackboneElement Infectious contacts
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Exposure to organism (event))
........ 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: 444071008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Xpandh Infectious Contact Profile) Exposure to an infectious agent.
...... section:travelHx C 0..1 BackboneElement Travel history
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Detail of history of travel (observable entity))
........ 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: 443846001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Xpandh travel history Profile) Travel history of the patient.
...... section:familyHx C 0..1 BackboneElement Family history
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Family history section (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: 422432008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(FamilyMemberHistory) Family history
...... section:socialHx C 0..1 BackboneElement Social history
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Social history section)
........ 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: 1184589008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Xpandh social history Profile) Social history
.... section:sectionAllergies C 0..1 BackboneElement HDR Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... Slices for entry C 1..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance SC 0..* Reference(Allergy Intolerance (IPS)) HDR Allergy entry
.... section:alertSection SC 0..1 BackboneElement Health Concern Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Alert)
...... 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: 104605-1
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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:CareTeamSection SC 0..1 BackboneElement Care Team Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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 Advance Directives Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Advance healthcare 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Consent | DocumentReference) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:anthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:vitalSigns.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:physicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:functionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:diagnosticSummaryDescription.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:problemSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:clinicalReasoning.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:anthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:vitalSigns.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:physicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:functionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section:medicationSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHealthInsurance.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:pastProblems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:medicalDevicesHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:proceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:vaccination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:infectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:travelHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:familyHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:socialHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:alertSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:CareTeamSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​code Base example Document Section Codes 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from Clinical Document

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Clinical Document Hospital Discharge Report composition
... Slices for extension Content/Rules for all slices
.... extension: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..* InformationRecipient Information recipient
..... 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
... 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: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 Classification of section (recommended)
Fixed Value: As shown (Hospital Admission evaluation note)
...... 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
..... 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 Classification of section (recommended)
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 Classification of section (recommended)
Fixed Value: As shown (Hospital course note)
...... 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
..... 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 3..* Nested Section
Slice: Unordered, Open by type:resolve()
...... section:diagnosticSummaryDescription 0..1 BackboneElement Diagnostic summary section
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
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 1..1 BackboneElement Significant procedures
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Procedure section (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: 1269501001
....... 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 1..1 BackboneElement Medical devices and implants
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Medical device document section)
........ 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
....... 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 Classification of section (recommended)
Fixed Value: As shown (Medication treatment plan 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: 761931002
....... 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 Classification of section (recommended)
Fixed Value: As shown (Results section (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: 423100009
....... 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 1..1 BackboneElement Synthesis
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Encounter note)
........ 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: 866144008
....... 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 Classification of section (recommended)
Fixed Value: As shown (Clinical statement entry (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: 423016009
......... 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:clinicalReasoning 0..1 BackboneElement Clinical reasoning
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Informed clinical opinion document (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: 1331904007
......... 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 Classification of section (recommended)
Fixed Value: As shown (Hospital discharge disposition note)
...... 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
..... 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 Classification of section (recommended)
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 Classification of section (recommended)
Fixed Value: As shown (Plan of care note)
...... 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
..... 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 1..* Nested Section
Slice: Unordered, Open by type:resolve()
...... section:medicationSummary 1..1 BackboneElement Medication summary
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Medication summary document (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: 721912009
....... 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 Classification of section (recommended)
Fixed Value: As shown (Payment sources 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: 48768-6
..... 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 Classification of section (recommended)
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
..... Slices for section 0..* Nested Section
Slice: Unordered, Open by type:resolve()
...... section:pastProblems 0..1 BackboneElement History of Past Illness
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Past medical history section)
........ 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: 1003642006
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Condition Xpandh Profile) Condition details.
....... emptyReason 0..0
....... section 0..0
...... section:medicalDevicesHx 0..1 BackboneElement Devices and Implants
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Medical device document section)
........ 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
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(DeviceUseStatement) Devices and Implants.
....... emptyReason 0..0
....... section 0..0
...... section:proceduresHx 0..1 BackboneElement History of procedures
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Procedure section (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: 1269501001
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Procedure (Xpandh)) Procedures
....... emptyReason 0..0
....... section 0..0
...... section:vaccination 0..1 BackboneElement Vaccination history
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Immunization record (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: 41000179103
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Xpandh Immunization Profile) Patient's immunization status and pertinent history.
....... emptyReason 0..0
....... section 0..0
...... section:infectiousContacts 0..1 BackboneElement Infectious contacts
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Exposure to organism (event))
........ 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: 444071008
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Xpandh Infectious Contact Profile) Exposure to an infectious agent.
....... emptyReason 0..0
....... section 0..0
...... section:travelHx 0..1 BackboneElement Travel history
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Detail of history of travel (observable entity))
........ 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: 443846001
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Xpandh travel history Profile) Travel history of the patient.
....... emptyReason 0..0
....... section 0..0
...... section:familyHx 0..1 BackboneElement Family history
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Family history section (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: 422432008
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(FamilyMemberHistory) Family history
....... emptyReason 0..0
....... section 0..0
...... section:socialHx 0..1 BackboneElement Social history
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Social history section)
........ 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: 1184589008
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Xpandh social history Profile) Social history
....... emptyReason 0..0
....... section 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 Classification of section (recommended)
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 Classification of section (recommended)
Fixed Value: As shown (Alert)
...... 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: 104605-1
..... 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:CareTeamSection S 0..1 BackboneElement Care Team Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
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 Advance Directives Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Advance healthcare 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 & Constraints    Filter: Filtersdoco
.. 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... extension: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..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... 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 Σ 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 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category 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: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
Constraints: cmp-1, cmp-2
.... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:admissionEvaluationSection C 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital Admission evaluation note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
....... section C 0..* See section (Composition) Nested Section
...... section: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 Classification of section (recommended)
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section: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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(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
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital course note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 1..1 Reference(Inpatient Encounter Xpandh) A reference to data that supports this section
..... Slices for section C 3..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
....... section C 0..* See section (Composition) Nested Section
...... section:diagnosticSummaryDescription C 0..1 BackboneElement Diagnostic summary 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 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Condition Xpandh Hospital Dischage Encounter) A reference to data that supports this section
...... section:significantProcedures C 1..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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Procedure section (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: 1269501001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(Procedure (Xpandh)) A reference to data that supports this section
...... section:medicalDevices C 1..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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medical device document section)
........ 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medication treatment plan 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: 761931002
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Results section (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: 423100009
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory) A reference to data that supports this section
...... section:synthesis C 1..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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Encounter note)
........ 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: 866144008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... Slices for section C 0..* See section (Composition) Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
........ 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
......... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
......... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
......... entry C 0..* Reference(Resource) A reference to data that supports this section
......... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
......... section C 0..* See section (Composition) Nested Section
........ section: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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Clinical statement entry (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: 423016009
........... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
......... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
......... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
......... entry C 0..* Reference(Xpandh Clinical Impression Profile) A reference to data that supports this section
......... section C 0..* See section (Composition) Nested Section
........ section:clinicalReasoning C 0..1 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Informed clinical opinion document (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: 1331904007
........... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
......... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
......... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
......... entry C 0..* Reference(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
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital discharge disposition note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
....... section C 0..* See section (Composition) Nested Section
...... section: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 Classification of section (recommended)
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section: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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(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.
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Plan of care note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(CarePlan | DocumentReference) A reference to data that supports this section
..... Slices for section C 1..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
....... section C 0..* See section (Composition) Nested Section
...... section:medicationSummary C 1..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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medication summary document (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: 721912009
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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.
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Payment sources 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: 48768-6
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(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
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... Slices for section C 0..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
....... section C 0..* See section (Composition) Nested Section
...... section:pastProblems C 0..1 BackboneElement History of Past Illness
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Past medical history section)
........ 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: 1003642006
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Condition Xpandh Profile) Condition details.
...... section:medicalDevicesHx C 0..1 BackboneElement 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medical device document section)
........ 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(DeviceUseStatement) Devices and Implants.
...... section:proceduresHx C 0..1 BackboneElement History of 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Procedure section (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: 1269501001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(Procedure (Xpandh)) Procedures
...... section:vaccination C 0..1 BackboneElement Vaccination history
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Immunization record (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: 41000179103
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(Xpandh Immunization Profile) Patient's immunization status and pertinent history.
...... section:infectiousContacts C 0..1 BackboneElement Infectious contacts
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Exposure to organism (event))
........ 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: 444071008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Xpandh Infectious Contact Profile) Exposure to an infectious agent.
...... section:travelHx C 0..1 BackboneElement Travel history
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Detail of history of travel (observable entity))
........ 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: 443846001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(Xpandh travel history Profile) Travel history of the patient.
...... section:familyHx C 0..1 BackboneElement Family history
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Family history section (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: 422432008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(FamilyMemberHistory) Family history
...... section:socialHx C 0..1 BackboneElement Social history
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Social history section)
........ 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: 1184589008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Xpandh social history Profile) Social history
.... section:sectionAllergies C 0..1 BackboneElement HDR Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 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
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Alert)
...... 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: 104605-1
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(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:CareTeamSection SC 0..1 BackboneElement Care Team Section
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam SC 0..* Reference(CareTeam) Care Team
.... section:sectionAdvanceDirectives C 0..1 BackboneElement Advance Directives Section
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Advance healthcare 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(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

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:anthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:anthropometry.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:anthropometry.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:vitalSigns.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:vitalSigns.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:vitalSigns.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:vitalSigns.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:physicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:physicalExamination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:physicalExamination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:physicalExamination.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:functionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:functionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:functionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:functionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:diagnosticSummaryDescription.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:diagnosticSummaryDescription.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:diagnosticSummaryDescription.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantProcedures.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantProcedures.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medications.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medications.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantResults.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantResults.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:problemSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:problemSynthesis.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:problemSynthesis.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:clinicalReasoning.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:clinicalReasoning.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:clinicalReasoning.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:anthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:anthropometry.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:anthropometry.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:vitalSigns.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:vitalSigns.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:vitalSigns.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:vitalSigns.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:physicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:physicalExamination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:physicalExamination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:physicalExamination.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:functionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:functionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:functionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:functionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section:medicationSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section:medicationSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section:medicationSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHealthInsurance.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHealthInsurance.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHealthInsurance.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:pastProblems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:pastProblems.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:pastProblems.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:medicalDevicesHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:medicalDevicesHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:medicalDevicesHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:proceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:proceduresHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:proceduresHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:vaccination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:vaccination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:vaccination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:infectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:infectiousContacts.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:infectiousContacts.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:travelHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:travelHx.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:travelHx.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:familyHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:familyHx.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:familyHx.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:socialHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:socialHx.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:socialHx.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:alertSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:alertSection.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:alertSection.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:CareTeamSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:CareTeamSection.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:CareTeamSection.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from Clinical Document

Summary

Mandatory: 24 elements(88 nested mandatory elements)
Must-Support: 7 elements
Fixed: 29 elements
Prohibited: 53 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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Clinical Document Hospital Discharge Report composition
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... extension: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..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... value[x] 0..1 Reference(PractitionerRole) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code HDR status
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
... type Σ 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 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... 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:resolve()
.... author:practictionerRole Σ 0..* Reference(PractitionerRole) Who and/or what authored the composition
... title Σ 1..1 string Hospital Discharge Report
... Slices for section C 2..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:admissionEvaluationSection C 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital Admission evaluation note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... entry C 1..* Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile) A reference to data that supports this section
...... section:physicalExamination C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... section:functionalStatus C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... entry C 0..* Reference(Xpandh Functional Status Observation Profile) A reference to data that supports this section
.... section:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital course note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 1..1 Reference(Inpatient Encounter Xpandh) A reference to data that supports this section
..... Slices for section C 3..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... section:diagnosticSummaryDescription C 0..1 BackboneElement Diagnostic summary section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Condition Xpandh Hospital Dischage Encounter) A reference to data that supports this section
...... section:significantProcedures C 1..1 BackboneElement Significant procedures
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Procedure section (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: 1269501001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Procedure (Xpandh)) A reference to data that supports this section
...... section:medicalDevices C 1..1 BackboneElement Medical devices and implants
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medical device document section)
........ 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Device (Xpandh)) A reference to data that supports this section
...... section:medications C 0..1 BackboneElement Pharmacotherapy
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medication treatment plan 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: 761931002
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(MedicationStatement) A reference to data that supports this section
...... section:significantResults C 0..1 BackboneElement Significant Observation Results
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Results section (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: 423100009
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory) A reference to data that supports this section
...... section:synthesis C 1..1 BackboneElement Synthesis
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Encounter note)
........ 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: 866144008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... Slices for section C 0..* See section (Composition) Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
........ section:All Slices Content/Rules for all slices
......... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
........ section:problemSynthesis C 0..* BackboneElement Problem synthesis
......... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Clinical statement entry (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: 423016009
........... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
......... entry C 0..* Reference(Xpandh Clinical Impression Profile) A reference to data that supports this section
........ section:clinicalReasoning C 0..1 BackboneElement Clinical reasoning
......... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Informed clinical opinion document (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: 1331904007
........... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
......... entry C 0..* Reference(Xpandh Clinical Impression Profile) A reference to data that supports this section
.... section:dischargeDetails C 1..1 BackboneElement Discharge details
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital discharge disposition note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile) A reference to data that supports this section
...... section:vitalSigns C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... entry C 1..* Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile) A reference to data that supports this section
...... section:physicalExamination C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... text C 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
...... section:functionalStatus C 0..1 BackboneElement Nested Section
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 0..1 string Label for section (e.g. for ToC)
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
........ 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
....... entry C 0..* Reference(Xpandh Functional Status Observation Profile) A reference to data that supports this section
.... section:sectionPlanOfCare C 0..1 BackboneElement Care plan and other recommendations after discharge.
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Plan of care note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(CarePlan | DocumentReference) A reference to data that supports this section
..... Slices for section C 1..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... section:medicationSummary C 1..1 BackboneElement Medication summary
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medication summary document (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: 721912009
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... 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.
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Payment sources 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: 48768-6
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Coverage: Encounter Payer) A reference to data that supports this section
.... section:patientHxSection C 0..1 BackboneElement Patient History Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... Slices for section C 0..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... section:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... section:pastProblems C 0..1 BackboneElement History of Past Illness
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Past medical history section)
........ 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: 1003642006
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Condition Xpandh Profile) Condition details.
...... section:medicalDevicesHx C 0..1 BackboneElement Devices and Implants
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medical device document section)
........ 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(DeviceUseStatement) Devices and Implants.
...... section:proceduresHx C 0..1 BackboneElement History of procedures
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Procedure section (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: 1269501001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Procedure (Xpandh)) Procedures
...... section:vaccination C 0..1 BackboneElement Vaccination history
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Immunization record (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: 41000179103
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Xpandh Immunization Profile) Patient's immunization status and pertinent history.
...... section:infectiousContacts C 0..1 BackboneElement Infectious contacts
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Exposure to organism (event))
........ 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: 444071008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Xpandh Infectious Contact Profile) Exposure to an infectious agent.
...... section:travelHx C 0..1 BackboneElement Travel history
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Detail of history of travel (observable entity))
........ 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: 443846001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 1..* Reference(Xpandh travel history Profile) Travel history of the patient.
...... section:familyHx C 0..1 BackboneElement Family history
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Family history section (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: 422432008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(FamilyMemberHistory) Family history
...... section:socialHx C 0..1 BackboneElement Social history
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Social history section)
........ 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: 1184589008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... entry C 0..* Reference(Xpandh social history Profile) Social history
.... section:sectionAllergies C 0..1 BackboneElement HDR Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... Slices for entry C 1..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
...... entry:allergyIntolerance SC 0..* Reference(Allergy Intolerance (IPS)) HDR Allergy entry
.... section:alertSection SC 0..1 BackboneElement Health Concern Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Alert)
...... 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: 104605-1
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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:CareTeamSection SC 0..1 BackboneElement Care Team Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... 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 Advance Directives Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Advance healthcare 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... entry C 0..* Reference(Consent | DocumentReference) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:anthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:vitalSigns.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:physicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:functionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:diagnosticSummaryDescription.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:problemSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:clinicalReasoning.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:anthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:vitalSigns.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:physicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:functionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section:medicationSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHealthInsurance.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:pastProblems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:medicalDevicesHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:proceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:vaccination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:infectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:travelHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:familyHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:socialHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:alertSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:CareTeamSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​code Base example Document Section Codes 📍4.0.1 FHIR Std.

Constraints

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

Differential View

This structure is derived from Clinical Document

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Clinical Document Hospital Discharge Report composition
... Slices for extension Content/Rules for all slices
.... extension: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..* InformationRecipient Information recipient
..... 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
... 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: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 Classification of section (recommended)
Fixed Value: As shown (Hospital Admission evaluation note)
...... 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
..... 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 Classification of section (recommended)
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 Classification of section (recommended)
Fixed Value: As shown (Hospital course note)
...... 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
..... 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 3..* Nested Section
Slice: Unordered, Open by type:resolve()
...... section:diagnosticSummaryDescription 0..1 BackboneElement Diagnostic summary section
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
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 1..1 BackboneElement Significant procedures
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Procedure section (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: 1269501001
....... 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 1..1 BackboneElement Medical devices and implants
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Medical device document section)
........ 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
....... 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 Classification of section (recommended)
Fixed Value: As shown (Medication treatment plan 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: 761931002
....... 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 Classification of section (recommended)
Fixed Value: As shown (Results section (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: 423100009
....... 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 1..1 BackboneElement Synthesis
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Encounter note)
........ 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: 866144008
....... 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 Classification of section (recommended)
Fixed Value: As shown (Clinical statement entry (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: 423016009
......... 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:clinicalReasoning 0..1 BackboneElement Clinical reasoning
......... title 1..1 string Label for section (e.g. for ToC)
......... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Informed clinical opinion document (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: 1331904007
......... 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 Classification of section (recommended)
Fixed Value: As shown (Hospital discharge disposition note)
...... 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
..... 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 Classification of section (recommended)
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 Classification of section (recommended)
Fixed Value: As shown (Plan of care note)
...... 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
..... 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 1..* Nested Section
Slice: Unordered, Open by type:resolve()
...... section:medicationSummary 1..1 BackboneElement Medication summary
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Medication summary document (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: 721912009
....... 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 Classification of section (recommended)
Fixed Value: As shown (Payment sources 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: 48768-6
..... 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 Classification of section (recommended)
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
..... Slices for section 0..* Nested Section
Slice: Unordered, Open by type:resolve()
...... section:pastProblems 0..1 BackboneElement History of Past Illness
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Past medical history section)
........ 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: 1003642006
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Condition Xpandh Profile) Condition details.
....... emptyReason 0..0
....... section 0..0
...... section:medicalDevicesHx 0..1 BackboneElement Devices and Implants
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Medical device document section)
........ 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
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(DeviceUseStatement) Devices and Implants.
....... emptyReason 0..0
....... section 0..0
...... section:proceduresHx 0..1 BackboneElement History of procedures
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Procedure section (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: 1269501001
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Procedure (Xpandh)) Procedures
....... emptyReason 0..0
....... section 0..0
...... section:vaccination 0..1 BackboneElement Vaccination history
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Immunization record (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: 41000179103
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Xpandh Immunization Profile) Patient's immunization status and pertinent history.
....... emptyReason 0..0
....... section 0..0
...... section:infectiousContacts 0..1 BackboneElement Infectious contacts
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Exposure to organism (event))
........ 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: 444071008
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Xpandh Infectious Contact Profile) Exposure to an infectious agent.
....... emptyReason 0..0
....... section 0..0
...... section:travelHx 0..1 BackboneElement Travel history
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Detail of history of travel (observable entity))
........ 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: 443846001
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 1..* Reference(Xpandh travel history Profile) Travel history of the patient.
....... emptyReason 0..0
....... section 0..0
...... section:familyHx 0..1 BackboneElement Family history
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Family history section (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: 422432008
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(FamilyMemberHistory) Family history
....... emptyReason 0..0
....... section 0..0
...... section:socialHx 0..1 BackboneElement Social history
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Social history section)
........ 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: 1184589008
....... text 1..1 Narrative Text summary of the section, for human interpretation
....... entry 0..* Reference(Xpandh social history Profile) Social history
....... emptyReason 0..0
....... section 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 Classification of section (recommended)
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 Classification of section (recommended)
Fixed Value: As shown (Alert)
...... 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: 104605-1
..... 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:CareTeamSection S 0..1 BackboneElement Care Team Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
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 Advance Directives Section
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Fixed Value: As shown (Advance healthcare 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

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
.... extension: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..* (Complex) Information recipient
URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/StructureDefinition/information-recipient"
..... 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 Σ 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 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category 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: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
Constraints: cmp-1, cmp-2
.... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section (Composition) Nested Section
.... section:admissionEvaluationSection C 0..1 BackboneElement Hospital Admission evaluation
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital Admission evaluation note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
....... section C 0..* See section (Composition) Nested Section
...... section: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 Classification of section (recommended)
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section: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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(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
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital course note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 1..1 Reference(Inpatient Encounter Xpandh) A reference to data that supports this section
..... Slices for section C 3..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
....... section C 0..* See section (Composition) Nested Section
...... section:diagnosticSummaryDescription C 0..1 BackboneElement Diagnostic summary 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 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Condition Xpandh Hospital Dischage Encounter) A reference to data that supports this section
...... section:significantProcedures C 1..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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Procedure section (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: 1269501001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(Procedure (Xpandh)) A reference to data that supports this section
...... section:medicalDevices C 1..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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medical device document section)
........ 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medication treatment plan 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: 761931002
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Results section (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: 423100009
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(Observation | Observation Results: radiology (IPS) | Observation Results: laboratory) A reference to data that supports this section
...... section:synthesis C 1..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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Encounter note)
........ 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: 866144008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... Slices for section C 0..* See section (Composition) Subsections of the Hospital Discharge Report Synthesis
Slice: Unordered, Open by value:code
........ 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
......... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
......... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
......... entry C 0..* Reference(Resource) A reference to data that supports this section
......... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
......... section C 0..* See section (Composition) Nested Section
........ section: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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Clinical statement entry (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: 423016009
........... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
......... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
......... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
......... entry C 0..* Reference(Xpandh Clinical Impression Profile) A reference to data that supports this section
......... section C 0..* See section (Composition) Nested Section
........ section:clinicalReasoning C 0..1 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Informed clinical opinion document (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: 1331904007
........... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
......... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
......... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
......... entry C 0..* Reference(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
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Hospital discharge disposition note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
...... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
....... section C 0..* See section (Composition) Nested Section
...... section: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 Classification of section (recommended)
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
...... section: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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(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.
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Plan of care note)
...... 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(CarePlan | DocumentReference) A reference to data that supports this section
..... Slices for section C 1..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
....... section C 0..* See section (Composition) Nested Section
...... section:medicationSummary C 1..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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medication summary document (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: 721912009
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 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.
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Payment sources 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: 48768-6
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(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
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... Slices for section C 0..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
...... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Resource) A reference to data that supports this section
....... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
....... section C 0..* See section (Composition) Nested Section
...... section:pastProblems C 0..1 BackboneElement History of Past Illness
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Past medical history section)
........ 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: 1003642006
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Condition Xpandh Profile) Condition details.
...... section:medicalDevicesHx C 0..1 BackboneElement 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Medical device document section)
........ 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 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(DeviceUseStatement) Devices and Implants.
...... section:proceduresHx C 0..1 BackboneElement History of 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 Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Procedure section (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: 1269501001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(Procedure (Xpandh)) Procedures
...... section:vaccination C 0..1 BackboneElement Vaccination history
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Immunization record (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: 41000179103
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(Xpandh Immunization Profile) Patient's immunization status and pertinent history.
...... section:infectiousContacts C 0..1 BackboneElement Infectious contacts
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Exposure to organism (event))
........ 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: 444071008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Xpandh Infectious Contact Profile) Exposure to an infectious agent.
...... section:travelHx C 0..1 BackboneElement Travel history
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Detail of history of travel (observable entity))
........ 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: 443846001
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 1..* Reference(Xpandh travel history Profile) Travel history of the patient.
...... section:familyHx C 0..1 BackboneElement Family history
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Family history section (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: 422432008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(FamilyMemberHistory) Family history
...... section:socialHx C 0..1 BackboneElement Social history
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... title 1..1 string Label for section (e.g. for ToC)
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Social history section)
........ 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: 1184589008
......... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
....... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
....... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
....... entry C 0..* Reference(Xpandh social history Profile) Social history
.... section:sectionAllergies C 0..1 BackboneElement HDR Allergies and Intolerances Section
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 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
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Alert)
...... 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: 104605-1
....... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(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:CareTeamSection SC 0..1 BackboneElement Care Team Section
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
...... entry:cteam SC 0..* Reference(CareTeam) Care Team
.... section:sectionAdvanceDirectives C 0..1 BackboneElement Advance Directives Section
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown (Advance healthcare 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(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

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base preferred FHIR Document Type Codes 📍4.0.1 FHIR Std.
Composition.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
Composition.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:anthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:anthropometry.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:anthropometry.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:vitalSigns.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:vitalSigns.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:vitalSigns.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:vitalSigns.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:physicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:physicalExamination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:physicalExamination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:physicalExamination.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:functionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:functionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:functionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:admissionEvaluationSection.​section:functionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:diagnosticSummaryDescription.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:diagnosticSummaryDescription.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:diagnosticSummaryDescription.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantProcedures.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantProcedures.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantProcedures.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medicalDevices.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medicalDevices.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medicalDevices.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medications.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medications.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:medications.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantResults.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantResults.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:significantResults.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:problemSynthesis.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:problemSynthesis.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:problemSynthesis.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:clinicalReasoning.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:clinicalReasoning.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHospitalCourse.​section:synthesis.section:clinicalReasoning.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:anthropometry.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:anthropometry.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:anthropometry.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:vitalSigns.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:vitalSigns.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:vitalSigns.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:vitalSigns.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:physicalExamination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:physicalExamination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:physicalExamination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:physicalExamination.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:functionalStatus.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:functionalStatus.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:functionalStatus.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:dischargeDetails.​section:functionalStatus.​emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section:medicationSummary.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section:medicationSummary.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionPlanOfCare.​section:medicationSummary.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHealthInsurance.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionHealthInsurance.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionHealthInsurance.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section.emptyReason Base preferred List Empty Reasons 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:pastProblems.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:pastProblems.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:pastProblems.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:medicalDevicesHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:medicalDevicesHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:medicalDevicesHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:proceduresHx.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:proceduresHx.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:proceduresHx.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:vaccination.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:vaccination.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:vaccination.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:infectiousContacts.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:infectiousContacts.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:infectiousContacts.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:travelHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:travelHx.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:travelHx.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:familyHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:familyHx.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:familyHx.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:socialHx.code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:socialHx.mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:patientHxSection.​section:socialHx.orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAllergies.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:alertSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:alertSection.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:alertSection.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:CareTeamSection.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:CareTeamSection.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:CareTeamSection.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​code Base example Document Section Codes 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section:sectionAdvanceDirectives.​orderedBy Base preferred List Order Codes 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from Clinical Document

Summary

Mandatory: 24 elements(88 nested mandatory elements)
Must-Support: 7 elements
Fixed: 29 elements
Prohibited: 53 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

 

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