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 2025-01-06 Computable Name: CompositionHdrXpandh

Copyright/Legal: XpanDH Project

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

Usage:

Formal Views of Profile Content

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

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


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


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34105-7
... subject Σ 1..1 Reference(Patient: HDR) Who and/or what the composition is about
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(Encounter | Inpatient Encounter Xpandh) Context of the Composition
ele-1: All FHIR elements must have a @value or children
... date Σ 1..1 dateTime HDR date
ele-1: All FHIR elements must have a @value or children
... Slices for author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Sliced per type of author
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
.... author:practictionerRole Σ 0..* Reference(PractitionerRole) Who and/or what authored the composition
ele-1: All FHIR elements must have a @value or children
... title Σ 1..1 string Hospital Discharge Report
ele-1: All FHIR elements must have a @value or children
... Slices for section C 2..* BackboneElement Sections composing the Hospital Discharge Report
Slice: Unordered, Open by value:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... section:admissionEvaluationSection C 0..1 BackboneElement Hospital Admission evaluation
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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


ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:vitalSigns C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
....... entry C 1..* Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:physicalExamination C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... text C 1..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
...... section:functionalStatus C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
....... entry C 0..* Reference(Xpandh Functional Status Observation Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:sectionHospitalCourse C 1..1 BackboneElement Significant information about course of hospital stay
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Hospital course Narrative)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 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
ele-1: All FHIR elements must have a @value or children
..... entry C 1..1 Reference(Inpatient Encounter Xpandh) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
..... Slices for section C 3..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... section:diagnosticSummaryDescription C 0..1 BackboneElement Diagnostic summary section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Diagnostic studies report (record artifact))
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 721981007
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
....... entry C 0..* Reference(Condition Xpandh Hospital Dischage Encounter) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:significantProcedures C 1..1 BackboneElement Significant procedures
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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


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


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


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


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


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


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
......... entry C 0..* Reference(Xpandh Clinical Impression Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:dischargeDetails C 1..1 BackboneElement Discharge details
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Hospital discharge disposition Narrative)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 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
ele-1: All FHIR elements must have a @value or children
..... Slices for section C 0..* See section (Composition) Objective findings
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... section:anthropometry C 0..1 BackboneElement Anthropometric observations
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Body measurements)
........ id 0..0 string Unique id for inter-element referencing
........ extension 0..0 Extension Additional content defined by implementations
........ coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
......... id 0..0 string Unique id for inter-element referencing
......... extension 0..0 Extension Additional content defined by implementations
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... version 0..0 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 248326004
......... display 0..0 string Representation defined by the system
......... userSelected 0..0 boolean If this coding was chosen directly by the user
........ text 0..0 string Plain text representation of the concept
....... text C 1..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:vitalSigns C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Vital signs
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184593002
......... display 1..1 string Representation defined by the system
Fixed Value: Vital sign document section (record artifact)
....... entry C 1..* Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
...... section:physicalExamination C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Physical examination
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 425044008
......... display 1..1 string Representation defined by the system
Fixed Value: Physical exam section (record artifact)
....... text C 1..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
...... section:functionalStatus C 0..1 BackboneElement Nested Section
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
Required Pattern: Functional status assessment
....... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
........ coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
......... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1184588000
......... display 1..1 string Representation defined by the system
Fixed Value: Functional status document section (record artifact)
....... entry C 0..* Reference(Xpandh Functional Status Observation Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:sectionPlanOfCare C 0..1 BackboneElement Care plan and other recommendations after discharge.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


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


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(MedicationStatement | MedicationRequest | MedicationDispense Xpandh) Medication statement, Medication request/recommendation or Medications dispensation.
ele-1: All FHIR elements must have a @value or children
.... section:sectionHealthInsurance C 0..1 BackboneElement Health insurance and payment information.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... entry C 0..* Reference(Coverage: Encounter Payer) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:patientHxSection C 0..1 BackboneElement Patient History Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (History general Narrative - Reported)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11329-0
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
..... Slices for section C 0..* See section (Composition) Nested Section
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... section:pastProblems C 0..1 BackboneElement History of Past Illness
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 0..* Reference(Condition Xpandh Profile) Condition details.
ele-1: All FHIR elements must have a @value or children
...... section:medicalDevicesHx C 0..1 BackboneElement Devices and Implants
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(DeviceUseStatement) Devices and Implants.
ele-1: All FHIR elements must have a @value or children
...... section:proceduresHx C 0..1 BackboneElement History of procedures
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(Procedure (Xpandh)) Procedures
ele-1: All FHIR elements must have a @value or children
...... section:vaccination C 0..1 BackboneElement Vaccination history
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(Xpandh Immunization Profile) Patient's immunization status and pertinent history.
ele-1: All FHIR elements must have a @value or children
...... section:infectiousContacts C 0..1 BackboneElement Infectious contacts
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 0..* Reference(Xpandh Infectious Contact Profile) Exposure to an infectious agent.
ele-1: All FHIR elements must have a @value or children
...... section:travelHx C 0..1 BackboneElement Travel history
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 1..* Reference(Xpandh travel history Profile) Travel history of the patient.
ele-1: All FHIR elements must have a @value or children
...... section:familyHx C 0..1 BackboneElement Family history
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 0..* Reference(FamilyMemberHistory) Family history
ele-1: All FHIR elements must have a @value or children
...... section:socialHx C 0..1 BackboneElement Social history
ele-1: All FHIR elements must have a @value or children
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
....... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... entry C 0..* Reference(Xpandh social history Profile) Social history
ele-1: All FHIR elements must have a @value or children
.... section:sectionAllergies C 0..1 BackboneElement HDR Allergies and Intolerances Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Allergies and adverse reactions Document)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 1..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:allergyIntolerance SC 0..* Reference(Allergy Intolerance (IPS)) HDR Allergy entry
ele-1: All FHIR elements must have a @value or children
.... section:alertSection SC 0..1 BackboneElement Health Concern Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) Alerts
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:flag SC 0..* Reference(Flag) Flags
ele-1: All FHIR elements must have a @value or children
...... entry:detectedIssue SC 0..* Reference(DetectedIssue) Detected Issue
ele-1: All FHIR elements must have a @value or children
...... entry:riskAssessment SC 0..* Reference(RiskAssessment) Risk Assessment
ele-1: All FHIR elements must have a @value or children
.... section:CareTeamSection SC 0..1 BackboneElement Care Team Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Patient Care team information)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85847-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) Care Teams
Slice: Unordered, Open by type:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:cteam SC 0..* Reference(CareTeam) Care Team
ele-1: All FHIR elements must have a @value or children
.... section:sectionAdvanceDirectives C 0..1 BackboneElement Advance Directives Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title 1..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
..... code 1..1 CodeableConceptIPS Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Advance directives)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... text C 1..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
..... entry C 0..* Reference(Consent | DocumentReference) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 34105-7
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.section:admissionEvaluationSection.codeexampleFixed Value: LOINC Code 67852-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:vitalSigns.codeexamplePattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:physicalExamination.codeexamplePattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admissionEvaluationSection.section:functionalStatus.codeexamplePattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.codeexampleFixed Value: LOINC Code 8648-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:diagnosticSummaryDescription.codeexampleFixed Value: SNOMED-CT Code 721981007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantProcedures.codeexampleFixed Value: SNOMED-CT Code 1269501001
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medicalDevices.codeexampleFixed Value: SNOMED-CT Code 1184586001
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:medications.codeexampleFixed Value: SNOMED-CT Code 761931002
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:significantResults.codeexampleFixed Value: SNOMED-CT Code 423100009
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.codeexampleFixed Value: SNOMED-CT Code 866144008
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:problemSynthesis.codeexampleFixed Value: SNOMED-CT Code 423016009
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHospitalCourse.section:synthesis.section:clinicalReasoning.codeexampleFixed Value: SNOMED-CT Code 1331904007
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.codeexampleFixed Value: LOINC Code 8650-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:anthropometry.codeexampleFixed Value: SNOMED-CT Code 248326004
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:vitalSigns.codeexamplePattern: SNOMED-CT Code 1184593002("Vital sign document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:physicalExamination.codeexamplePattern: SNOMED-CT Code 425044008("Physical exam section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:dischargeDetails.section:functionalStatus.codeexamplePattern: SNOMED-CT Code 1184588000("Functional status document section (record artifact)")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPlanOfCare.codeexampleFixed Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPlanOfCare.section:medicationSummary.codeexampleFixed Value: SNOMED-CT Code 721912009
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHealthInsurance.codeexampleFixed Value: LOINC Code 48768-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.codeexampleFixed Value: LOINC Code 11329-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.section:pastProblems.codeexampleFixed Value: SNOMED-CT Code 1003642006
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.section:medicalDevicesHx.codeexampleFixed Value: SNOMED-CT Code 1184586001
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.section:proceduresHx.codeexampleFixed Value: SNOMED-CT Code 1269501001
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.section:vaccination.codeexampleFixed Value: SNOMED-CT Code 41000179103
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.section:infectiousContacts.codeexampleFixed Value: SNOMED-CT Code 444071008
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.section:travelHx.codeexampleFixed Value: SNOMED-CT Code 443846001
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.section:familyHx.codeexampleFixed Value: SNOMED-CT Code 422432008
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:patientHxSection.section:socialHx.codeexampleFixed Value: SNOMED-CT Code 1184589008
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:alertSection.codeexampleFixed Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CareTeamSection.codeexampleFixed Value: LOINC Code 85847-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexampleFixed Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

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

 

Other representations of profile: CSV, Excel, Schematron