XpanDH Patient Summary, 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-ps/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: Composition (EU PS)

Clinical document used to represent a Patient Summary for the scope of this project.

Usage:

• Use this Resource Profile: Bundle (EU PS)

Formal Views of Profile Content

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

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

This structure is derived from CompositionUvIps

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionUvIps	Patient Summary composition
identifier		0..1	Identifier	HDR business identifier
status		1..1	code	HDR status
type		1..1	CodeableConceptIPS	Kind of composition ("Patient Summary")
subject		1..1	Reference(Patient (EU PS))	Who and/or what the composition is about
date		1..1	dateTime	HDR date
Slices for author		1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve()
author:practictionerRole		0..*	Reference(PractitionerRole (EU PS))	Who and/or what authored the IPS
title		1..1	string	Patient Summary
attester
mode		1..1	code	The type of attestation
section		5..*	BackboneElement	Sections composing the IPS
Slices for section				Content/Rules for all slices
section:sectionMedications		1..1	BackboneElement	eHDSI Medication Summary
Slices for entry				Content/Rules for all slices
entry:medicationStatement		0..*	Reference(Medication Statement (EU PS))	A reference to data that supports this section
section:sectionAllergies		1..1	BackboneElement	eHDSI Allergies and Other Adverse Reactions
Slices for entry				Content/Rules for all slices
entry:allergyOrIntolerance		1..*	Reference(Allergy Intolerance (EU PS))	A reference to data that supports this section
section:sectionProblems		1..1	BackboneElement	IPS Problems Section
Slices for entry				Content/Rules for all slices
entry:problem		1..*	Reference(Condition (EU PS))	eHDSI Active Problems
section:sectionProceduresHx		1..1	BackboneElement	eHDSI List of Surgeries
Slices for entry				Content/Rules for all slices
entry:procedure		1..*	Reference(Procedure (EU PS))	A reference to data that supports this section
section:sectionImmunizations		0..1	BackboneElement	eHDSI Immunizations
Slices for entry				Content/Rules for all slices
entry:immunization		1..*	Reference(Immunization (EU PS))	A reference to data that supports this section
section:sectionMedicalDevices		1..1	BackboneElement	eHDSI Medical Devices
Slices for entry				Content/Rules for all slices
entry:deviceStatement		1..*	Reference(Device Use Statement (EU PS))	A reference to data that supports this section
section:sectionResults		0..1	BackboneElement	eHDSI Coded Results
Slices for entry				Content/Rules for all slices
entry:results-observation		0..*	Reference(Observation: Blood Group | Observation Results (EU PS))	A reference to data that supports this section
section:sectionVitalSigns		0..1	BackboneElement	IPS Vital Signs Section
Slices for entry				Content/Rules for all slices
entry:vitalSign		0..*	Reference(Observation Blood Pressure Profile)	eHDSI Vital Signs
section:sectionPastIllnessHx		0..1	BackboneElement	IPS History of Past Illness Section
Slices for entry				Content/Rules for all slices
entry:pastProblem		1..*	Reference(Condition (EU PS))	eHDSI History Of Past Illness
section:sectionFunctionalStatus		0..1	BackboneElement	eHDSI Functional Status
section:sectionPlanOfCare		0..1	BackboneElement	eHDSI Health Maintenance Care Plan
section:sectionSocialHistory		0..1	BackboneElement	eHDSI Social History
Slices for entry				Content/Rules for all slices
entry:eHDSISocialHistory		0..*	Reference(Observation Social History (EU PS))	eHDSI Social History Observation
section:sectionPregnancyHx		0..1	BackboneElement	eHDSI Pregnancy History
title		1..1	string	Pregnancy Section title
Slices for entry				Content/Rules for all slices
entry:pregnancyStatus		0..*	Reference(Observation - Pregnancy: status)	Pregnancy status
entry:pregnancyOutcomeSummary		0..*	Reference(Observation - Pregnancy: outcome)	Pregnancy outcome summary
section:sectionAdvanceDirectives		0..1	BackboneElement	eHDSI Advance Directives Section
section:sectionAlert		0..1	BackboneElement	Alerts Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (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
Slices for entry		0..*	Reference(Resource)	Alerts Slice: Unordered, Open by type:resolve()
entry:flag		0..*	Reference(Flag (EU PS))	Flags
entry:detectedIssue		0..*	Reference(DetectedIssue)	Detected Issue
entry:riskAssessment		0..*	Reference(RiskAssessment)	Risk Assessment
section:sectionTravelHx		0..1	BackboneElement	Travel History Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (History of Travel Narrative)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10182-4
section:sectionPatientHx		0..1	BackboneElement	Patient History Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (History general Narrative - Reported)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionUvIps	Patient Summary 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
text	S	0..1	Narrative	Text summary of the resource, for human interpretation 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
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
identifier	SΣ	0..1	Identifier	HDR business identifier ele-1: All FHIR elements must have a @value or children
status	?!SΣ	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	S	1..1	CodeableConceptIPS	Kind of composition ("Patient Summary") 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: 60591-5
subject	SΣ	1..1	Reference(Patient (EU PS))	Who and/or what the composition is about ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
date	SΣ	1..1	dateTime	HDR date ele-1: All FHIR elements must have a @value or children
Slices for author	SΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve() ele-1: All FHIR elements must have a @value or children
author:practictionerRole	SΣ	0..*	Reference(PractitionerRole (EU PS))	Who and/or what authored the IPS ele-1: All FHIR elements must have a @value or children
title	SΣ	1..1	string	Patient Summary ele-1: All FHIR elements must have a @value or children
attester	S	0..*	BackboneElement	Attests to accuracy of composition 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
mode	S	1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children
time	S	0..1	dateTime	When the composition was attested ele-1: All FHIR elements must have a @value or children
party	S	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition ele-1: All FHIR elements must have a @value or children
custodian	SΣ	0..1	Reference(Organization)	Organization which maintains the composition ele-1: All FHIR elements must have a @value or children
Slices for event	Σ	0..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by pattern:code ele-1: All FHIR elements must have a @value or children
event: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
event:careProvisioningEvent	SΣ	0..1	BackboneElement	The care provisioning being documented 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
code	SΣ	1..1	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. 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://terminology.hl7.org/CodeSystem/v3-ActClass
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PCPR
period	SΣ	0..1	Period	The period covered by the documentation ele-1: All FHIR elements must have a @value or children
Slices for section	SC	5..*	BackboneElement	Sections composing the IPS Slice: Unordered, Open by pattern: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
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children
text	SC	1..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
section:sectionMedications	SC	1..1	BackboneElement	eHDSI Medication Summary 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	S	1..1	string	Medication Summary section ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
Slices for entry	SC	1..*	Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference)	Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:medicationStatement	C	0..*	Reference(Medication Statement (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:medicationRequest	C	0..*	Reference(Medication Request (IPS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionAllergies	SC	1..1	BackboneElement	eHDSI Allergies and Other Adverse Reactions 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
Slices for entry	SC	1..*	Reference(AllergyIntolerance | DocumentReference)	Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:allergyOrIntolerance	SC	1..*	Reference(Allergy Intolerance (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionProblems	SC	1..1	BackboneElement	IPS Problems 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
Slices for entry	SC	1..*	Reference(Condition | DocumentReference)	Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:problem	SC	1..*	Reference(Condition (EU PS))	eHDSI Active Problems ele-1: All FHIR elements must have a @value or children
section:sectionProceduresHx	SC	1..1	BackboneElement	eHDSI List of Surgeries 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
Slices for entry	SC	1..*	Reference(Procedure | DocumentReference)	Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:procedure	SC	1..*	Reference(Procedure (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionImmunizations	SC	0..1	BackboneElement	eHDSI Immunizations 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
Slices for entry	SC	1..*	Reference(Immunization | DocumentReference)	Patient's immunization status and pertinent history. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:immunization	SC	1..*	Reference(Immunization (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionMedicalDevices	SC	1..1	BackboneElement	eHDSI Medical Devices 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 46264-8
Slices for entry	SC	1..*	Reference(DeviceUseStatement | DocumentReference)	Patient history of medical device use. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:deviceStatement	SC	1..*	Reference(Device Use Statement (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionResults	SC	0..1	BackboneElement	eHDSI Coded Results 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
Slices for entry	SC	1..*	Reference(Observation | DiagnosticReport | DocumentReference)	Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Slice: Unordered, Open by type:resolve(), profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:results-observation	SC	0..*	Reference(Observation: Blood Group | Observation Results (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:results-diagnosticReport	SC	0..*	Reference(DiagnosticReport (IPS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionVitalSigns	C	0..1	BackboneElement	IPS Vital Signs 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		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Notable vital signs or physical findings. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:vitalSign	C	0..*	Reference(Observation Blood Pressure Profile)	eHDSI Vital Signs ele-1: All FHIR elements must have a @value or children
section:sectionPastIllnessHx	C	0..1	BackboneElement	IPS History of Past Illness Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
Slices for entry	C	1..*	Reference(Condition | DocumentReference)	Conditions the patient suffered in the past. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:pastProblem	C	1..*	Reference(Condition (EU PS))	eHDSI History Of Past Illness ele-1: All FHIR elements must have a @value or children
section:sectionFunctionalStatus	C	0..1	BackboneElement	eHDSI Functional Status 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		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47420-5
Slices for entry	C	0..*	Reference(Condition | ClinicalImpression | DocumentReference)	Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:disability	C	0..*	Reference(Condition (IPS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:functionalAssessment	C	0..*	Reference(ClinicalImpression)	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	eHDSI Health Maintenance Care Plan 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		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
Slices for entry	C	0..*	Reference(CarePlan | DocumentReference)	Optional entry used to represent structured care plans Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:carePlan	C	0..*	Reference(CarePlan)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionSocialHistory	C	0..1	BackboneElement	eHDSI Social History 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		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29762-2
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:smokingTobaccoUse	C	0..1	Reference(Observation - SH: tobacco use)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:alcoholUse	C	0..1	Reference(Observation - SH: alcohol use)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:eHDSISocialHistory	C	0..*	Reference(Observation Social History (EU PS))	eHDSI Social History Observation ele-1: All FHIR elements must have a @value or children
section:sectionPregnancyHx	C	0..1	BackboneElement	eHDSI Pregnancy History 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	Pregnancy Section title ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10162-6
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Current pregnancy status and, optionally, information about the outcome of earlier pregnancies. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:pregnancyStatus	C	0..*	Reference(Observation - Pregnancy: status)	Pregnancy status ele-1: All FHIR elements must have a @value or children
entry:pregnancyOutcomeSummary	C	0..*	Reference(Observation - Pregnancy: outcome)	Pregnancy outcome summary ele-1: All FHIR elements must have a @value or children
section:sectionAdvanceDirectives	C	0..1	BackboneElement	eHDSI 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		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
Slices for entry	C	0..*	Reference(Consent | DocumentReference)	Narrative description of the patient's advance directive. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:advanceDirectivesConsent	C	0..*	Reference(Consent)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionAlert	SC	0..1	BackboneElement	Alerts 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	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Fixed Value: As shown (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	SC	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	C	0..*	Reference(Flag (EU PS))	Flags ele-1: All FHIR elements must have a @value or children
entry:detectedIssue	C	0..*	Reference(DetectedIssue)	Detected Issue ele-1: All FHIR elements must have a @value or children
entry:riskAssessment	C	0..*	Reference(RiskAssessment)	Risk Assessment ele-1: All FHIR elements must have a @value or children
section:sectionTravelHx	SC	0..1	BackboneElement	Travel 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	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Fixed Value: As shown (History of Travel 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: 10182-4
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	SC	1..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
section:sectionPatientHx	SC	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	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Fixed Value: As shown (History general Narrative - Reported)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	SC	1..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 60591-5 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.event:careProvisioningEvent.code	example	Pattern: PCPR http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionMedications.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAllergies.code	example	Pattern: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProblems.code	example	Pattern: LOINC Code 11450-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProceduresHx.code	example	Pattern: LOINC Code 47519-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionImmunizations.code	example	Pattern: LOINC Code 11369-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionMedicalDevices.code	example	Pattern: LOINC Code 46264-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionResults.code	example	Pattern: LOINC Code 30954-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionVitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPastIllnessHx.code	example	Pattern: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionFunctionalStatus.code	example	Pattern: LOINC Code 47420-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.code	example	Pattern: LOINC Code 18776-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionSocialHistory.code	example	Pattern: LOINC Code 29762-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPregnancyHx.code	example	Pattern: LOINC Code 10162-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAdvanceDirectives.code	example	Pattern: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAlert.code	example	Fixed Value: LOINC Code 104605-1 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionTravelHx.code	example	Fixed Value: LOINC Code 10182-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPatientHx.code	example	Fixed Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionUvIps	Patient Summary composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	HDR business identifier
status	?!SΣ	1..1	code	HDR status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	S	1..1	CodeableConceptIPS	Kind of composition ("Patient Summary") 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: 60591-5
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	SΣ	1..1	Reference(Patient (EU PS))	Who and/or what the composition is about
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	HDR date
Slices for author	SΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve()
author:practictionerRole	SΣ	0..*	Reference(PractitionerRole (EU PS))	Who and/or what authored the IPS
title	SΣ	1..1	string	Patient Summary
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	S	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	S	1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	When the composition was attested
party	S	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	SΣ	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 | Composition (IPS))
Slices for event	Σ	0..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by pattern:code
event: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
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
event:careProvisioningEvent	SΣ	0..1	BackboneElement	The care provisioning 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	SΣ	1..1	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. 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://terminology.hl7.org/CodeSystem/v3-ActClass
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PCPR
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
period	SΣ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	5..*	BackboneElement	Sections composing the IPS Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text 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	SC	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:sectionMedications	SC	1..1	BackboneElement	eHDSI Medication Summary cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Medication Summary section
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://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: 10160-0
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference)	Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve()
entry:medicationStatement	C	0..*	Reference(Medication Statement (EU PS))	A reference to data that supports this section
entry:medicationRequest	C	0..*	Reference(Medication Request (IPS))	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:sectionAllergies	SC	1..1	BackboneElement	eHDSI Allergies and Other Adverse Reactions cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 48765-2
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(AllergyIntolerance | DocumentReference)	Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by profile:resolve()
entry:allergyOrIntolerance	SC	1..*	Reference(Allergy Intolerance (EU PS))	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:sectionProblems	SC	1..1	BackboneElement	IPS Problems Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 11450-4
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Condition | DocumentReference)	Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by profile:resolve()
entry:problem	SC	1..*	Reference(Condition (EU PS))	eHDSI Active Problems
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:sectionProceduresHx	SC	1..1	BackboneElement	eHDSI List of Surgeries cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 47519-4
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Procedure | DocumentReference)	Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by profile:resolve()
entry:procedure	SC	1..*	Reference(Procedure (EU PS))	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:sectionImmunizations	SC	0..1	BackboneElement	eHDSI Immunizations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 11369-6
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Immunization | DocumentReference)	Patient's immunization status and pertinent history. Slice: Unordered, Open by profile:resolve()
entry:immunization	SC	1..*	Reference(Immunization (EU PS))	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:sectionMedicalDevices	SC	1..1	BackboneElement	eHDSI Medical Devices cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 46264-8
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(DeviceUseStatement | DocumentReference)	Patient history of medical device use. Slice: Unordered, Open by profile:resolve()
entry:deviceStatement	SC	1..*	Reference(Device Use Statement (EU PS))	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:sectionResults	SC	0..1	BackboneElement	eHDSI Coded Results cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 30954-2
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Observation | DiagnosticReport | DocumentReference)	Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Slice: Unordered, Open by type:resolve(), profile:resolve()
entry:results-observation	SC	0..*	Reference(Observation: Blood Group | Observation Results (EU PS))	A reference to data that supports this section
entry:results-diagnosticReport	SC	0..*	Reference(DiagnosticReport (IPS))	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:sectionVitalSigns	C	0..1	BackboneElement	IPS Vital Signs Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 8716-3
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Notable vital signs or physical findings. Slice: Unordered, Open by profile:resolve()
entry:vitalSign	C	0..*	Reference(Observation Blood Pressure Profile)	eHDSI Vital Signs
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:sectionPastIllnessHx	C	0..1	BackboneElement	IPS History of Past Illness Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 11348-0
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	1..*	Reference(Condition | DocumentReference)	Conditions the patient suffered in the past. Slice: Unordered, Open by profile:resolve()
entry:pastProblem	C	1..*	Reference(Condition (EU PS))	eHDSI History Of Past Illness
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:sectionFunctionalStatus	C	0..1	BackboneElement	eHDSI Functional Status cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 47420-5
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Condition | ClinicalImpression | DocumentReference)	Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by profile:resolve()
entry:disability	C	0..*	Reference(Condition (IPS))	A reference to data that supports this section
entry:functionalAssessment	C	0..*	Reference(ClinicalImpression)	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:sectionPlanOfCare	C	0..1	BackboneElement	eHDSI Health Maintenance Care Plan cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 18776-5
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(CarePlan | DocumentReference)	Optional entry used to represent structured care plans Slice: Unordered, Open by profile:resolve()
entry:carePlan	C	0..*	Reference(CarePlan)	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:sectionSocialHistory	C	0..1	BackboneElement	eHDSI Social History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 29762-2
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:resolve()
entry:smokingTobaccoUse	C	0..1	Reference(Observation - SH: tobacco use)	A reference to data that supports this section
entry:alcoholUse	C	0..1	Reference(Observation - SH: alcohol use)	A reference to data that supports this section
entry:eHDSISocialHistory	C	0..*	Reference(Observation Social History (EU PS))	eHDSI Social History Observation
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:sectionPregnancyHx	C	0..1	BackboneElement	eHDSI Pregnancy History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Pregnancy Section title
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://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: 10162-6
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Current pregnancy status and, optionally, information about the outcome of earlier pregnancies. Slice: Unordered, Open by profile:resolve()
entry:pregnancyStatus	C	0..*	Reference(Observation - Pregnancy: status)	Pregnancy status
entry:pregnancyOutcomeSummary	C	0..*	Reference(Observation - Pregnancy: outcome)	Pregnancy outcome summary
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:sectionAdvanceDirectives	C	0..1	BackboneElement	eHDSI Advance Directives Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 42348-3
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Consent | DocumentReference)	Narrative description of the patient's advance directive. Slice: Unordered, Open by profile:resolve()
entry:advanceDirectivesConsent	C	0..*	Reference(Consent)	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:sectionAlert	SC	0..1	BackboneElement	Alerts Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (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	SC	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	Alerts Slice: Unordered, Open by type:resolve()
entry:flag	C	0..*	Reference(Flag (EU PS))	Flags
entry:detectedIssue	C	0..*	Reference(DetectedIssue)	Detected Issue
entry:riskAssessment	C	0..*	Reference(RiskAssessment)	Risk Assessment
section:sectionTravelHx	SC	0..1	BackboneElement	Travel History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History of Travel 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: 10182-4
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	SC	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:sectionPatientHx	SC	0..1	BackboneElement	Patient History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History general Narrative - Reported)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 60591-5 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.event:careProvisioningEvent.code	example	Pattern: PCPR http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionMedications.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionMedications.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionMedications.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionMedications.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionAllergies.code	example	Pattern: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAllergies.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionAllergies.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionAllergies.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionProblems.code	example	Pattern: LOINC Code 11450-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProblems.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionProblems.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionProblems.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionProceduresHx.code	example	Pattern: LOINC Code 47519-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProceduresHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionProceduresHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionProceduresHx.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionImmunizations.code	example	Pattern: LOINC Code 11369-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionImmunizations.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionImmunizations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionImmunizations.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionMedicalDevices.code	example	Pattern: LOINC Code 46264-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionMedicalDevices.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionMedicalDevices.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionMedicalDevices.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionResults.code	example	Pattern: LOINC Code 30954-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionResults.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionResults.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionResults.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionVitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionVitalSigns.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionVitalSigns.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionVitalSigns.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionPastIllnessHx.code	example	Pattern: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPastIllnessHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPastIllnessHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPastIllnessHx.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionFunctionalStatus.code	example	Pattern: LOINC Code 47420-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionFunctionalStatus.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionFunctionalStatus.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionFunctionalStatus.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionPlanOfCare.code	example	Pattern: LOINC Code 18776-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPlanOfCare.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionSocialHistory.code	example	Pattern: LOINC Code 29762-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionSocialHistory.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionSocialHistory.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionSocialHistory.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionPregnancyHx.code	example	Pattern: LOINC Code 10162-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPregnancyHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPregnancyHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPregnancyHx.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionAdvanceDirectives.code	example	Pattern: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAdvanceDirectives.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionAdvanceDirectives.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionAlert.code	example	Fixed Value: LOINC Code 104605-1 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAlert.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionAlert.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionTravelHx.code	example	Fixed Value: LOINC Code 10182-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionTravelHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionTravelHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPatientHx.code	example	Fixed Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPatientHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPatientHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionVitalSigns, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionPregnancyHx, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx	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:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionVitalSigns, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionPregnancyHx, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx	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 CompositionUvIps

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• Patient (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Patient-ps-xpandh)
• PractitionerRole (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/PractitionerRole-eu-xpandh)
• Medication Statement (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/MedicationStatement-ps-xpandh)
• Allergy Intolerance (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/AllergyIntolerance-ps-xpandh)
• Condition (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Condition-ps-xpandh)
• Procedure (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Procedure-ps-xpandh)
• Immunization (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Immunization-ps-xpandh)
• Device Use Statement (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/DeviceUseStatement-ps-xpandh)
• Observation: Blood Group (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Observation-bloodGrp-xpandh)
• Observation Results (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Observation-results-xpandh)
• Observation Blood Pressure Profile (http://hl7.org/fhir/StructureDefinition/bp)
• Observation Social History (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Observation-socialHistory-xpandh)
• Flag (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Flag-ps-xpandh)

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.entry

Differential View

This structure is derived from CompositionUvIps

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionUvIps	Patient Summary composition
identifier		0..1	Identifier	HDR business identifier
status		1..1	code	HDR status
type		1..1	CodeableConceptIPS	Kind of composition ("Patient Summary")
subject		1..1	Reference(Patient (EU PS))	Who and/or what the composition is about
date		1..1	dateTime	HDR date
Slices for author		1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve()
author:practictionerRole		0..*	Reference(PractitionerRole (EU PS))	Who and/or what authored the IPS
title		1..1	string	Patient Summary
attester
mode		1..1	code	The type of attestation
section		5..*	BackboneElement	Sections composing the IPS
Slices for section				Content/Rules for all slices
section:sectionMedications		1..1	BackboneElement	eHDSI Medication Summary
Slices for entry				Content/Rules for all slices
entry:medicationStatement		0..*	Reference(Medication Statement (EU PS))	A reference to data that supports this section
section:sectionAllergies		1..1	BackboneElement	eHDSI Allergies and Other Adverse Reactions
Slices for entry				Content/Rules for all slices
entry:allergyOrIntolerance		1..*	Reference(Allergy Intolerance (EU PS))	A reference to data that supports this section
section:sectionProblems		1..1	BackboneElement	IPS Problems Section
Slices for entry				Content/Rules for all slices
entry:problem		1..*	Reference(Condition (EU PS))	eHDSI Active Problems
section:sectionProceduresHx		1..1	BackboneElement	eHDSI List of Surgeries
Slices for entry				Content/Rules for all slices
entry:procedure		1..*	Reference(Procedure (EU PS))	A reference to data that supports this section
section:sectionImmunizations		0..1	BackboneElement	eHDSI Immunizations
Slices for entry				Content/Rules for all slices
entry:immunization		1..*	Reference(Immunization (EU PS))	A reference to data that supports this section
section:sectionMedicalDevices		1..1	BackboneElement	eHDSI Medical Devices
Slices for entry				Content/Rules for all slices
entry:deviceStatement		1..*	Reference(Device Use Statement (EU PS))	A reference to data that supports this section
section:sectionResults		0..1	BackboneElement	eHDSI Coded Results
Slices for entry				Content/Rules for all slices
entry:results-observation		0..*	Reference(Observation: Blood Group | Observation Results (EU PS))	A reference to data that supports this section
section:sectionVitalSigns		0..1	BackboneElement	IPS Vital Signs Section
Slices for entry				Content/Rules for all slices
entry:vitalSign		0..*	Reference(Observation Blood Pressure Profile)	eHDSI Vital Signs
section:sectionPastIllnessHx		0..1	BackboneElement	IPS History of Past Illness Section
Slices for entry				Content/Rules for all slices
entry:pastProblem		1..*	Reference(Condition (EU PS))	eHDSI History Of Past Illness
section:sectionFunctionalStatus		0..1	BackboneElement	eHDSI Functional Status
section:sectionPlanOfCare		0..1	BackboneElement	eHDSI Health Maintenance Care Plan
section:sectionSocialHistory		0..1	BackboneElement	eHDSI Social History
Slices for entry				Content/Rules for all slices
entry:eHDSISocialHistory		0..*	Reference(Observation Social History (EU PS))	eHDSI Social History Observation
section:sectionPregnancyHx		0..1	BackboneElement	eHDSI Pregnancy History
title		1..1	string	Pregnancy Section title
Slices for entry				Content/Rules for all slices
entry:pregnancyStatus		0..*	Reference(Observation - Pregnancy: status)	Pregnancy status
entry:pregnancyOutcomeSummary		0..*	Reference(Observation - Pregnancy: outcome)	Pregnancy outcome summary
section:sectionAdvanceDirectives		0..1	BackboneElement	eHDSI Advance Directives Section
section:sectionAlert		0..1	BackboneElement	Alerts Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (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
Slices for entry		0..*	Reference(Resource)	Alerts Slice: Unordered, Open by type:resolve()
entry:flag		0..*	Reference(Flag (EU PS))	Flags
entry:detectedIssue		0..*	Reference(DetectedIssue)	Detected Issue
entry:riskAssessment		0..*	Reference(RiskAssessment)	Risk Assessment
section:sectionTravelHx		0..1	BackboneElement	Travel History Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (History of Travel Narrative)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10182-4
section:sectionPatientHx		0..1	BackboneElement	Patient History Section
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Fixed Value: As shown (History general Narrative - Reported)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionUvIps	Patient Summary 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
text	S	0..1	Narrative	Text summary of the resource, for human interpretation 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
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
identifier	SΣ	0..1	Identifier	HDR business identifier ele-1: All FHIR elements must have a @value or children
status	?!SΣ	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	S	1..1	CodeableConceptIPS	Kind of composition ("Patient Summary") 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: 60591-5
subject	SΣ	1..1	Reference(Patient (EU PS))	Who and/or what the composition is about ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
date	SΣ	1..1	dateTime	HDR date ele-1: All FHIR elements must have a @value or children
Slices for author	SΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve() ele-1: All FHIR elements must have a @value or children
author:practictionerRole	SΣ	0..*	Reference(PractitionerRole (EU PS))	Who and/or what authored the IPS ele-1: All FHIR elements must have a @value or children
title	SΣ	1..1	string	Patient Summary ele-1: All FHIR elements must have a @value or children
attester	S	0..*	BackboneElement	Attests to accuracy of composition 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
mode	S	1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children
time	S	0..1	dateTime	When the composition was attested ele-1: All FHIR elements must have a @value or children
party	S	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition ele-1: All FHIR elements must have a @value or children
custodian	SΣ	0..1	Reference(Organization)	Organization which maintains the composition ele-1: All FHIR elements must have a @value or children
Slices for event	Σ	0..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by pattern:code ele-1: All FHIR elements must have a @value or children
event: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
event:careProvisioningEvent	SΣ	0..1	BackboneElement	The care provisioning being documented 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
code	SΣ	1..1	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. 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://terminology.hl7.org/CodeSystem/v3-ActClass
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PCPR
period	SΣ	0..1	Period	The period covered by the documentation ele-1: All FHIR elements must have a @value or children
Slices for section	SC	5..*	BackboneElement	Sections composing the IPS Slice: Unordered, Open by pattern: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
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children
text	SC	1..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
section:sectionMedications	SC	1..1	BackboneElement	eHDSI Medication Summary 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	S	1..1	string	Medication Summary section ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
Slices for entry	SC	1..*	Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference)	Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:medicationStatement	C	0..*	Reference(Medication Statement (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:medicationRequest	C	0..*	Reference(Medication Request (IPS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionAllergies	SC	1..1	BackboneElement	eHDSI Allergies and Other Adverse Reactions 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
Slices for entry	SC	1..*	Reference(AllergyIntolerance | DocumentReference)	Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:allergyOrIntolerance	SC	1..*	Reference(Allergy Intolerance (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionProblems	SC	1..1	BackboneElement	IPS Problems 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
Slices for entry	SC	1..*	Reference(Condition | DocumentReference)	Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:problem	SC	1..*	Reference(Condition (EU PS))	eHDSI Active Problems ele-1: All FHIR elements must have a @value or children
section:sectionProceduresHx	SC	1..1	BackboneElement	eHDSI List of Surgeries 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
Slices for entry	SC	1..*	Reference(Procedure | DocumentReference)	Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:procedure	SC	1..*	Reference(Procedure (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionImmunizations	SC	0..1	BackboneElement	eHDSI Immunizations 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
Slices for entry	SC	1..*	Reference(Immunization | DocumentReference)	Patient's immunization status and pertinent history. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:immunization	SC	1..*	Reference(Immunization (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionMedicalDevices	SC	1..1	BackboneElement	eHDSI Medical Devices 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 46264-8
Slices for entry	SC	1..*	Reference(DeviceUseStatement | DocumentReference)	Patient history of medical device use. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:deviceStatement	SC	1..*	Reference(Device Use Statement (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionResults	SC	0..1	BackboneElement	eHDSI Coded Results 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	S	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
Slices for entry	SC	1..*	Reference(Observation | DiagnosticReport | DocumentReference)	Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Slice: Unordered, Open by type:resolve(), profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:results-observation	SC	0..*	Reference(Observation: Blood Group | Observation Results (EU PS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:results-diagnosticReport	SC	0..*	Reference(DiagnosticReport (IPS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionVitalSigns	C	0..1	BackboneElement	IPS Vital Signs 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		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Notable vital signs or physical findings. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:vitalSign	C	0..*	Reference(Observation Blood Pressure Profile)	eHDSI Vital Signs ele-1: All FHIR elements must have a @value or children
section:sectionPastIllnessHx	C	0..1	BackboneElement	IPS History of Past Illness Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
Slices for entry	C	1..*	Reference(Condition | DocumentReference)	Conditions the patient suffered in the past. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:pastProblem	C	1..*	Reference(Condition (EU PS))	eHDSI History Of Past Illness ele-1: All FHIR elements must have a @value or children
section:sectionFunctionalStatus	C	0..1	BackboneElement	eHDSI Functional Status 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		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47420-5
Slices for entry	C	0..*	Reference(Condition | ClinicalImpression | DocumentReference)	Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:disability	C	0..*	Reference(Condition (IPS))	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:functionalAssessment	C	0..*	Reference(ClinicalImpression)	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	eHDSI Health Maintenance Care Plan 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		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
Slices for entry	C	0..*	Reference(CarePlan | DocumentReference)	Optional entry used to represent structured care plans Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:carePlan	C	0..*	Reference(CarePlan)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionSocialHistory	C	0..1	BackboneElement	eHDSI Social History 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		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29762-2
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:smokingTobaccoUse	C	0..1	Reference(Observation - SH: tobacco use)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:alcoholUse	C	0..1	Reference(Observation - SH: alcohol use)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
entry:eHDSISocialHistory	C	0..*	Reference(Observation Social History (EU PS))	eHDSI Social History Observation ele-1: All FHIR elements must have a @value or children
section:sectionPregnancyHx	C	0..1	BackboneElement	eHDSI Pregnancy History 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	Pregnancy Section title ele-1: All FHIR elements must have a @value or children
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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10162-6
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Current pregnancy status and, optionally, information about the outcome of earlier pregnancies. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:pregnancyStatus	C	0..*	Reference(Observation - Pregnancy: status)	Pregnancy status ele-1: All FHIR elements must have a @value or children
entry:pregnancyOutcomeSummary	C	0..*	Reference(Observation - Pregnancy: outcome)	Pregnancy outcome summary ele-1: All FHIR elements must have a @value or children
section:sectionAdvanceDirectives	C	0..1	BackboneElement	eHDSI 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		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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
Slices for entry	C	0..*	Reference(Consent | DocumentReference)	Narrative description of the patient's advance directive. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
entry:advanceDirectivesConsent	C	0..*	Reference(Consent)	A reference to data that supports this section ele-1: All FHIR elements must have a @value or children
section:sectionAlert	SC	0..1	BackboneElement	Alerts 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	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Fixed Value: As shown (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	SC	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	C	0..*	Reference(Flag (EU PS))	Flags ele-1: All FHIR elements must have a @value or children
entry:detectedIssue	C	0..*	Reference(DetectedIssue)	Detected Issue ele-1: All FHIR elements must have a @value or children
entry:riskAssessment	C	0..*	Reference(RiskAssessment)	Risk Assessment ele-1: All FHIR elements must have a @value or children
section:sectionTravelHx	SC	0..1	BackboneElement	Travel 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	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Fixed Value: As shown (History of Travel 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: 10182-4
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	SC	1..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
section:sectionPatientHx	SC	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	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Fixed Value: As shown (History general Narrative - Reported)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
text	SC	1..1	Narrative	Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 60591-5 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.event:careProvisioningEvent.code	example	Pattern: PCPR http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionMedications.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAllergies.code	example	Pattern: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProblems.code	example	Pattern: LOINC Code 11450-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProceduresHx.code	example	Pattern: LOINC Code 47519-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionImmunizations.code	example	Pattern: LOINC Code 11369-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionMedicalDevices.code	example	Pattern: LOINC Code 46264-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionResults.code	example	Pattern: LOINC Code 30954-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionVitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPastIllnessHx.code	example	Pattern: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionFunctionalStatus.code	example	Pattern: LOINC Code 47420-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.code	example	Pattern: LOINC Code 18776-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionSocialHistory.code	example	Pattern: LOINC Code 29762-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPregnancyHx.code	example	Pattern: LOINC Code 10162-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAdvanceDirectives.code	example	Pattern: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAlert.code	example	Fixed Value: LOINC Code 104605-1 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionTravelHx.code	example	Fixed Value: LOINC Code 10182-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPatientHx.code	example	Fixed Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	CompositionUvIps	Patient Summary composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..1	Identifier	HDR business identifier
status	?!SΣ	1..1	code	HDR status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	S	1..1	CodeableConceptIPS	Kind of composition ("Patient Summary") 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: 60591-5
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	SΣ	1..1	Reference(Patient (EU PS))	Who and/or what the composition is about
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SΣ	1..1	dateTime	HDR date
Slices for author	SΣ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve()
author:practictionerRole	SΣ	0..*	Reference(PractitionerRole (EU PS))	Who and/or what authored the IPS
title	SΣ	1..1	string	Patient Summary
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	S	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	S	1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	0..1	dateTime	When the composition was attested
party	S	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	SΣ	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 | Composition (IPS))
Slices for event	Σ	0..*	BackboneElement	The clinical service(s) being documented Slice: Unordered, Open by pattern:code
event: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
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
event:careProvisioningEvent	SΣ	0..1	BackboneElement	The care provisioning 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	SΣ	1..1	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. 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://terminology.hl7.org/CodeSystem/v3-ActClass
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PCPR
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
period	SΣ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	5..*	BackboneElement	Sections composing the IPS Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text 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	SC	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:sectionMedications	SC	1..1	BackboneElement	eHDSI Medication Summary cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Medication Summary section
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://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: 10160-0
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference)	Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve()
entry:medicationStatement	C	0..*	Reference(Medication Statement (EU PS))	A reference to data that supports this section
entry:medicationRequest	C	0..*	Reference(Medication Request (IPS))	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:sectionAllergies	SC	1..1	BackboneElement	eHDSI Allergies and Other Adverse Reactions cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 48765-2
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(AllergyIntolerance | DocumentReference)	Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by profile:resolve()
entry:allergyOrIntolerance	SC	1..*	Reference(Allergy Intolerance (EU PS))	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:sectionProblems	SC	1..1	BackboneElement	IPS Problems Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 11450-4
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Condition | DocumentReference)	Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by profile:resolve()
entry:problem	SC	1..*	Reference(Condition (EU PS))	eHDSI Active Problems
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:sectionProceduresHx	SC	1..1	BackboneElement	eHDSI List of Surgeries cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 47519-4
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Procedure | DocumentReference)	Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by profile:resolve()
entry:procedure	SC	1..*	Reference(Procedure (EU PS))	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:sectionImmunizations	SC	0..1	BackboneElement	eHDSI Immunizations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 11369-6
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Immunization | DocumentReference)	Patient's immunization status and pertinent history. Slice: Unordered, Open by profile:resolve()
entry:immunization	SC	1..*	Reference(Immunization (EU PS))	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:sectionMedicalDevices	SC	1..1	BackboneElement	eHDSI Medical Devices cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 46264-8
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(DeviceUseStatement | DocumentReference)	Patient history of medical device use. Slice: Unordered, Open by profile:resolve()
entry:deviceStatement	SC	1..*	Reference(Device Use Statement (EU PS))	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:sectionResults	SC	0..1	BackboneElement	eHDSI Coded Results cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..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. 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: 30954-2
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Observation | DiagnosticReport | DocumentReference)	Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Slice: Unordered, Open by type:resolve(), profile:resolve()
entry:results-observation	SC	0..*	Reference(Observation: Blood Group | Observation Results (EU PS))	A reference to data that supports this section
entry:results-diagnosticReport	SC	0..*	Reference(DiagnosticReport (IPS))	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:sectionVitalSigns	C	0..1	BackboneElement	IPS Vital Signs Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 8716-3
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Notable vital signs or physical findings. Slice: Unordered, Open by profile:resolve()
entry:vitalSign	C	0..*	Reference(Observation Blood Pressure Profile)	eHDSI Vital Signs
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:sectionPastIllnessHx	C	0..1	BackboneElement	IPS History of Past Illness Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 11348-0
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	1..*	Reference(Condition | DocumentReference)	Conditions the patient suffered in the past. Slice: Unordered, Open by profile:resolve()
entry:pastProblem	C	1..*	Reference(Condition (EU PS))	eHDSI History Of Past Illness
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:sectionFunctionalStatus	C	0..1	BackboneElement	eHDSI Functional Status cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 47420-5
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Condition | ClinicalImpression | DocumentReference)	Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by profile:resolve()
entry:disability	C	0..*	Reference(Condition (IPS))	A reference to data that supports this section
entry:functionalAssessment	C	0..*	Reference(ClinicalImpression)	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:sectionPlanOfCare	C	0..1	BackboneElement	eHDSI Health Maintenance Care Plan cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 18776-5
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(CarePlan | DocumentReference)	Optional entry used to represent structured care plans Slice: Unordered, Open by profile:resolve()
entry:carePlan	C	0..*	Reference(CarePlan)	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:sectionSocialHistory	C	0..1	BackboneElement	eHDSI Social History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 29762-2
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:resolve()
entry:smokingTobaccoUse	C	0..1	Reference(Observation - SH: tobacco use)	A reference to data that supports this section
entry:alcoholUse	C	0..1	Reference(Observation - SH: alcohol use)	A reference to data that supports this section
entry:eHDSISocialHistory	C	0..*	Reference(Observation Social History (EU PS))	eHDSI Social History Observation
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:sectionPregnancyHx	C	0..1	BackboneElement	eHDSI Pregnancy History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Pregnancy Section title
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://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: 10162-6
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Observation | DocumentReference)	Current pregnancy status and, optionally, information about the outcome of earlier pregnancies. Slice: Unordered, Open by profile:resolve()
entry:pregnancyStatus	C	0..*	Reference(Observation - Pregnancy: status)	Pregnancy status
entry:pregnancyOutcomeSummary	C	0..*	Reference(Observation - Pregnancy: outcome)	Pregnancy outcome summary
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:sectionAdvanceDirectives	C	0..1	BackboneElement	eHDSI Advance Directives Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code		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://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: 42348-3
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Consent | DocumentReference)	Narrative description of the patient's advance directive. Slice: Unordered, Open by profile:resolve()
entry:advanceDirectivesConsent	C	0..*	Reference(Consent)	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:sectionAlert	SC	0..1	BackboneElement	Alerts Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (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	SC	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	C	0..*	Reference(Resource)	Alerts Slice: Unordered, Open by type:resolve()
entry:flag	C	0..*	Reference(Flag (EU PS))	Flags
entry:detectedIssue	C	0..*	Reference(DetectedIssue)	Detected Issue
entry:riskAssessment	C	0..*	Reference(RiskAssessment)	Risk Assessment
section:sectionTravelHx	SC	0..1	BackboneElement	Travel History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History of Travel 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: 10182-4
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	SC	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
section:sectionPatientHx	SC	0..1	BackboneElement	Patient History Section cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown (History general Narrative - Reported)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11329-0
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: LOINC Code 60591-5 http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.event:careProvisioningEvent.code	example	Pattern: PCPR http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionMedications.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionMedications.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionMedications.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionMedications.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionAllergies.code	example	Pattern: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAllergies.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionAllergies.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionAllergies.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionProblems.code	example	Pattern: LOINC Code 11450-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProblems.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionProblems.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionProblems.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionProceduresHx.code	example	Pattern: LOINC Code 47519-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionProceduresHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionProceduresHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionProceduresHx.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionImmunizations.code	example	Pattern: LOINC Code 11369-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionImmunizations.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionImmunizations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionImmunizations.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionMedicalDevices.code	example	Pattern: LOINC Code 46264-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionMedicalDevices.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionMedicalDevices.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionMedicalDevices.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionResults.code	example	Pattern: LOINC Code 30954-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionResults.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionResults.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionResults.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionVitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionVitalSigns.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionVitalSigns.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionVitalSigns.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionPastIllnessHx.code	example	Pattern: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPastIllnessHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPastIllnessHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPastIllnessHx.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionFunctionalStatus.code	example	Pattern: LOINC Code 47420-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionFunctionalStatus.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionFunctionalStatus.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionFunctionalStatus.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionPlanOfCare.code	example	Pattern: LOINC Code 18776-5 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPlanOfCare.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPlanOfCare.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionSocialHistory.code	example	Pattern: LOINC Code 29762-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionSocialHistory.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionSocialHistory.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionSocialHistory.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionPregnancyHx.code	example	Pattern: LOINC Code 10162-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPregnancyHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPregnancyHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPregnancyHx.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionAdvanceDirectives.code	example	Pattern: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAdvanceDirectives.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionAdvanceDirectives.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:sectionAlert.code	example	Fixed Value: LOINC Code 104605-1 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionAlert.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionAlert.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionTravelHx.code	example	Fixed Value: LOINC Code 10182-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionTravelHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionTravelHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:sectionPatientHx.code	example	Fixed Value: LOINC Code 11329-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:sectionPatientHx.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:sectionPatientHx.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionVitalSigns, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionPregnancyHx, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx	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:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionImmunizations, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionVitalSigns, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionPregnancyHx, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlert, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx	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 CompositionUvIps

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• Patient (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Patient-ps-xpandh)
• PractitionerRole (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/PractitionerRole-eu-xpandh)
• Medication Statement (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/MedicationStatement-ps-xpandh)
• Allergy Intolerance (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/AllergyIntolerance-ps-xpandh)
• Condition (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Condition-ps-xpandh)
• Procedure (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Procedure-ps-xpandh)
• Immunization (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Immunization-ps-xpandh)
• Device Use Statement (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/DeviceUseStatement-ps-xpandh)
• Observation: Blood Group (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Observation-bloodGrp-xpandh)
• Observation Results (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Observation-results-xpandh)
• Observation Blood Pressure Profile (http://hl7.org/fhir/StructureDefinition/bp)
• Observation Social History (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Observation-socialHistory-xpandh)
• Flag (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Flag-ps-xpandh)

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.entry