HL7 PT FHIR Implementation Guide: Noticia de Nascimento IG Release 1 | STU1, published by HL7 Portugal. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-pt/obs-neonat-ig/ and changes regularly. See the Directory of published versions

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Resource Profile: Composition que cria as secções da noticia nascimento

Composition que cria as secções da noticia nascimento

Usage:

• Use this Resource Profile: Documento Para noticia de Nascimento

Formal Views of Profile Content

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

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

This structure is derived from Clinical Document

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	A set of resources composed into a single coherent clinical statement with clinical attestation
status		1..1	code	preliminary | final | amended | entered-in-error Required Pattern: final
type		1..1	CodeableConcept	Kind of composition (LOINC if possible) 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: 71230-7
display		1..1	string	Representation defined by the system Fixed Value: Birth certificate
encounter	S	1..1	Reference(Encounter)	Context of the Composition
Slices for section		3..*	BackboneElement	Sections composing the IPS Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
code	S	1..1	CodeableConcept	Classification of section (recommended)
section		0..0
section:mother	S	1..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
entry	S	0..*	Reference(Perfil da mãe)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
section:pregnancy	S	1..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56833-7
display		1..1	string	Representation defined by the system Fixed Value: Pregnancy related history Narrative
entry	S	0..*	Reference(Perfil de Informação de gravidez)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
section:birth	S	1..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57074-7
display		1..1	string	Representation defined by the system Fixed Value: Labor and delivery process Narrative
Slices for entry	S	2..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:birthInfo		1..1	Reference(Perfil de Informação do Parto)	A reference to data that supports this section
entry:episode		1..*	Reference(Encounter | Contacto)	A reference to data that supports this section
section:newborn	S	0..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
display		1..1	string	Representation defined by the system Fixed Value: Newborn delivery information from newborn Narrative
entry	S	0..*	Reference(Perfil do recém-nascido)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
section:exams	S	0..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 73738-7
display		1..1	string	Representation defined by the system Fixed Value: Newborn screening test results panel - Point of Care
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:length		0..1	Reference(Observation Body Height Profile)	Comprimento (cm)
entry:bodyweigth		0..1	Reference(Observation Body Weight Profile)	Peso (gr)
entry:cephalicPerimeter		0..1	Reference(Observation Head Circumference Profile)	Perímetro cefálico (cm)
entry:apgar		0..1	Reference(Perfil de informação clinicas - apgarScore)	Índice(s) apgar
entry:malformation		0..1	Reference(Perfil de informação clinicas - Dados de malformações)	A reference to data that supports this section
entry:Phototherapy		0..1	Reference(Perfil de informação clinicas - Fototerapia)	A reference to data that supports this section
entry:hearingscreen		0..1	Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal)	A reference to data that supports this section
entry:Congenital		0..1	Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas)	A reference to data that supports this section
entry:Metabolic		0..1	Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas)	A reference to data that supports this section
entry:Pupillary		0..1	Reference(Perfil de informação clinicas - Teste Reflexo pupilar)	Teste Reflexo pupilar
entry:newbornriskassessment		0..1	Reference(Informação sobre RiskAssessment)	Avaliação de risco e referenciação ao NHACJR
section:vaccination		0..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
entry	S	0..*	Reference(Informação sobre vacinação)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
section:followup		0..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11544-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge follow-up Narrative
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:puerperium		0..1	Reference(Perfil para registar dados do puerpério até à alta)	A reference to data that supports this section
entry:puerperiumreview		0..1	Reference(Observation)	A reference to data that supports this section
entry:childhealthsurveilance		0..1	Reference(Organization)	A reference to data that supports this section
entry:bulletindelivery		0..1	Reference(Informação sobre bulletindelivery)	A reference to data that supports this section
entry:letter		0..1	Reference(Perfil sobre Elaboração de carta com informação clínica suplementar)	A reference to data that supports this section
entry:destination		0..1	Reference(Organization)	A reference to data that supports this section
entry:nextappointment		0..1	Reference(Encounter)	A reference to data that supports this section
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org/
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 71230-7
display		1..1	string	Representation defined by the system Fixed Value: Birth certificate
encounter	SΣ	1..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for section	C	3..*	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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:mother	SC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
entry	SC	0..*	Reference(Perfil da mãe)	A reference to data that supports this section
section:pregnancy	SC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56833-7
display		1..1	string	Representation defined by the system Fixed Value: Pregnancy related history Narrative
entry	SC	0..*	Reference(Perfil de Informação de gravidez)	A reference to data that supports this section
section:birth	SC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57074-7
display		1..1	string	Representation defined by the system Fixed Value: Labor and delivery process Narrative
Slices for entry	SC	2..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:birthInfo	C	1..1	Reference(Perfil de Informação do Parto)	A reference to data that supports this section
entry:episode	C	1..*	Reference(Encounter | Contacto)	A reference to data that supports this section
section:newborn	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
display		1..1	string	Representation defined by the system Fixed Value: Newborn delivery information from newborn Narrative
entry	SC	0..*	Reference(Perfil do recém-nascido)	A reference to data that supports this section
section:exams	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 73738-7
display		1..1	string	Representation defined by the system Fixed Value: Newborn screening test results panel - Point of Care
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:length	C	0..1	Reference(Observation Body Height Profile)	Comprimento (cm)
entry:bodyweigth	C	0..1	Reference(Observation Body Weight Profile)	Peso (gr)
entry:cephalicPerimeter	C	0..1	Reference(Observation Head Circumference Profile)	Perímetro cefálico (cm)
entry:apgar	C	0..1	Reference(Perfil de informação clinicas - apgarScore)	Índice(s) apgar
entry:malformation	C	0..1	Reference(Perfil de informação clinicas - Dados de malformações)	A reference to data that supports this section
entry:Phototherapy	C	0..1	Reference(Perfil de informação clinicas - Fototerapia)	A reference to data that supports this section
entry:hearingscreen	C	0..1	Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal)	A reference to data that supports this section
entry:Congenital	C	0..1	Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas)	A reference to data that supports this section
entry:Metabolic	C	0..1	Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas)	A reference to data that supports this section
entry:Pupillary	C	0..1	Reference(Perfil de informação clinicas - Teste Reflexo pupilar)	Teste Reflexo pupilar
entry:newbornriskassessment	C	0..1	Reference(Informação sobre RiskAssessment)	Avaliação de risco e referenciação ao NHACJR
section:vaccination	C	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
entry	SC	0..*	Reference(Informação sobre vacinação)	A reference to data that supports this section
section:followup	C	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11544-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge follow-up Narrative
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:puerperium	C	0..1	Reference(Perfil para registar dados do puerpério até à alta)	A reference to data that supports this section
entry:puerperiumreview	C	0..1	Reference(Observation)	A reference to data that supports this section
entry:childhealthsurveilance	C	0..1	Reference(Organization)	A reference to data that supports this section
entry:bulletindelivery	C	0..1	Reference(Informação sobre bulletindelivery)	A reference to data that supports this section
entry:letter	C	0..1	Reference(Perfil sobre Elaboração de carta com informação clínica suplementar)	A reference to data that supports this section
entry:destination	C	0..1	Reference(Organization)	A reference to data that supports this section
entry:nextappointment	C	0..1	Reference(Encounter)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: 71230-7("Birth certificate") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:mother.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:pregnancy.code	example	Pattern: LOINC Code 56833-7("Pregnancy related history Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:birth.code	example	Pattern: LOINC Code 57074-7("Labor and delivery process Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:newborn.code	example	Pattern: LOINC Code 57075-4("Newborn delivery information from newborn Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:exams.code	example	Pattern: LOINC Code 73738-7("Newborn screening test results panel - Point of Care") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:vaccination.code	example	Pattern: LOINC Code 11369-6("History of Immunization Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:followup.code	example	Pattern: LOINC Code 11544-4("Hospital discharge follow-up Narrative") 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:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup	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:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) 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: 71230-7
display		1..1	string	Representation defined by the system Fixed Value: Birth certificate
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	0..1	Reference(Patient | Practitioner | Group | Device | Location)	Who and/or what the composition is about
encounter	SΣ	1..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	3..*	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	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:mother	SC	1..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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.
entry	SC	0..*	Reference(Perfil da mãe)	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:pregnancy	SC	1..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 56833-7
display		1..1	string	Representation defined by the system Fixed Value: Pregnancy related history Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Perfil de Informação de gravidez)	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:birth	SC	1..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 57074-7
display		1..1	string	Representation defined by the system Fixed Value: Labor and delivery process Narrative
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	2..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:birthInfo	C	1..1	Reference(Perfil de Informação do Parto)	A reference to data that supports this section
entry:episode	C	1..*	Reference(Encounter | Contacto)	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:newborn	SC	0..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 57075-4
display		1..1	string	Representation defined by the system Fixed Value: Newborn delivery information from newborn Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Perfil do recém-nascido)	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:exams	SC	0..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 73738-7
display		1..1	string	Representation defined by the system Fixed Value: Newborn screening test results panel - Point of Care
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	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:length	C	0..1	Reference(Observation Body Height Profile)	Comprimento (cm)
entry:bodyweigth	C	0..1	Reference(Observation Body Weight Profile)	Peso (gr)
entry:cephalicPerimeter	C	0..1	Reference(Observation Head Circumference Profile)	Perímetro cefálico (cm)
entry:apgar	C	0..1	Reference(Perfil de informação clinicas - apgarScore)	Índice(s) apgar
entry:malformation	C	0..1	Reference(Perfil de informação clinicas - Dados de malformações)	A reference to data that supports this section
entry:Phototherapy	C	0..1	Reference(Perfil de informação clinicas - Fototerapia)	A reference to data that supports this section
entry:hearingscreen	C	0..1	Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal)	A reference to data that supports this section
entry:Congenital	C	0..1	Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas)	A reference to data that supports this section
entry:Metabolic	C	0..1	Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas)	A reference to data that supports this section
entry:Pupillary	C	0..1	Reference(Perfil de informação clinicas - Teste Reflexo pupilar)	Teste Reflexo pupilar
entry:newbornriskassessment	C	0..1	Reference(Informação sobre RiskAssessment)	Avaliação de risco e referenciação ao NHACJR
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:vaccination	C	0..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Informação sobre vacinação)	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:followup	C	0..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 11544-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge follow-up Narrative
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	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:puerperium	C	0..1	Reference(Perfil para registar dados do puerpério até à alta)	A reference to data that supports this section
entry:puerperiumreview	C	0..1	Reference(Observation)	A reference to data that supports this section
entry:childhealthsurveilance	C	0..1	Reference(Organization)	A reference to data that supports this section
entry:bulletindelivery	C	0..1	Reference(Informação sobre bulletindelivery)	A reference to data that supports this section
entry:letter	C	0..1	Reference(Perfil sobre Elaboração de carta com informação clínica suplementar)	A reference to data that supports this section
entry:destination	C	0..1	Reference(Organization)	A reference to data that supports this section
entry:nextappointment	C	0..1	Reference(Encounter)	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: 71230-7("Birth certificate") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:mother.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:mother.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:mother.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:mother.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:pregnancy.code	example	Pattern: LOINC Code 56833-7("Pregnancy related history Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:pregnancy.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:pregnancy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:pregnancy.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:birth.code	example	Pattern: LOINC Code 57074-7("Labor and delivery process Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:birth.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:birth.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:birth.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:newborn.code	example	Pattern: LOINC Code 57075-4("Newborn delivery information from newborn Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:newborn.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:newborn.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:newborn.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:exams.code	example	Pattern: LOINC Code 73738-7("Newborn screening test results panel - Point of Care") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:exams.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:exams.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:exams.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:vaccination.code	example	Pattern: LOINC Code 11369-6("History of Immunization Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:vaccination.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:vaccination.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:vaccination.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:followup.code	example	Pattern: LOINC Code 11544-4("Hospital discharge follow-up Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:followup.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:followup.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:followup.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

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

This structure is derived from Clinical Document

Summary

Mandatory: 7 elements
Must-Support: 14 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Perfil da mãe (http://example.com/fhir/example/StructureDefinition/Mother)
• Perfil de Informação de gravidez (http://example.com/fhir/example/StructureDefinition/Pregnancy)
• Perfil de Informação do Parto (http://example.com/fhir/example/StructureDefinition/Birth)
• Contacto (http://example.com/fhir/example/StructureDefinition/Contact)
• Perfil do recém-nascido (http://example.com/fhir/example/StructureDefinition/Child)
• Observation Body Height Profile (http://hl7.org/fhir/StructureDefinition/bodyheight)
• Observation Body Weight Profile (http://hl7.org/fhir/StructureDefinition/bodyweight)
• Observation Head Circumference Profile (http://hl7.org/fhir/StructureDefinition/headcircum)
• Perfil de informação clinicas - apgarScore (http://example.com/fhir/example/StructureDefinition/ApgarScore)
• Perfil de informação clinicas - Dados de malformações (http://example.com/fhir/example/StructureDefinition/Malformation)
• Perfil de informação clinicas - Fototerapia (http://example.com/fhir/example/StructureDefinition/Phototherapy)
• Perfil de informação clinicas - Rastreio auditivo neonatal universal (http://example.com/fhir/example/StructureDefinition/Hearingscreen)
• Perfil de informação clinicas - Rastreio Cardiopatias Congénitas (http://example.com/fhir/example/StructureDefinition/Congenital)
• Perfil de informação clinicas - Rastreio de doenças metabólicas (http://example.com/fhir/example/StructureDefinition/Metabolic)
• Perfil de informação clinicas - Teste Reflexo pupilar (http://example.com/fhir/example/StructureDefinition/Pupillary)
• Informação sobre RiskAssessment (http://example.com/fhir/example/StructureDefinition/Newbornriskassessment)
• Informação sobre vacinação (http://example.com/fhir/example/StructureDefinition/Vaccination)
• Perfil para registar dados do puerpério até à alta (http://example.com/fhir/example/StructureDefinition/Puerperium)
• Informação sobre bulletindelivery (http://example.com/fhir/example/StructureDefinition/Bulletindelivery)
• Perfil sobre Elaboração de carta com informação clínica suplementar (http://example.com/fhir/example/StructureDefinition/Letter)

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Clinical Document

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	A set of resources composed into a single coherent clinical statement with clinical attestation
status		1..1	code	preliminary | final | amended | entered-in-error Required Pattern: final
type		1..1	CodeableConcept	Kind of composition (LOINC if possible) 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: 71230-7
display		1..1	string	Representation defined by the system Fixed Value: Birth certificate
encounter	S	1..1	Reference(Encounter)	Context of the Composition
Slices for section		3..*	BackboneElement	Sections composing the IPS Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
code	S	1..1	CodeableConcept	Classification of section (recommended)
section		0..0
section:mother	S	1..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
entry	S	0..*	Reference(Perfil da mãe)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
section:pregnancy	S	1..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56833-7
display		1..1	string	Representation defined by the system Fixed Value: Pregnancy related history Narrative
entry	S	0..*	Reference(Perfil de Informação de gravidez)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
section:birth	S	1..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57074-7
display		1..1	string	Representation defined by the system Fixed Value: Labor and delivery process Narrative
Slices for entry	S	2..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:birthInfo		1..1	Reference(Perfil de Informação do Parto)	A reference to data that supports this section
entry:episode		1..*	Reference(Encounter | Contacto)	A reference to data that supports this section
section:newborn	S	0..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
display		1..1	string	Representation defined by the system Fixed Value: Newborn delivery information from newborn Narrative
entry	S	0..*	Reference(Perfil do recém-nascido)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
section:exams	S	0..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 73738-7
display		1..1	string	Representation defined by the system Fixed Value: Newborn screening test results panel - Point of Care
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:length		0..1	Reference(Observation Body Height Profile)	Comprimento (cm)
entry:bodyweigth		0..1	Reference(Observation Body Weight Profile)	Peso (gr)
entry:cephalicPerimeter		0..1	Reference(Observation Head Circumference Profile)	Perímetro cefálico (cm)
entry:apgar		0..1	Reference(Perfil de informação clinicas - apgarScore)	Índice(s) apgar
entry:malformation		0..1	Reference(Perfil de informação clinicas - Dados de malformações)	A reference to data that supports this section
entry:Phototherapy		0..1	Reference(Perfil de informação clinicas - Fototerapia)	A reference to data that supports this section
entry:hearingscreen		0..1	Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal)	A reference to data that supports this section
entry:Congenital		0..1	Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas)	A reference to data that supports this section
entry:Metabolic		0..1	Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas)	A reference to data that supports this section
entry:Pupillary		0..1	Reference(Perfil de informação clinicas - Teste Reflexo pupilar)	Teste Reflexo pupilar
entry:newbornriskassessment		0..1	Reference(Informação sobre RiskAssessment)	Avaliação de risco e referenciação ao NHACJR
section:vaccination		0..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
entry	S	0..*	Reference(Informação sobre vacinação)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
section:followup		0..1	BackboneElement	Composition is broken into sections
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11544-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge follow-up Narrative
Slices for entry	S	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:puerperium		0..1	Reference(Perfil para registar dados do puerpério até à alta)	A reference to data that supports this section
entry:puerperiumreview		0..1	Reference(Observation)	A reference to data that supports this section
entry:childhealthsurveilance		0..1	Reference(Organization)	A reference to data that supports this section
entry:bulletindelivery		0..1	Reference(Informação sobre bulletindelivery)	A reference to data that supports this section
entry:letter		0..1	Reference(Perfil sobre Elaboração de carta com informação clínica suplementar)	A reference to data that supports this section
entry:destination		0..1	Reference(Organization)	A reference to data that supports this section
entry:nextappointment		0..1	Reference(Encounter)	A reference to data that supports this section
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	A set of resources composed into a single coherent clinical statement with clinical attestation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org/
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 71230-7
display		1..1	string	Representation defined by the system Fixed Value: Birth certificate
encounter	SΣ	1..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
Slices for section	C	3..*	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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
section:mother	SC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
entry	SC	0..*	Reference(Perfil da mãe)	A reference to data that supports this section
section:pregnancy	SC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56833-7
display		1..1	string	Representation defined by the system Fixed Value: Pregnancy related history Narrative
entry	SC	0..*	Reference(Perfil de Informação de gravidez)	A reference to data that supports this section
section:birth	SC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57074-7
display		1..1	string	Representation defined by the system Fixed Value: Labor and delivery process Narrative
Slices for entry	SC	2..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:birthInfo	C	1..1	Reference(Perfil de Informação do Parto)	A reference to data that supports this section
entry:episode	C	1..*	Reference(Encounter | Contacto)	A reference to data that supports this section
section:newborn	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 57075-4
display		1..1	string	Representation defined by the system Fixed Value: Newborn delivery information from newborn Narrative
entry	SC	0..*	Reference(Perfil do recém-nascido)	A reference to data that supports this section
section:exams	SC	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 73738-7
display		1..1	string	Representation defined by the system Fixed Value: Newborn screening test results panel - Point of Care
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:length	C	0..1	Reference(Observation Body Height Profile)	Comprimento (cm)
entry:bodyweigth	C	0..1	Reference(Observation Body Weight Profile)	Peso (gr)
entry:cephalicPerimeter	C	0..1	Reference(Observation Head Circumference Profile)	Perímetro cefálico (cm)
entry:apgar	C	0..1	Reference(Perfil de informação clinicas - apgarScore)	Índice(s) apgar
entry:malformation	C	0..1	Reference(Perfil de informação clinicas - Dados de malformações)	A reference to data that supports this section
entry:Phototherapy	C	0..1	Reference(Perfil de informação clinicas - Fototerapia)	A reference to data that supports this section
entry:hearingscreen	C	0..1	Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal)	A reference to data that supports this section
entry:Congenital	C	0..1	Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas)	A reference to data that supports this section
entry:Metabolic	C	0..1	Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas)	A reference to data that supports this section
entry:Pupillary	C	0..1	Reference(Perfil de informação clinicas - Teste Reflexo pupilar)	Teste Reflexo pupilar
entry:newbornriskassessment	C	0..1	Reference(Informação sobre RiskAssessment)	Avaliação de risco e referenciação ao NHACJR
section:vaccination	C	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
entry	SC	0..*	Reference(Informação sobre vacinação)	A reference to data that supports this section
section:followup	C	0..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11544-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge follow-up Narrative
Slices for entry	SC	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:puerperium	C	0..1	Reference(Perfil para registar dados do puerpério até à alta)	A reference to data that supports this section
entry:puerperiumreview	C	0..1	Reference(Observation)	A reference to data that supports this section
entry:childhealthsurveilance	C	0..1	Reference(Organization)	A reference to data that supports this section
entry:bulletindelivery	C	0..1	Reference(Informação sobre bulletindelivery)	A reference to data that supports this section
entry:letter	C	0..1	Reference(Perfil sobre Elaboração de carta com informação clínica suplementar)	A reference to data that supports this section
entry:destination	C	0..1	Reference(Organization)	A reference to data that supports this section
entry:nextappointment	C	0..1	Reference(Encounter)	A reference to data that supports this section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: 71230-7("Birth certificate") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:mother.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:pregnancy.code	example	Pattern: LOINC Code 56833-7("Pregnancy related history Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:birth.code	example	Pattern: LOINC Code 57074-7("Labor and delivery process Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:newborn.code	example	Pattern: LOINC Code 57075-4("Newborn delivery information from newborn Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:exams.code	example	Pattern: LOINC Code 73738-7("Newborn screening test results panel - Point of Care") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:vaccination.code	example	Pattern: LOINC Code 11369-6("History of Immunization Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:followup.code	example	Pattern: LOINC Code 11544-4("Hospital discharge follow-up Narrative") 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:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup	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:mother, Composition.section:pregnancy, Composition.section:birth, Composition.section:newborn, Composition.section:exams, Composition.section:vaccination, Composition.section:followup	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Clinical Document	A set of resources composed into a single coherent clinical statement with clinical attestation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final
type	Σ	1..1	CodeableConcept	Kind of composition (LOINC if possible) 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: 71230-7
display		1..1	string	Representation defined by the system Fixed Value: Birth certificate
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	0..1	Reference(Patient | Practitioner | Group | Device | Location)	Who and/or what the composition is about
encounter	SΣ	1..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	Σ	1..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the composition
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	C	3..*	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	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:mother	SC	1..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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.
entry	SC	0..*	Reference(Perfil da mãe)	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:pregnancy	SC	1..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 56833-7
display		1..1	string	Representation defined by the system Fixed Value: Pregnancy related history Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Perfil de Informação de gravidez)	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:birth	SC	1..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 57074-7
display		1..1	string	Representation defined by the system Fixed Value: Labor and delivery process Narrative
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	2..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:birthInfo	C	1..1	Reference(Perfil de Informação do Parto)	A reference to data that supports this section
entry:episode	C	1..*	Reference(Encounter | Contacto)	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:newborn	SC	0..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 57075-4
display		1..1	string	Representation defined by the system Fixed Value: Newborn delivery information from newborn Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Perfil do recém-nascido)	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:exams	SC	0..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 73738-7
display		1..1	string	Representation defined by the system Fixed Value: Newborn screening test results panel - Point of Care
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	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:length	C	0..1	Reference(Observation Body Height Profile)	Comprimento (cm)
entry:bodyweigth	C	0..1	Reference(Observation Body Weight Profile)	Peso (gr)
entry:cephalicPerimeter	C	0..1	Reference(Observation Head Circumference Profile)	Perímetro cefálico (cm)
entry:apgar	C	0..1	Reference(Perfil de informação clinicas - apgarScore)	Índice(s) apgar
entry:malformation	C	0..1	Reference(Perfil de informação clinicas - Dados de malformações)	A reference to data that supports this section
entry:Phototherapy	C	0..1	Reference(Perfil de informação clinicas - Fototerapia)	A reference to data that supports this section
entry:hearingscreen	C	0..1	Reference(Perfil de informação clinicas - Rastreio auditivo neonatal universal)	A reference to data that supports this section
entry:Congenital	C	0..1	Reference(Perfil de informação clinicas - Rastreio Cardiopatias Congénitas)	A reference to data that supports this section
entry:Metabolic	C	0..1	Reference(Perfil de informação clinicas - Rastreio de doenças metabólicas)	A reference to data that supports this section
entry:Pupillary	C	0..1	Reference(Perfil de informação clinicas - Teste Reflexo pupilar)	Teste Reflexo pupilar
entry:newbornriskassessment	C	0..1	Reference(Informação sobre RiskAssessment)	Avaliação de risco e referenciação ao NHACJR
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:vaccination	C	0..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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		1..1	string	Representation defined by the system Fixed Value: History of Immunization Narrative
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Informação sobre vacinação)	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:followup	C	0..1	BackboneElement	Composition is broken into sections 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		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 11544-4
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge follow-up Narrative
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	0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:puerperium	C	0..1	Reference(Perfil para registar dados do puerpério até à alta)	A reference to data that supports this section
entry:puerperiumreview	C	0..1	Reference(Observation)	A reference to data that supports this section
entry:childhealthsurveilance	C	0..1	Reference(Organization)	A reference to data that supports this section
entry:bulletindelivery	C	0..1	Reference(Informação sobre bulletindelivery)	A reference to data that supports this section
entry:letter	C	0..1	Reference(Perfil sobre Elaboração de carta com informação clínica suplementar)	A reference to data that supports this section
entry:destination	C	0..1	Reference(Organization)	A reference to data that supports this section
entry:nextappointment	C	0..1	Reference(Encounter)	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	Pattern: 71230-7("Birth certificate") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:mother.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:mother.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:mother.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:mother.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:pregnancy.code	example	Pattern: LOINC Code 56833-7("Pregnancy related history Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:pregnancy.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:pregnancy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:pregnancy.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:birth.code	example	Pattern: LOINC Code 57074-7("Labor and delivery process Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:birth.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:birth.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:birth.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:newborn.code	example	Pattern: LOINC Code 57075-4("Newborn delivery information from newborn Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:newborn.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:newborn.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:newborn.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:exams.code	example	Pattern: LOINC Code 73738-7("Newborn screening test results panel - Point of Care") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:exams.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:exams.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:exams.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:vaccination.code	example	Pattern: LOINC Code 11369-6("History of Immunization Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:vaccination.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:vaccination.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:vaccination.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:followup.code	example	Pattern: LOINC Code 11544-4("Hospital discharge follow-up Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:followup.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:followup.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:followup.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

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

This structure is derived from Clinical Document

Summary

Mandatory: 7 elements
Must-Support: 14 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Perfil da mãe (http://example.com/fhir/example/StructureDefinition/Mother)
• Perfil de Informação de gravidez (http://example.com/fhir/example/StructureDefinition/Pregnancy)
• Perfil de Informação do Parto (http://example.com/fhir/example/StructureDefinition/Birth)
• Contacto (http://example.com/fhir/example/StructureDefinition/Contact)
• Perfil do recém-nascido (http://example.com/fhir/example/StructureDefinition/Child)
• Observation Body Height Profile (http://hl7.org/fhir/StructureDefinition/bodyheight)
• Observation Body Weight Profile (http://hl7.org/fhir/StructureDefinition/bodyweight)
• Observation Head Circumference Profile (http://hl7.org/fhir/StructureDefinition/headcircum)
• Perfil de informação clinicas - apgarScore (http://example.com/fhir/example/StructureDefinition/ApgarScore)
• Perfil de informação clinicas - Dados de malformações (http://example.com/fhir/example/StructureDefinition/Malformation)
• Perfil de informação clinicas - Fototerapia (http://example.com/fhir/example/StructureDefinition/Phototherapy)
• Perfil de informação clinicas - Rastreio auditivo neonatal universal (http://example.com/fhir/example/StructureDefinition/Hearingscreen)
• Perfil de informação clinicas - Rastreio Cardiopatias Congénitas (http://example.com/fhir/example/StructureDefinition/Congenital)
• Perfil de informação clinicas - Rastreio de doenças metabólicas (http://example.com/fhir/example/StructureDefinition/Metabolic)
• Perfil de informação clinicas - Teste Reflexo pupilar (http://example.com/fhir/example/StructureDefinition/Pupillary)
• Informação sobre RiskAssessment (http://example.com/fhir/example/StructureDefinition/Newbornriskassessment)
• Informação sobre vacinação (http://example.com/fhir/example/StructureDefinition/Vaccination)
• Perfil para registar dados do puerpério até à alta (http://example.com/fhir/example/StructureDefinition/Puerperium)
• Informação sobre bulletindelivery (http://example.com/fhir/example/StructureDefinition/Bulletindelivery)
• Perfil sobre Elaboração de carta com informação clínica suplementar (http://example.com/fhir/example/StructureDefinition/Letter)

Slices

This structure defines the following Slices:

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