Perfil do recurso Composition que cria as secções da noticia nascimento - XML Representation - HL7 PT FHIR Implementation Guide: Noticia de Nascimento v1.0.0

HL7 PT FHIR Implementation Guide: Noticia de Nascimento, publicado por HL7 Portugal. Este guia não é uma publicação autorizada; é a compilação contínua para a versão 1.0.0 construída pela FHIR (HL7® FHIR® Standard) CI Build. Esta versão é baseada no conteúdo atual de https://github.com/hl7-pt/obs-neonat-ig/ e muda regularmente. Veja o Diretório de versões publicadas
Resource Profile: CompositionNoticia - XML Profile

Active as of 2026-10-20
XML representation of the CompositionNoticia resource profile.
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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="CompositionNoticia"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Narrativa gerada: StructureDefinition CompositionNoticia</b></p><a name="CompositionNoticia"> </a><a name="hcCompositionNoticia"> </a><table border="0" cellpadding="0" cellspacing="0" class="xhtTableBorder0"><tr class="xhtRowBorder1"><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="O nome lógico do elemento">Nome</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Informações sobre a utilização do elemento">Bandeiras</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Número mínimo e máximo de vezes que o elemento pode aparecer na instância">Card.</a></th><th scope="col" style="; width: 100px" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Referência ao tipo do elemento">Tipo</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Informações adicionais sobre o elemento">Descrição e condicionalismos</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck1.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="" style="background-color: white; background-color: inherit" title="Recursos" class="hierarchy"/> <a href="StructureDefinition-CompositionNoticia-definitions.html#Composition">Composition</a><a name="Composition"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/clinicaldocument.html">Clinical Document</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A set of resources composed into a single coherent clinical statement with clinical attestation</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.identifier">identifier</a><a name="Composition.identifier"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0">1..<span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier" class="xhtPieceDeEmphasized">Identifier</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Version-independent identifier for the Composition</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.status">status</a><a name="Composition.status"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">1</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code" class="xhtPieceDeEmphasized">code</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">preliminary | final | amended | entered-in-error</span><br/><span class="xhtPieceBold">Padrão necessário: </span><span class="xhtPieceDarkGreen">final</span> (extensions allowed)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.type">type</a><a name="Composition.type"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">1</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Kind of composition (LOINC if possible)</span><br/><span class="xhtPieceBold">Padrão necessário: </span><div><pre class="json"><code>{
  &quot;coding&quot; : [
    {
      &quot;system&quot; : &quot;http://loinc.org/&quot;,
      &quot;code&quot; : &quot;71230-7&quot;,
      &quot;display&quot; : &quot;Birth certificate&quot;
    }
  ]
}</code></pre></div></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.encounter">encounter</a><a name="Composition.encounter"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0">1..<span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/encounter.html" class="xhtPieceDeEmphasized">Encounter</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Context of the Composition</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.date">date</a><a name="Composition.date"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">1</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime" class="xhtPieceDeEmphasized">dateTime</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Composition editing time</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.author">author</a><a name="Composition.author"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">1</span>..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/practitioner.html" class="xhtPieceDeEmphasized">Practitioner</a> | <a href="http://hl7.org/fhir/R4/practitionerrole.html" class="xhtPieceDeEmphasized">PractitionerRole</a> | <a href="http://hl7.org/fhir/R4/device.html" class="xhtPieceDeEmphasized">Device</a> | <a href="http://hl7.org/fhir/R4/patient.html" class="xhtPieceDeEmphasized">Patient</a> | <a href="http://hl7.org/fhir/R4/relatedperson.html" class="xhtPieceDeEmphasized">RelatedPerson</a> | <a href="http://hl7.org/fhir/R4/organization.html" class="xhtPieceDeEmphasized">Organization</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Who and/or what authored the composition</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Definição de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section" title="The root of the sections that make up the IPS composition." class="xhtPieceItalic">Fatias para section</a><a name="Composition.section"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic"/><span class="xhtPieceItalic">8</span><span class="xhtPieceItalic">..</span><span class="xhtPieceItalic xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement" class="xhtPieceItalic xhtPieceDeEmphasized">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic">Sections composing the IPS</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Fatia: </span><span class="xhtPieceItalic">Não ordenado, Aberto por pattern:code</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Slicing Note: </span><span class="xhtPieceItalic">The rules on this element (including its children) apply to all the slices, but are not repeated in them</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck033.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.</span>section:Todas as fatias<a name="Composition.section.2"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">Conteúdo/regras para todas as fatias</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0330.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:Todas as fatias.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section.code">code</a><a name="Composition.section.code"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0">1..<span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Classification of section (recommended)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0320.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:Todas as fatias.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section.section" class="xhtPieceStrikeout">section</a><a name="Composition.section.section"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceStrikeout"/><span class="xhtPieceStrikeout xhtPieceDeEmphasized">0</span><span class="xhtPieceStrikeout">..</span><span class="xhtPieceStrikeout">0</span></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic xhtPieceDeEmphasized">Nested Section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck035.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:mother" title="Fatia mother">section:mother</a><a name="Composition.section:mother"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement" class="xhtPieceDeEmphasized">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Composition is broken into sections</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0350.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:mother.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:mother.code">code</a><a name="Composition.section:mother.code"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Classification of section (recommended)</span><br/><span class="xhtPieceBold">Padrão necessário: </span><div><pre class="json"><code>{
  &quot;coding&quot; : [
    {
      &quot;system&quot; : &quot;http://loinc.org&quot;,
      &quot;code&quot; : &quot;92014-0&quot;,
      &quot;display&quot; : &quot;Mother's administrative information&quot;
    }
  ]
}</code></pre></div></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0342.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Definição de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:mother.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:mother.entry" class="xhtPieceItalic">entry</a><a name="Composition.section:mother.entry"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado" class="xhtPieceItalic">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic"/><span class="xhtPieceItalic xhtPieceDeEmphasized">0</span><span class="xhtPieceItalic xhtPieceDeEmphasized">..</span><span class="xhtPieceItalic xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html" class="xhtPieceItalic">Reference</a><span class="xhtPieceItalic">(</span><a href="StructureDefinition-Mother.html" class="xhtPieceItalic">Perfil da mãe</a><span class="xhtPieceItalic">)</span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic xhtPieceDeEmphasized">A reference to data that supports this section</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Fatia: </span><span class="xhtPieceItalic">Não ordenado, Aberto por profile:resolve()</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Slicing Note: </span><span class="xhtPieceItalic">The rules on this element (including its children) apply to all the slices, but are not repeated in them</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck035.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:pregnancy" title="Fatia pregnancy">section:pregnancy</a><a name="Composition.section:pregnancy"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement" class="xhtPieceDeEmphasized">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Composition is broken into sections</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0350.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:pregnancy.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:pregnancy.code">code</a><a name="Composition.section:pregnancy.code"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Classification of section (recommended)</span><br/><span class="xhtPieceBold">Padrão necessário: </span><div><pre class="json"><code>{
  &quot;coding&quot; : [
    {
      &quot;system&quot; : &quot;http://loinc.org&quot;,
      &quot;code&quot; : &quot;56833-7&quot;,
      &quot;display&quot; : &quot;Pregnancy related history Narrative&quot;
    }
  ]
}</code></pre></div></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0352.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: white; background-color: inherit" title="Definição de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:pregnancy.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:pregnancy.entry" class="xhtPieceItalic">Fatias para entry</a><a name="Composition.section:pregnancy.entry"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado" class="xhtPieceItalic">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic"/><span class="xhtPieceItalic">1</span><span class="xhtPieceItalic">..</span><span class="xhtPieceItalic xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html" class="xhtPieceItalic">Reference</a><span class="xhtPieceItalic">(</span><a href="StructureDefinition-Pregnancy.html" class="xhtPieceItalic">Perfil de Informação de gravidez</a><span class="xhtPieceItalic"> | </span><a href="StructureDefinition-GestationalAge.html" class="xhtPieceItalic">Perfil de Idade gestacional</a><span class="xhtPieceItalic">)</span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic xhtPieceDeEmphasized">A reference to data that supports this section</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Fatia: </span><span class="xhtPieceItalic">Não ordenado, Aberto por profile:resolve()</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Slicing Note: </span><span class="xhtPieceItalic">The rules on this element (including its children) apply to all the slices, but are not repeated in them</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0343.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Definição de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:pregnancy.</span>Fatias para entry<a name="Composition.section.entry"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">Conteúdo/regras para todas as fatias</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:pregnancy.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:pregnancy.entry:pregnancyInfo" title="Fatia pregnancyInfo">entry:pregnancyInfo</a><a name="Composition.section:pregnancy.entry:pregnancyInfo"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Pregnancy.html">Perfil de Informação de gravidez</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03424.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:pregnancy.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:pregnancy.entry:gestationalAge" title="Fatia gestationalAge">entry:gestationalAge</a><a name="Composition.section:pregnancy.entry:gestationalAge"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-GestationalAge.html">Perfil de Idade gestacional</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck035.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:birth" title="Fatia birth">section:birth</a><a name="Composition.section:birth"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement" class="xhtPieceDeEmphasized">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Composition is broken into sections</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0350.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:birth.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:birth.code">code</a><a name="Composition.section:birth.code"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Classification of section (recommended)</span><br/><span class="xhtPieceBold">Padrão necessário: </span><div><pre class="json"><code>{
  &quot;coding&quot; : [
    {
      &quot;system&quot; : &quot;http://loinc.org&quot;,
      &quot;code&quot; : &quot;57074-7&quot;,
      &quot;display&quot; : &quot;Labor and delivery process Narrative&quot;
    }
  ]
}</code></pre></div></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0352.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: white; background-color: inherit" title="Definição de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:birth.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:birth.entry" class="xhtPieceItalic">Fatias para entry</a><a name="Composition.section:birth.entry"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado" class="xhtPieceItalic">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic"/><span class="xhtPieceItalic">2</span><span class="xhtPieceItalic">..</span><span class="xhtPieceItalic xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html" class="xhtPieceItalic">Reference</a><span class="xhtPieceItalic">(</span><a href="http://hl7.org/fhir/R4/resource.html" class="xhtPieceItalic xhtPieceDeEmphasized">Resource</a><span class="xhtPieceItalic">)</span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic xhtPieceDeEmphasized">A reference to data that supports this section</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Fatia: </span><span class="xhtPieceItalic">Não ordenado, Aberto por profile:resolve()</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Slicing Note: </span><span class="xhtPieceItalic">The rules on this element (including its children) apply to all the slices, but are not repeated in them</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0343.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Definição de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:birth.</span>Fatias para entry<a name="Composition.section.entry.2"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">Conteúdo/regras para todas as fatias</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:birth.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:birth.entry:birthInfo" title="Fatia birthInfo">entry:birthInfo</a><a name="Composition.section:birth.entry:birthInfo"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Birth.html">Perfil de Informação do Parto</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03424.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:birth.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:birth.entry:episode" title="Fatia episode">entry:episode</a><a name="Composition.section:birth.entry:episode"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a> | <a href="StructureDefinition-Contact.html">Perfil sobre episódio da notícia de nascimento</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span><br/></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck035.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:newborn" title="Fatia newborn">section:newborn</a><a name="Composition.section:newborn"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement" class="xhtPieceDeEmphasized">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Composition is broken into sections</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0350.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:newborn.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:newborn.code">code</a><a name="Composition.section:newborn.code"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Classification of section (recommended)</span><br/><span class="xhtPieceBold">Padrão necessário: </span><div><pre class="json"><code>{
  &quot;coding&quot; : [
    {
      &quot;system&quot; : &quot;http://loinc.org&quot;,
      &quot;code&quot; : &quot;57075-4&quot;,
      &quot;display&quot; : &quot;Newborn delivery information&quot;
    }
  ]
}</code></pre></div></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0342.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: white; background-color: inherit" title="Definição de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:newborn.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:newborn.entry" class="xhtPieceItalic">entry</a><a name="Composition.section:newborn.entry"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado" class="xhtPieceItalic">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic"/><span class="xhtPieceItalic xhtPieceDeEmphasized">0</span><span class="xhtPieceItalic xhtPieceDeEmphasized">..</span><span class="xhtPieceItalic xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html" class="xhtPieceItalic">Reference</a><span class="xhtPieceItalic">(</span><a href="StructureDefinition-Child.html" class="xhtPieceItalic">Perfil do recém-nascido</a><span class="xhtPieceItalic">)</span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic xhtPieceDeEmphasized">A reference to data that supports this section</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Fatia: </span><span class="xhtPieceItalic">Não ordenado, Aberto por profile:resolve()</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Slicing Note: </span><span class="xhtPieceItalic">The rules on this element (including its children) apply to all the slices, but are not repeated in them</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck035.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams" title="Fatia exams">section:exams</a><a name="Composition.section:exams"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span><a href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="Este elemento tem ou é afetado por restrições ( screening-hearing-single, screening-metabolic-single )" class="xhtConstraintStyle">C</a></td><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement" class="xhtPieceDeEmphasized">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Composition is broken into sections</span><br class="constraint"/><span class="constraint">Constraints: </span><span title="O rastreio auditivo é registado como realizado (Observation) ou marcado (ServiceRequest), nunca ambos" class="xhtPieceBold constraint">screening-hearing-single</span><span class="constraint">, </span><span title="O rastreio de doenças metabólicas é registado como realizado/não realizado (Observation) ou marcado (ServiceRequest), nunca ambos" class="xhtPieceBold constraint">screening-metabolic-single</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0350.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.code">code</a><a name="Composition.section:exams.code"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Classification of section (recommended)</span><br/><span class="xhtPieceBold">Padrão necessário: </span><div><pre class="json"><code>{
  &quot;coding&quot; : [
    {
      &quot;system&quot; : &quot;http://loinc.org&quot;,
      &quot;code&quot; : &quot;73738-7&quot;,
      &quot;display&quot; : &quot;Newborn screening test results panel - Point of Care&quot;
    }
  ]
}</code></pre></div></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0352.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Definição de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry" class="xhtPieceItalic">Fatias para entry</a><a name="Composition.section:exams.entry"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado" class="xhtPieceItalic">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic"/><span class="xhtPieceItalic">5</span><span class="xhtPieceItalic">..</span><span class="xhtPieceItalic xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html" class="xhtPieceItalic">Reference</a><span class="xhtPieceItalic">(</span><a href="http://hl7.org/fhir/R4/resource.html" class="xhtPieceItalic xhtPieceDeEmphasized">Resource</a><span class="xhtPieceItalic">)</span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic xhtPieceDeEmphasized">A reference to data that supports this section</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Fatia: </span><span class="xhtPieceItalic">Não ordenado, Aberto por profile:resolve()</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Slicing Note: </span><span class="xhtPieceItalic">The rules on this element (including its children) apply to all the slices, but are not repeated in them</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0343.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: white; background-color: inherit" title="Definição de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.</span>Fatias para entry<a name="Composition.section.entry.3"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">Conteúdo/regras para todas as fatias</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:length" title="Fatia length">entry:length</a><a name="Composition.section:exams.entry:length"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-BirthLength.html">Perfil de Comprimento ao nascer</a>)</td><td style="" class="hierarchy xhtCellBorder0">Comprimento (cm)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:bodyweigth" title="Fatia bodyweigth">entry:bodyweigth</a><a name="Composition.section:exams.entry:bodyweigth"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-BirthWeight.html">Perfil de Peso ao nascer</a>)</td><td style="" class="hierarchy xhtCellBorder0">Peso (gr)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:cephalicPerimeter" title="Fatia cephalicPerimeter">entry:cephalicPerimeter</a><a name="Composition.section:exams.entry:cephalicPerimeter"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-BirthHeadCircumference.html">Perfil de Perímetro cefálico ao nascer</a>)</td><td style="" class="hierarchy xhtCellBorder0">Perímetro cefálico (cm)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:apgar" title="Fatia apgar">entry:apgar</a><a name="Composition.section:exams.entry:apgar"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-ApgarScore.html">Perfil de informação clinicas - apgarScore</a>)</td><td style="" class="hierarchy xhtCellBorder0">Índice(s) apgar</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:malformation" title="Fatia malformation">entry:malformation</a><a name="Composition.section:exams.entry:malformation"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Malformation.html">Perfil de informação clinicas - Dados de malformações</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:Phototherapy" title="Fatia Phototherapy">entry:Phototherapy</a><a name="Composition.section:exams.entry:Phototherapy"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Phototherapy.html">Perfil de informação clinicas - Fototerapia</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:hearingscreen" title="Fatia hearingscreen">entry:hearingscreen</a><a name="Composition.section:exams.entry:hearingscreen"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Hearingscreen.html">Perfil de informação clinicas - Rastreio auditivo neonatal universal</a>)</td><td style="" class="hierarchy xhtCellBorder0">Rastreio auditivo neonatal universal (realizado)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:Congenital" title="Fatia Congenital">entry:Congenital</a><a name="Composition.section:exams.entry:Congenital"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Congenital.html">Perfil de informação clinicas - Rastreio Cardiopatias Congénitas</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:Metabolic" title="Fatia Metabolic">entry:Metabolic</a><a name="Composition.section:exams.entry:Metabolic"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Metabolic.html">Perfil de informação clinicas - Rastreio de doenças metabólicas</a>)</td><td style="" class="hierarchy xhtCellBorder0">Rastreio de doenças metabólicas (realizado/não realizado)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:Pupillary" title="Fatia Pupillary">entry:Pupillary</a><a name="Composition.section:exams.entry:Pupillary"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Pupillary.html">Perfil de informação clinicas - Teste Reflexo pupilar</a>)</td><td style="" class="hierarchy xhtCellBorder0">Teste Reflexo pupilar</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:newbornriskassessment" title="Fatia newbornriskassessment">entry:newbornriskassessment</a><a name="Composition.section:exams.entry:newbornriskassessment"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Newbornriskassessment.html">Perfil de Informação sobre Avaliação de risco e referenciação ao NHACJR</a>)</td><td style="" class="hierarchy xhtCellBorder0">Avaliação de risco e referenciação ao NHACJR</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck03424.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:exams.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:exams.entry:screeningRequest" title="Fatia screeningRequest">entry:screeningRequest</a><a name="Composition.section:exams.entry:screeningRequest"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..2</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-ScreeningRequest.html">Perfil de informação clinicas - Marcação de rastreio neonatal</a>)</td><td style="" class="hierarchy xhtCellBorder0">Rastreio auditivo e/ou de doenças metabólicas marcado para data futura</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck035.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:vaccination" title="Fatia vaccination">section:vaccination</a><a name="Composition.section:vaccination"> </a></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="Este elemento tem ou é afetado por restrições ( vacc-hepb, vacc-bcg, vacc-antid )" class="xhtConstraintStyle">C</a></td><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement" class="xhtPieceDeEmphasized">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Composition is broken into sections</span><br class="constraint"/><span class="constraint">Constraints: </span><span title="A secção de vacinação tem de incluir exatamente um registo da vacina contra a Hepatite B (SNOMED CT 836374004)" class="xhtPieceBold constraint">vacc-hepb</span><span class="constraint">, </span><span title="A secção de vacinação tem de incluir exatamente um registo da vacina BCG (SNOMED CT 836402002)" class="xhtPieceBold constraint">vacc-bcg</span><span class="constraint">, </span><span title="A secção de vacinação tem de incluir exatamente um registo da imunoglobulina anti-D (SNOMED CT 786224004)" class="xhtPieceBold constraint">vacc-antid</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0350.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:vaccination.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:vaccination.code">code</a><a name="Composition.section:vaccination.code"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Classification of section (recommended)</span><br/><span class="xhtPieceBold">Padrão necessário: </span><div><pre class="json"><code>{
  &quot;coding&quot; : [
    {
      &quot;system&quot; : &quot;http://loinc.org&quot;,
      &quot;code&quot; : &quot;11369-6&quot;,
      &quot;display&quot; : &quot;History of Immunization Narrative&quot;
    }
  ]
}</code></pre></div></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0340.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Referência a outro recurso" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:vaccination.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:vaccination.entry">entry</a><a name="Composition.section:vaccination.entry"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0">3..3</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Vaccination.html">Perfil sobre Informação sobre vacinação</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck035.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:followup" title="Fatia followup">section:followup</a><a name="Composition.section:followup"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement" class="xhtPieceDeEmphasized">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Composition is broken into sections</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0350.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:followup.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:followup.code">code</a><a name="Composition.section:followup.code"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Classification of section (recommended)</span><br/><span class="xhtPieceBold">Padrão necessário: </span><div><pre class="json"><code>{
  &quot;coding&quot; : [
    {
      &quot;system&quot; : &quot;http://loinc.org&quot;,
      &quot;code&quot; : &quot;11544-4&quot;,
      &quot;display&quot; : &quot;Hospital discharge follow-up Narrative&quot;
    }
  ]
}</code></pre></div></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0352.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: white; background-color: inherit" title="Definição de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:followup.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:followup.entry" class="xhtPieceItalic">Fatias para entry</a><a name="Composition.section:followup.entry"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado" class="xhtPieceItalic">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic"/><span class="xhtPieceItalic">1</span><span class="xhtPieceItalic">..</span><span class="xhtPieceItalic xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html" class="xhtPieceItalic">Reference</a><span class="xhtPieceItalic">(</span><a href="http://hl7.org/fhir/R4/resource.html" class="xhtPieceItalic xhtPieceDeEmphasized">Resource</a><span class="xhtPieceItalic">)</span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic xhtPieceDeEmphasized">A reference to data that supports this section</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Fatia: </span><span class="xhtPieceItalic">Não ordenado, Aberto por profile:resolve()</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Slicing Note: </span><span class="xhtPieceItalic">The rules on this element (including its children) apply to all the slices, but are not repeated in them</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0343.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Definição de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:followup.</span>Fatias para entry<a name="Composition.section.entry.4"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">Conteúdo/regras para todas as fatias</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:followup.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:followup.entry:puerperium" title="Fatia puerperium">entry:puerperium</a><a name="Composition.section:followup.entry:puerperium"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Puerperium.html">Perfil para registar dados do puerpério até à alta</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:followup.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:followup.entry:childhealthsurveilance" title="Fatia childhealthsurveilance">entry:childhealthsurveilance</a><a name="Composition.section:followup.entry:childhealthsurveilance"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-HealthcareOrganization.html">Perfil da organização de saúde</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:followup.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:followup.entry:bulletindelivery" title="Fatia bulletindelivery">entry:bulletindelivery</a><a name="Composition.section:followup.entry:bulletindelivery"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Bulletindelivery.html">Perfil de Informação sobre entrega de boletim</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:followup.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:followup.entry:letter" title="Fatia letter">entry:letter</a><a name="Composition.section:followup.entry:letter"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Letter.html">Perfil sobre Elaboração de carta com informação clínica suplementar</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck03434.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:followup.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:followup.entry:nextappointment" title="Fatia nextappointment">entry:nextappointment</a><a name="Composition.section:followup.entry:nextappointment"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck03424.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:followup.Fatias para entry.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:followup.entry:transport" title="Fatia transport">entry:transport</a><a name="Composition.section:followup.entry:transport"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Transport.html">Perfil de informação sobre Transportes</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck025.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Item de fatia" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:destination" title="Fatia destination">section:destination</a><a name="Composition.section:destination"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement" class="xhtPieceDeEmphasized">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Composition is broken into sections</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0250.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Elemento" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:destination.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:destination.code">code</a><a name="Composition.section:destination.code"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Classification of section (recommended)</span><br/><span class="xhtPieceBold">Padrão necessário: </span><div><pre class="json"><code>{
  &quot;coding&quot; : [
    {
      &quot;system&quot; : &quot;http://snomed.info/sct&quot;,
      &quot;code&quot; : &quot;45131006&quot;,
      &quot;display&quot; : &quot;Primary care hospital (environment)&quot;
    }
  ]
}</code></pre></div></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0240.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="" style="background-color: white; background-color: inherit" title="Referência a outro recurso" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">Composition.Fatias para section.section:destination.</span><a href="StructureDefinition-CompositionNoticia-definitions.html#Composition.section:destination.entry">entry</a><a name="Composition.section:destination.entry"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="Este elemento deve ser suportado">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> Este elemento deve ser suportado. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/organization.html">Organization</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A reference to data that supports this section</span></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legenda para este formato"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentação para este formato</a></td></tr></table></div>
  </text>
  <url
       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia"/>
  <version value="1.0.0"/>
  <name value="CompositionNoticia"/>
  <title
         value="Perfil do recurso Composition que cria as secções da noticia nascimento"/>
  <status value="active"/>
  <date value="2026-10-20T10:33:46+00:00"/>
  <publisher value="HL7 Portugal"/>
  <contact>
    <name value="HL7 Portugal"/>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.pt"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@hl7.pt"/>
    </telecom>
  </contact>
  <contact>
    <name value="HL7 Portugal"/>
    <telecom>
      <system value="email"/>
      <value value="geral@hl7.pt"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="Perfil do recurso Composition que cria as secções da noticia nascimento"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="PT"/>
      <display value="Portugal"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <mapping>
    <identity value="workflow"/>
    <uri value="http://hl7.org/fhir/workflow"/>
    <name value="Workflow Pattern"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="cda"/>
    <uri value="http://hl7.org/v3/cda"/>
    <name value="CDA (R2)"/>
  </mapping>
  <mapping>
    <identity value="fhirdocumentreference"/>
    <uri value="http://hl7.org/fhir/documentreference"/>
    <name value="FHIR DocumentReference"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/fivews"/>
    <name value="FiveWs Pattern Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Composition"/>
  <baseDefinition
                  value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
  <derivation value="constraint"/>
  <snapshot>
    <extension
               url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
      <valueString value="4.0.1"/>
    </extension>
    <element id="Composition">
      <path value="Composition"/>
      <short
             value="A set of resources composed into a single coherent clinical statement with clinical attestation"/>
      <definition
                  value="A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.)."/>
      <comment
               value="While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="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"/>
        <expression
                    value="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()"/>
        <xpath
               value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-5"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
        <expression value="contained.meta.security.empty()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <constraint>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown
                         value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
        </extension>
        <key value="dom-6"/>
        <severity value="warning"/>
        <human
               value="A resource should have narrative for robust management"/>
        <expression value="text.`div`.exists()"/>
        <xpath value="exists(f:text/h:div)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="workflow"/>
        <map value="Event"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="Document[classCode=&quot;DOC&quot; and moodCode=&quot;EVN&quot; and isNormalAct()]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="when described by DocumentReference"/>
      </mapping>
    </element>
    <element id="Composition.id">
      <path value="Composition.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comment
               value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element id="Composition.meta">
      <path value="Composition.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element id="Composition.implicitRules">
      <path value="Composition.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/>
      <comment
               value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/>
      <isSummary value="true"/>
    </element>
    <element id="Composition.language">
      <path value="Composition.language"/>
      <short value="Language of the resource content"/>
      <definition
                  value="The base language in which the resource is written."/>
      <comment
               value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <strength value="preferred"/>
        <description value="A human language."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/>
      </binding>
    </element>
    <element id="Composition.text">
      <path value="Composition.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comment
               value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Composition.contained">
      <path value="Composition.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comment
               value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.extension">
      <path value="Composition.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Composition.extension:versionNumber">
      <path value="Composition.extension"/>
      <sliceName value="versionNumber"/>
      <short value="Version-specific identifier for composition"/>
      <definition
                  value="Version specific identifier for the composition, assigned when each version is created/updated."/>
      <comment
               value="While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|4.0.1"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="Composition.modifierExtension">
      <path value="Composition.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.identifier">
      <path value="Composition.identifier"/>
      <short value="Version-independent identifier for the Composition"/>
      <definition
                  value="A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time."/>
      <comment
               value="Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.identifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.identifier"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.identifier"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Document.id / Document.setId"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".setId"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.masterIdentifier"/>
      </mapping>
    </element>
    <element id="Composition.status">
      <path value="Composition.status"/>
      <short value="preliminary | final | amended | entered-in-error"/>
      <definition
                  value="The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document."/>
      <comment
               value="If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag &quot;entered-in-error&quot; is why this element is labeled as a modifier of other elements.   

Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required."/>
      <requirements
                    value="Need to be able to mark interim, amended, or withdrawn compositions or documents."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <patternCode value="final"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionStatus"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The workflow/clinical status of the composition."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/composition-status|4.0.1"/>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.status"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.status"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="interim: .completionCode=&quot;IN&quot; &amp; ./statusCode[isNormalDatatype()]=&quot;active&quot;;  final: .completionCode=&quot;AU&quot; &amp;&amp;  ./statusCode[isNormalDatatype()]=&quot;complete&quot; and not(./inboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()]/source[subsumesCode(&quot;ActClass#CACT&quot;) and moodCode=&quot;EVN&quot; and domainMember(&quot;ReviseComposition&quot;, code) and isNormalAct()]);  amended: .completionCode=&quot;AU&quot; &amp;&amp;  ./statusCode[isNormalDatatype()]=&quot;complete&quot; and ./inboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()]/source[subsumesCode(&quot;ActClass#CACT&quot;) and moodCode=&quot;EVN&quot; and domainMember(&quot;ReviseComposition&quot;, code) and isNormalAct() and statusCode=&quot;completed&quot;];  withdrawn : .completionCode=NI &amp;&amp;  ./statusCode[isNormalDatatype()]=&quot;obsolete&quot;"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.status"/>
      </mapping>
    </element>
    <element id="Composition.type">
      <path value="Composition.type"/>
      <short value="Kind of composition (LOINC if possible)"/>
      <definition
                  value="Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition."/>
      <comment
               value="For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding."/>
      <requirements
                    value="Key metadata element describing the composition, used in searching/filtering."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.type"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org/"/>
          <code value="71230-7"/>
          <display value="Birth certificate"/>
        </coding>
      </patternCodeableConcept>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentType"/>
        </extension>
        <strength value="preferred"/>
        <description value="Type of a composition."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1"/>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.type"/>
      </mapping>
    </element>
    <element id="Composition.category">
      <path value="Composition.category"/>
      <short value="Categorization of Composition"/>
      <definition
                  value="A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type."/>
      <comment
               value="This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD))."/>
      <requirements
                    value="Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.category"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentCategory"/>
        </extension>
        <strength value="example"/>
        <description
                     value="High-level kind of a clinical document at a macro level."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1"/>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.subject"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;EVN&quot;].code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumenttReference.category"/>
      </mapping>
    </element>
    <element id="Composition.subject">
      <path value="Composition.subject"/>
      <short value="Who and/or what the composition is about"/>
      <definition
                  value="Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure)."/>
      <comment value="For clinical documents, this is usually the patient."/>
      <requirements
                    value="Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Group|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Location|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.subject[x]"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;SBJ&quot;].role[typeCode=&quot;PAT&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".recordTarget"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.subject"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.subject"/>
      </mapping>
    </element>
    <element id="Composition.encounter">
      <path value="Composition.encounter"/>
      <short value="Context of the Composition"/>
      <definition
                  value="Describes the clinical encounter or type of care this documentation is associated with."/>
      <requirements
                    value="Provides context for the composition and supports searching."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.context"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.context"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="unique(highest(./outboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()], priorityNumber)/target[moodCode=&quot;EVN&quot; and classCode=(&quot;ENC&quot;, &quot;PCPR&quot;) and isNormalAct])"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".componentOf.encompassingEncounter"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.context.encounter"/>
      </mapping>
    </element>
    <element id="Composition.date">
      <path value="Composition.date"/>
      <short value="Composition editing time"/>
      <definition
                  value="The composition editing time, when the composition was last logically changed by the author."/>
      <comment
               value="The Last Modified Date on the composition may be after the date of the document was attested without being changed."/>
      <requirements
                    value="dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/bundle-definitions.html#Bundle.timestamp) is the date of packaging."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.date"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.occurrence[x]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.done[x]"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime[type=&quot;TS&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map
             value="DocumentReference.content.attachment.date, DocumentReference.created"/>
      </mapping>
    </element>
    <element id="Composition.author">
      <path value="Composition.author"/>
      <short value="Who and/or what authored the composition"/>
      <definition
                  value="Identifies who is responsible for the information in the composition, not necessarily who typed it in."/>
      <requirements value="Identifies who is responsible for the content."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.author"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".author.assignedAuthor"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.agent"/>
      </mapping>
    </element>
    <element id="Composition.title">
      <path value="Composition.title"/>
      <short value="Human Readable name/title"/>
      <definition value="Official human-readable label for the composition."/>
      <comment
               value="For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a &quot;consultation&quot; or &quot;progress note&quot;). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.title"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map
             value="DocumentReference.description, DocumentReference.content.attachment.title"/>
      </mapping>
    </element>
    <element id="Composition.confidentiality">
      <path value="Composition.confidentiality"/>
      <short value="As defined by affinity domain"/>
      <definition
                  value="The code specifying the level of confidentiality of the Composition."/>
      <comment
               value="The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section).  This element is labeled as a modifier because highly confidential documents must not be treated as if they are not."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.confidentiality"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentConfidentiality"/>
        </extension>
        <strength value="required"/>
        <description
                     value="Codes specifying the level of confidentiality of the composition."/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".confidentialityCode"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".confidentialityCode"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.securityLabel"/>
      </mapping>
    </element>
    <element id="Composition.attester">
      <path value="Composition.attester"/>
      <short value="Attests to accuracy of composition"/>
      <definition
                  value="A participant who has attested to the accuracy of the composition/document."/>
      <comment value="Only list each attester once."/>
      <requirements
                    value="Identifies responsibility for the accuracy of the composition content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.attester"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;AUTHEN&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".authenticator/.legalAuthenticator"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.authenticator"/>
      </mapping>
    </element>
    <element id="Composition.attester.id">
      <path value="Composition.attester.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.attester.extension">
      <path value="Composition.attester.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.attester.modifierExtension">
      <path value="Composition.attester.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.attester.mode">
      <path value="Composition.attester.mode"/>
      <short value="personal | professional | legal | official"/>
      <definition value="The type of attestation the authenticator offers."/>
      <requirements
                    value="Indicates the level of authority of the attestation."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.attester.mode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionAttestationMode"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The way in which a person authenticated a composition."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="unique(./modeCode)"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="implied by .authenticator/.legalAuthenticator"/>
      </mapping>
    </element>
    <element id="Composition.attester.time">
      <path value="Composition.attester.time"/>
      <short value="When the composition was attested"/>
      <definition value="When the composition was attested by the party."/>
      <requirements
                    value="Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.attester.time"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="./time[type=&quot;TS&quot; and isNormalDatatype()]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".authenticator.time"/>
      </mapping>
    </element>
    <element id="Composition.attester.party">
      <path value="Composition.attester.party"/>
      <short value="Who attested the composition"/>
      <definition value="Who attested the composition in the specified way."/>
      <requirements
                    value="Identifies who has taken on the responsibility for accuracy of the composition content."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.attester.party"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.witness"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="./role[classCode=&quot;ASSIGNED&quot; and isNormalRole]/player[determinerCode=&quot;INST&quot; and classCode=(&quot;DEV&quot;, &quot;PSN&quot;) and isNormalEntity()] or ./role[classCode=&quot;ASSIGNED&quot; and isNormalRole and not(player)]/scoper[determinerCode=&quot;INST&quot; and classCode=&quot;ORG&quot; and isNormalEntity()]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".authenticator.assignedEnttty"/>
      </mapping>
    </element>
    <element id="Composition.custodian">
      <path value="Composition.custodian"/>
      <short value="Organization which maintains the composition"/>
      <definition
                  value="Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information."/>
      <comment
               value="This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged."/>
      <requirements
                    value="Identifies where to go to find the current version, where to report issues, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.custodian"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;RCV&quot;].role[classCode=&quot;CUST&quot;].scoper[classCode=&quot;ORG&quot; and determinerCode=&quot;INST&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".custodian.assignedCustodian"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.custodian"/>
      </mapping>
    </element>
    <element id="Composition.relatesTo">
      <path value="Composition.relatesTo"/>
      <short value="Relationships to other compositions/documents"/>
      <definition
                  value="Relationships that this composition has with other compositions or documents that already exist."/>
      <comment value="A document is a version specific composition."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.relatesTo"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".relatedDocument"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.relatesTo"/>
      </mapping>
    </element>
    <element id="Composition.relatesTo.id">
      <path value="Composition.relatesTo.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.relatesTo.extension">
      <path value="Composition.relatesTo.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.relatesTo.modifierExtension">
      <path value="Composition.relatesTo.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.relatesTo.code">
      <path value="Composition.relatesTo.code"/>
      <short value="replaces | transforms | signs | appends"/>
      <definition
                  value="The type of relationship that this composition has with anther composition or document."/>
      <comment
               value="If this document appends another document, then the document cannot be fully understood without also accessing the referenced document."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.relatesTo.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentRelationshipType"/>
        </extension>
        <strength value="required"/>
        <description value="The type of relationship between documents."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship.typeCode"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".relatedDocument.typeCode"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.relatesTo.code"/>
      </mapping>
    </element>
    <element id="Composition.relatesTo.target[x]">
      <path value="Composition.relatesTo.target[x]"/>
      <short value="Target of the relationship"/>
      <definition
                  value="The target composition/document of this relationship."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.relatesTo.target[x]"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Composition|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".target[classCode=&quot;DOC&quot;, moodCode=&quot;EVN&quot;].id"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".relatedDocument.id"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.relatesTo.target"/>
      </mapping>
    </element>
    <element id="Composition.event">
      <path value="Composition.event"/>
      <short value="The clinical service(s) being documented"/>
      <definition
                  value="The clinical service, such as a colonoscopy or an appendectomy, being documented."/>
      <comment
               value="The event needs to be consistent with the type element, though can provide further information if desired."/>
      <requirements
                    value="Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.event"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="outboundRelationship[typeCode=&quot;SUBJ&quot;].target[classCode&lt;'ACT']"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".documentationOf.serviceEvent"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.event"/>
      </mapping>
    </element>
    <element id="Composition.event.id">
      <path value="Composition.event.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.event.extension">
      <path value="Composition.event.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.event.modifierExtension">
      <path value="Composition.event.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.event.code">
      <path value="Composition.event.code"/>
      <short value="Code(s) that apply to the event being documented"/>
      <definition
                  value="This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a &quot;History and Physical Report&quot; in which the procedure being documented is necessarily a &quot;History and Physical&quot; act."/>
      <comment
               value="An event can further specialize the act inherent in the typeCode, such as where it is simply &quot;Procedure Report&quot; and the procedure was a &quot;colonoscopy&quot;. If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.event.code"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentEventType"/>
        </extension>
        <strength value="example"/>
        <description
                     value="This list of codes represents the main clinical acts being documented."/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.event.code"/>
      </mapping>
    </element>
    <element id="Composition.event.period">
      <path value="Composition.event.period"/>
      <short value="The period covered by the documentation"/>
      <definition
                  value="The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.event.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="fhirdocumentreference"/>
        <map value="DocumentReference.event.period"/>
      </mapping>
    </element>
    <element id="Composition.event.detail">
      <path value="Composition.event.detail"/>
      <short value="The event(s) being documented"/>
      <definition
                  value="The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.event.detail"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=&quot;SUBJ&quot;].target"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section">
      <path value="Composition.section"/>
      <slicing>
        <discriminator>
          <type value="pattern"/>
          <path value="code"/>
        </discriminator>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Sections composing the IPS"/>
      <definition
                  value="The root of the sections that make up the IPS composition."/>
      <min value="8"/>
      <max value="*"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must contain at least one of text, entries, or sub-sections"/>
        <expression
                    value="text.exists() or entry.exists() or section.exists()"/>
        <xpath
               value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element id="Composition.section.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.section.title">
      <path value="Composition.section.title"/>
      <short value="Label for section (e.g. for ToC)"/>
      <definition
                  value="The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents."/>
      <comment
               value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="Composition.section.code">
      <path value="Composition.section.code"/>
      <short value="Classification of section (recommended)"/>
      <definition
                  value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/>
      <comment
               value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionSectionType"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Classification of a section of a composition/document."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="Composition.section.author">
      <path value="Composition.section.author"/>
      <short value="Who and/or what authored the section"/>
      <definition
                  value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/>
      <requirements value="Identifies who is responsible for the content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".author.assignedAuthor"/>
      </mapping>
    </element>
    <element id="Composition.section.focus">
      <path value="Composition.section.focus"/>
      <short
             value="Who/what the section is about, when it is not about the subject of composition"/>
      <definition
                  value="The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)."/>
      <comment
               value="Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.focus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="cda"/>
        <map
             value=".subject? (CDA did not differentiate between subject and focus)"/>
      </mapping>
    </element>
    <element id="Composition.section.text">
      <path value="Composition.section.text"/>
      <short value="Text summary of the section, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative."/>
      <comment
               value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="Composition.section.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <comment
               value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionMode"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The processing mode that applies to this section."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS&quot;].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comment
               value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEntryOrder"/>
        </extension>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].sequenceNumber &gt; 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section.entry">
      <path value="Composition.section.entry"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comment
               value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like &quot;none exist&quot; or &quot;not asked&quot; which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEmptyReason"/>
        </extension>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code&lt;ListEmptyReason].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comment
               value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:mother">
      <path value="Composition.section"/>
      <sliceName value="mother"/>
      <short value="Composition is broken into sections"/>
      <definition
                  value="The root of the sections that make up the composition."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must contain at least one of text, entries, or sub-sections"/>
        <expression
                    value="text.exists() or entry.exists() or section.exists()"/>
        <xpath
               value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.title">
      <path value="Composition.section.title"/>
      <short value="Label for section (e.g. for ToC)"/>
      <definition
                  value="The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents."/>
      <comment
               value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.code">
      <path value="Composition.section.code"/>
      <short value="Classification of section (recommended)"/>
      <definition
                  value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/>
      <comment
               value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="92014-0"/>
          <display value="Mother's administrative information"/>
        </coding>
      </patternCodeableConcept>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionSectionType"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Classification of a section of a composition/document."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.author">
      <path value="Composition.section.author"/>
      <short value="Who and/or what authored the section"/>
      <definition
                  value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/>
      <requirements value="Identifies who is responsible for the content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".author.assignedAuthor"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.focus">
      <path value="Composition.section.focus"/>
      <short
             value="Who/what the section is about, when it is not about the subject of composition"/>
      <definition
                  value="The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)."/>
      <comment
               value="Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.focus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="cda"/>
        <map
             value=".subject? (CDA did not differentiate between subject and focus)"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.text">
      <path value="Composition.section.text"/>
      <short value="Text summary of the section, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative."/>
      <comment
               value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <comment
               value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionMode"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The processing mode that applies to this section."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS&quot;].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comment
               value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEntryOrder"/>
        </extension>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].sequenceNumber &gt; 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Mother"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comment
               value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like &quot;none exist&quot; or &quot;not asked&quot; which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEmptyReason"/>
        </extension>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code&lt;ListEmptyReason].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:mother.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comment
               value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy">
      <path value="Composition.section"/>
      <sliceName value="pregnancy"/>
      <short value="Composition is broken into sections"/>
      <definition
                  value="The root of the sections that make up the composition."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must contain at least one of text, entries, or sub-sections"/>
        <expression
                    value="text.exists() or entry.exists() or section.exists()"/>
        <xpath
               value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.title">
      <path value="Composition.section.title"/>
      <short value="Label for section (e.g. for ToC)"/>
      <definition
                  value="The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents."/>
      <comment
               value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.code">
      <path value="Composition.section.code"/>
      <short value="Classification of section (recommended)"/>
      <definition
                  value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/>
      <comment
               value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="56833-7"/>
          <display value="Pregnancy related history Narrative"/>
        </coding>
      </patternCodeableConcept>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionSectionType"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Classification of a section of a composition/document."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.author">
      <path value="Composition.section.author"/>
      <short value="Who and/or what authored the section"/>
      <definition
                  value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/>
      <requirements value="Identifies who is responsible for the content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".author.assignedAuthor"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.focus">
      <path value="Composition.section.focus"/>
      <short
             value="Who/what the section is about, when it is not about the subject of composition"/>
      <definition
                  value="The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)."/>
      <comment
               value="Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.focus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="cda"/>
        <map
             value=".subject? (CDA did not differentiate between subject and focus)"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.text">
      <path value="Composition.section.text"/>
      <short value="Text summary of the section, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative."/>
      <comment
               value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <comment
               value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionMode"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The processing mode that applies to this section."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS&quot;].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comment
               value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEntryOrder"/>
        </extension>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].sequenceNumber &gt; 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Pregnancy"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/GestationalAge"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.entry:pregnancyInfo">
      <path value="Composition.section.entry"/>
      <sliceName value="pregnancyInfo"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Pregnancy"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.entry:gestationalAge">
      <path value="Composition.section.entry"/>
      <sliceName value="gestationalAge"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/GestationalAge"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comment
               value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like &quot;none exist&quot; or &quot;not asked&quot; which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEmptyReason"/>
        </extension>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code&lt;ListEmptyReason].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:pregnancy.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comment
               value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:birth">
      <path value="Composition.section"/>
      <sliceName value="birth"/>
      <short value="Composition is broken into sections"/>
      <definition
                  value="The root of the sections that make up the composition."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must contain at least one of text, entries, or sub-sections"/>
        <expression
                    value="text.exists() or entry.exists() or section.exists()"/>
        <xpath
               value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.title">
      <path value="Composition.section.title"/>
      <short value="Label for section (e.g. for ToC)"/>
      <definition
                  value="The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents."/>
      <comment
               value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.code">
      <path value="Composition.section.code"/>
      <short value="Classification of section (recommended)"/>
      <definition
                  value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/>
      <comment
               value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="57074-7"/>
          <display value="Labor and delivery process Narrative"/>
        </coding>
      </patternCodeableConcept>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionSectionType"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Classification of a section of a composition/document."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.author">
      <path value="Composition.section.author"/>
      <short value="Who and/or what authored the section"/>
      <definition
                  value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/>
      <requirements value="Identifies who is responsible for the content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".author.assignedAuthor"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.focus">
      <path value="Composition.section.focus"/>
      <short
             value="Who/what the section is about, when it is not about the subject of composition"/>
      <definition
                  value="The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)."/>
      <comment
               value="Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.focus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="cda"/>
        <map
             value=".subject? (CDA did not differentiate between subject and focus)"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.text">
      <path value="Composition.section.text"/>
      <short value="Text summary of the section, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative."/>
      <comment
               value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <comment
               value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionMode"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The processing mode that applies to this section."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS&quot;].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comment
               value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEntryOrder"/>
        </extension>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].sequenceNumber &gt; 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="2"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.entry:birthInfo">
      <path value="Composition.section.entry"/>
      <sliceName value="birthInfo"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Birth"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.entry:episode">
      <path value="Composition.section.entry"/>
      <sliceName value="episode"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Contact"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comment
               value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like &quot;none exist&quot; or &quot;not asked&quot; which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEmptyReason"/>
        </extension>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code&lt;ListEmptyReason].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:birth.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comment
               value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn">
      <path value="Composition.section"/>
      <sliceName value="newborn"/>
      <short value="Composition is broken into sections"/>
      <definition
                  value="The root of the sections that make up the composition."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must contain at least one of text, entries, or sub-sections"/>
        <expression
                    value="text.exists() or entry.exists() or section.exists()"/>
        <xpath
               value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.title">
      <path value="Composition.section.title"/>
      <short value="Label for section (e.g. for ToC)"/>
      <definition
                  value="The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents."/>
      <comment
               value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.code">
      <path value="Composition.section.code"/>
      <short value="Classification of section (recommended)"/>
      <definition
                  value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/>
      <comment
               value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="57075-4"/>
          <display value="Newborn delivery information"/>
        </coding>
      </patternCodeableConcept>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionSectionType"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Classification of a section of a composition/document."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.author">
      <path value="Composition.section.author"/>
      <short value="Who and/or what authored the section"/>
      <definition
                  value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/>
      <requirements value="Identifies who is responsible for the content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".author.assignedAuthor"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.focus">
      <path value="Composition.section.focus"/>
      <short
             value="Who/what the section is about, when it is not about the subject of composition"/>
      <definition
                  value="The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)."/>
      <comment
               value="Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.focus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="cda"/>
        <map
             value=".subject? (CDA did not differentiate between subject and focus)"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.text">
      <path value="Composition.section.text"/>
      <short value="Text summary of the section, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative."/>
      <comment
               value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <comment
               value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionMode"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The processing mode that applies to this section."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS&quot;].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comment
               value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEntryOrder"/>
        </extension>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].sequenceNumber &gt; 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Child"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comment
               value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like &quot;none exist&quot; or &quot;not asked&quot; which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEmptyReason"/>
        </extension>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code&lt;ListEmptyReason].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:newborn.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comment
               value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:exams">
      <path value="Composition.section"/>
      <sliceName value="exams"/>
      <short value="Composition is broken into sections"/>
      <definition
                  value="The root of the sections that make up the composition."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must contain at least one of text, entries, or sub-sections"/>
        <expression
                    value="text.exists() or entry.exists() or section.exists()"/>
        <xpath
               value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="screening-hearing-single"/>
        <severity value="error"/>
        <human
               value="O rastreio auditivo é registado como realizado (Observation) ou marcado (ServiceRequest), nunca ambos"/>
        <expression
                    value="entry.resolve().where(code.coding.where(system = 'http://snomed.info/sct' and code = '417491009').exists()).count() &lt;= 1"/>
        <source
                value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia"/>
      </constraint>
      <constraint>
        <key value="screening-metabolic-single"/>
        <severity value="error"/>
        <human
               value="O rastreio de doenças metabólicas é registado como realizado/não realizado (Observation) ou marcado (ServiceRequest), nunca ambos"/>
        <expression
                    value="entry.resolve().where(code.coding.where(system = 'http://snomed.info/sct' and code = '275977009').exists()).count() &lt;= 1"/>
        <source
                value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.title">
      <path value="Composition.section.title"/>
      <short value="Label for section (e.g. for ToC)"/>
      <definition
                  value="The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents."/>
      <comment
               value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.code">
      <path value="Composition.section.code"/>
      <short value="Classification of section (recommended)"/>
      <definition
                  value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/>
      <comment
               value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="73738-7"/>
          <display
                   value="Newborn screening test results panel - Point of Care"/>
        </coding>
      </patternCodeableConcept>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionSectionType"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Classification of a section of a composition/document."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.author">
      <path value="Composition.section.author"/>
      <short value="Who and/or what authored the section"/>
      <definition
                  value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/>
      <requirements value="Identifies who is responsible for the content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".author.assignedAuthor"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.focus">
      <path value="Composition.section.focus"/>
      <short
             value="Who/what the section is about, when it is not about the subject of composition"/>
      <definition
                  value="The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)."/>
      <comment
               value="Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.focus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="cda"/>
        <map
             value=".subject? (CDA did not differentiate between subject and focus)"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.text">
      <path value="Composition.section.text"/>
      <short value="Text summary of the section, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative."/>
      <comment
               value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <comment
               value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionMode"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The processing mode that applies to this section."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS&quot;].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comment
               value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEntryOrder"/>
        </extension>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].sequenceNumber &gt; 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="5"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:length">
      <path value="Composition.section.entry"/>
      <sliceName value="length"/>
      <short value="Comprimento (cm)"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/BirthLength"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:bodyweigth">
      <path value="Composition.section.entry"/>
      <sliceName value="bodyweigth"/>
      <short value="Peso (gr)"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/BirthWeight"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:cephalicPerimeter">
      <path value="Composition.section.entry"/>
      <sliceName value="cephalicPerimeter"/>
      <short value="Perímetro cefálico (cm)"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/BirthHeadCircumference"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:apgar">
      <path value="Composition.section.entry"/>
      <sliceName value="apgar"/>
      <short value="Índice(s) apgar"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/ApgarScore"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:malformation">
      <path value="Composition.section.entry"/>
      <sliceName value="malformation"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Malformation"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:Phototherapy">
      <path value="Composition.section.entry"/>
      <sliceName value="Phototherapy"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Phototherapy"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:hearingscreen">
      <path value="Composition.section.entry"/>
      <sliceName value="hearingscreen"/>
      <short value="Rastreio auditivo neonatal universal (realizado)"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Hearingscreen"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:Congenital">
      <path value="Composition.section.entry"/>
      <sliceName value="Congenital"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Congenital"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:Metabolic">
      <path value="Composition.section.entry"/>
      <sliceName value="Metabolic"/>
      <short
             value="Rastreio de doenças metabólicas (realizado/não realizado)"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Metabolic"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:Pupillary">
      <path value="Composition.section.entry"/>
      <sliceName value="Pupillary"/>
      <short value="Teste Reflexo pupilar"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Pupillary"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:newbornriskassessment">
      <path value="Composition.section.entry"/>
      <sliceName value="newbornriskassessment"/>
      <short value="Avaliação de risco e referenciação ao NHACJR"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Newbornriskassessment"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.entry:screeningRequest">
      <path value="Composition.section.entry"/>
      <sliceName value="screeningRequest"/>
      <short
             value="Rastreio auditivo e/ou de doenças metabólicas marcado para data futura"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="2"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/ScreeningRequest"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comment
               value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like &quot;none exist&quot; or &quot;not asked&quot; which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEmptyReason"/>
        </extension>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code&lt;ListEmptyReason].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:exams.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comment
               value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination">
      <path value="Composition.section"/>
      <sliceName value="vaccination"/>
      <short value="Composition is broken into sections"/>
      <definition
                  value="The root of the sections that make up the composition."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must contain at least one of text, entries, or sub-sections"/>
        <expression
                    value="text.exists() or entry.exists() or section.exists()"/>
        <xpath
               value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="vacc-hepb"/>
        <severity value="error"/>
        <human
               value="A secção de vacinação tem de incluir exatamente um registo da vacina contra a Hepatite B (SNOMED CT 836374004)"/>
        <expression
                    value="entry.resolve().ofType(Immunization).where(vaccineCode.coding.where(system = 'http://snomed.info/sct' and code = '836374004').exists()).count() = 1"/>
        <source
                value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia"/>
      </constraint>
      <constraint>
        <key value="vacc-bcg"/>
        <severity value="error"/>
        <human
               value="A secção de vacinação tem de incluir exatamente um registo da vacina BCG (SNOMED CT 836402002)"/>
        <expression
                    value="entry.resolve().ofType(Immunization).where(vaccineCode.coding.where(system = 'http://snomed.info/sct' and code = '836402002').exists()).count() = 1"/>
        <source
                value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia"/>
      </constraint>
      <constraint>
        <key value="vacc-antid"/>
        <severity value="error"/>
        <human
               value="A secção de vacinação tem de incluir exatamente um registo da imunoglobulina anti-D (SNOMED CT 786224004)"/>
        <expression
                    value="entry.resolve().ofType(Immunization).where(vaccineCode.coding.where(system = 'http://snomed.info/sct' and code = '786224004').exists()).count() = 1"/>
        <source
                value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.title">
      <path value="Composition.section.title"/>
      <short value="Label for section (e.g. for ToC)"/>
      <definition
                  value="The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents."/>
      <comment
               value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.code">
      <path value="Composition.section.code"/>
      <short value="Classification of section (recommended)"/>
      <definition
                  value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/>
      <comment
               value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11369-6"/>
          <display value="History of Immunization Narrative"/>
        </coding>
      </patternCodeableConcept>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionSectionType"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Classification of a section of a composition/document."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.author">
      <path value="Composition.section.author"/>
      <short value="Who and/or what authored the section"/>
      <definition
                  value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/>
      <requirements value="Identifies who is responsible for the content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".author.assignedAuthor"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.focus">
      <path value="Composition.section.focus"/>
      <short
             value="Who/what the section is about, when it is not about the subject of composition"/>
      <definition
                  value="The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)."/>
      <comment
               value="Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.focus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="cda"/>
        <map
             value=".subject? (CDA did not differentiate between subject and focus)"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.text">
      <path value="Composition.section.text"/>
      <short value="Text summary of the section, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative."/>
      <comment
               value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <comment
               value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionMode"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The processing mode that applies to this section."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS&quot;].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comment
               value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEntryOrder"/>
        </extension>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].sequenceNumber &gt; 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.entry">
      <path value="Composition.section.entry"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="3"/>
      <max value="3"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Vaccination"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comment
               value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like &quot;none exist&quot; or &quot;not asked&quot; which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEmptyReason"/>
        </extension>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code&lt;ListEmptyReason].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:vaccination.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comment
               value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:followup">
      <path value="Composition.section"/>
      <sliceName value="followup"/>
      <short value="Composition is broken into sections"/>
      <definition
                  value="The root of the sections that make up the composition."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must contain at least one of text, entries, or sub-sections"/>
        <expression
                    value="text.exists() or entry.exists() or section.exists()"/>
        <xpath
               value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.title">
      <path value="Composition.section.title"/>
      <short value="Label for section (e.g. for ToC)"/>
      <definition
                  value="The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents."/>
      <comment
               value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.code">
      <path value="Composition.section.code"/>
      <short value="Classification of section (recommended)"/>
      <definition
                  value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/>
      <comment
               value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11544-4"/>
          <display value="Hospital discharge follow-up Narrative"/>
        </coding>
      </patternCodeableConcept>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionSectionType"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Classification of a section of a composition/document."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.author">
      <path value="Composition.section.author"/>
      <short value="Who and/or what authored the section"/>
      <definition
                  value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/>
      <requirements value="Identifies who is responsible for the content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".author.assignedAuthor"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.focus">
      <path value="Composition.section.focus"/>
      <short
             value="Who/what the section is about, when it is not about the subject of composition"/>
      <definition
                  value="The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)."/>
      <comment
               value="Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.focus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="cda"/>
        <map
             value=".subject? (CDA did not differentiate between subject and focus)"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.text">
      <path value="Composition.section.text"/>
      <short value="Text summary of the section, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative."/>
      <comment
               value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <comment
               value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionMode"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The processing mode that applies to this section."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS&quot;].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comment
               value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEntryOrder"/>
        </extension>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].sequenceNumber &gt; 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.entry:puerperium">
      <path value="Composition.section.entry"/>
      <sliceName value="puerperium"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Puerperium"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.entry:childhealthsurveilance">
      <path value="Composition.section.entry"/>
      <sliceName value="childhealthsurveilance"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/HealthcareOrganization"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.entry:bulletindelivery">
      <path value="Composition.section.entry"/>
      <sliceName value="bulletindelivery"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Bulletindelivery"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.entry:letter">
      <path value="Composition.section.entry"/>
      <sliceName value="letter"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Letter"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.entry:nextappointment">
      <path value="Composition.section.entry"/>
      <sliceName value="nextappointment"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.entry:transport">
      <path value="Composition.section.entry"/>
      <sliceName value="transport"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Transport"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comment
               value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like &quot;none exist&quot; or &quot;not asked&quot; which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEmptyReason"/>
        </extension>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code&lt;ListEmptyReason].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:followup.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comment
               value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:destination">
      <path value="Composition.section"/>
      <sliceName value="destination"/>
      <short value="Composition is broken into sections"/>
      <definition
                  value="The root of the sections that make up the composition."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Composition.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="cmp-1"/>
        <severity value="error"/>
        <human
               value="A section must contain at least one of text, entries, or sub-sections"/>
        <expression
                    value="text.exists() or entry.exists() or section.exists()"/>
        <xpath
               value="exists(f:text) or exists(f:entry) or exists(f:section)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="cmp-2"/>
        <severity value="error"/>
        <human value="A section can only have an emptyReason if it is empty"/>
        <expression value="emptyReason.empty() or entry.empty()"/>
        <xpath value="not(exists(f:emptyReason) and exists(f:entry))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"/>
      </constraint>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.structuredBody.component.section"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.id">
      <path value="Composition.section.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.extension">
      <path value="Composition.section.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.modifierExtension">
      <path value="Composition.section.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.title">
      <path value="Composition.section.title"/>
      <short value="Label for section (e.g. for ToC)"/>
      <definition
                  value="The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents."/>
      <comment
               value="The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element."/>
      <requirements
                    value="Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized."/>
      <alias value="header"/>
      <alias value="label"/>
      <alias value="caption"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="./title"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".title"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.code">
      <path value="Composition.section.code"/>
      <short value="Classification of section (recommended)"/>
      <definition
                  value="A code identifying the kind of content contained within the section. This must be consistent with the section title."/>
      <comment
               value="The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code."/>
      <requirements
                    value="Provides computable standardized labels to topics within the document."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="45131006"/>
          <display value="Primary care hospital (environment)"/>
        </coding>
      </patternCodeableConcept>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CompositionSectionType"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Classification of a section of a composition/document."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.author">
      <path value="Composition.section.author"/>
      <short value="Who and/or what authored the section"/>
      <definition
                  value="Identifies who is responsible for the information in this section, not necessarily who typed it in."/>
      <requirements value="Identifies who is responsible for the content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.author"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".author.assignedAuthor"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.focus">
      <path value="Composition.section.focus"/>
      <short
             value="Who/what the section is about, when it is not about the subject of composition"/>
      <definition
                  value="The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)."/>
      <comment
               value="Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.focus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="cda"/>
        <map
             value=".subject? (CDA did not differentiate between subject and focus)"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.text">
      <path value="Composition.section.text"/>
      <short value="Text summary of the section, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative."/>
      <comment
               value="Document profiles may define what content should be represented in the narrative to ensure clinical safety."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".text"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".text"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.mode">
      <path value="Composition.section.mode"/>
      <short value="working | snapshot | changes"/>
      <definition
                  value="How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted."/>
      <comment
               value="This element is labeled as a modifier because a change list must not be misunderstood as a complete list."/>
      <requirements
                    value="Sections are used in various ways, and it must be known in what way it is safe to use the entries in them."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.mode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionMode"/>
        </extension>
        <strength value="required"/>
        <description
                     value="The processing mode that applies to this section."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.0.1"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outBoundRelationship[typeCode=COMP].target[classCode=OBS&quot;].value"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.orderedBy">
      <path value="Composition.section.orderedBy"/>
      <short value="Order of section entries"/>
      <definition
                  value="Specifies the order applied to the items in the section entries."/>
      <comment
               value="Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order."/>
      <requirements
                    value="Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.orderedBy"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEntryOrder"/>
        </extension>
        <strength value="preferred"/>
        <description value="What order applies to the items in the entry."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/list-order|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP].sequenceNumber &gt; 1"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.entry">
      <path value="Composition.section.entry"/>
      <short value="A reference to data that supports this section"/>
      <definition
                  value="A reference to the actual resource from which the narrative in the section is derived."/>
      <comment
               value="If there are no entries in the list, an emptyReason SHOULD be provided."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.entry"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".entry"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.emptyReason">
      <path value="Composition.section.emptyReason"/>
      <short value="Why the section is empty"/>
      <definition
                  value="If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason."/>
      <comment
               value="The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases."/>
      <requirements
                    value="Allows capturing things like &quot;none exist&quot; or &quot;not asked&quot; which can be important for most lists."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Composition.section.emptyReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="cmp-2"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SectionEmptyReason"/>
        </extension>
        <strength value="preferred"/>
        <description value="If a section is empty, why it is empty."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ,code&lt;ListEmptyReason].value[type=CD]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Composition.section:destination.section">
      <path value="Composition.section.section"/>
      <short value="Nested Section"/>
      <definition value="A nested sub-section within this section."/>
      <comment
               value="Nested sections are primarily used to help human readers navigate to particular portions of the document."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Composition.section.section"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <contentReference
                        value="http://hl7.org/fhir/StructureDefinition/Composition#Composition.section"/>
      <condition value="cmp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="./outboundRelationship[typeCode=&quot;COMP&quot; and isNormalActRelationship()]/target[moodCode=&quot;EVN&quot; and classCode=&quot;DOCSECT&quot; and isNormalAct]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".component.section"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Composition">
      <path value="Composition"/>
    </element>
    <element id="Composition.identifier">
      <path value="Composition.identifier"/>
      <min value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.status">
      <path value="Composition.status"/>
      <patternCode value="final"/>
    </element>
    <element id="Composition.type">
      <path value="Composition.type"/>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org/"/>
          <code value="71230-7"/>
          <display value="Birth certificate"/>
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Composition.encounter">
      <path value="Composition.encounter"/>
      <min value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.date">
      <path value="Composition.date"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.author">
      <path value="Composition.author"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section">
      <path value="Composition.section"/>
      <slicing>
        <discriminator>
          <type value="pattern"/>
          <path value="code"/>
        </discriminator>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Sections composing the IPS"/>
      <definition
                  value="The root of the sections that make up the IPS composition."/>
      <min value="8"/>
    </element>
    <element id="Composition.section.code">
      <path value="Composition.section.code"/>
      <min value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section.section">
      <path value="Composition.section.section"/>
      <max value="0"/>
    </element>
    <element id="Composition.section:mother">
      <path value="Composition.section"/>
      <sliceName value="mother"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:mother.code">
      <path value="Composition.section.code"/>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="92014-0"/>
          <display value="Mother's administrative information"/>
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Composition.section:mother.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Mother"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:pregnancy">
      <path value="Composition.section"/>
      <sliceName value="pregnancy"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:pregnancy.code">
      <path value="Composition.section.code"/>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="56833-7"/>
          <display value="Pregnancy related history Narrative"/>
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Composition.section:pregnancy.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <min value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Pregnancy"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/GestationalAge"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:pregnancy.entry:pregnancyInfo">
      <path value="Composition.section.entry"/>
      <sliceName value="pregnancyInfo"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Pregnancy"/>
      </type>
    </element>
    <element id="Composition.section:pregnancy.entry:gestationalAge">
      <path value="Composition.section.entry"/>
      <sliceName value="gestationalAge"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/GestationalAge"/>
      </type>
    </element>
    <element id="Composition.section:birth">
      <path value="Composition.section"/>
      <sliceName value="birth"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:birth.code">
      <path value="Composition.section.code"/>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="57074-7"/>
          <display value="Labor and delivery process Narrative"/>
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Composition.section:birth.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <min value="2"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:birth.entry:birthInfo">
      <path value="Composition.section.entry"/>
      <sliceName value="birthInfo"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Birth"/>
      </type>
    </element>
    <element id="Composition.section:birth.entry:episode">
      <path value="Composition.section.entry"/>
      <sliceName value="episode"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Contact"/>
      </type>
    </element>
    <element id="Composition.section:newborn">
      <path value="Composition.section"/>
      <sliceName value="newborn"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:newborn.code">
      <path value="Composition.section.code"/>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="57075-4"/>
          <display value="Newborn delivery information"/>
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Composition.section:newborn.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Child"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:exams">
      <path value="Composition.section"/>
      <sliceName value="exams"/>
      <min value="1"/>
      <max value="1"/>
      <constraint>
        <key value="screening-hearing-single"/>
        <severity value="error"/>
        <human
               value="O rastreio auditivo é registado como realizado (Observation) ou marcado (ServiceRequest), nunca ambos"/>
        <expression
                    value="entry.resolve().where(code.coding.where(system = 'http://snomed.info/sct' and code = '417491009').exists()).count() &lt;= 1"/>
        <source
                value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia"/>
      </constraint>
      <constraint>
        <key value="screening-metabolic-single"/>
        <severity value="error"/>
        <human
               value="O rastreio de doenças metabólicas é registado como realizado/não realizado (Observation) ou marcado (ServiceRequest), nunca ambos"/>
        <expression
                    value="entry.resolve().where(code.coding.where(system = 'http://snomed.info/sct' and code = '275977009').exists()).count() &lt;= 1"/>
        <source
                value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia"/>
      </constraint>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:exams.code">
      <path value="Composition.section.code"/>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="73738-7"/>
          <display
                   value="Newborn screening test results panel - Point of Care"/>
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Composition.section:exams.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <min value="5"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:exams.entry:length">
      <path value="Composition.section.entry"/>
      <sliceName value="length"/>
      <short value="Comprimento (cm)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/BirthLength"/>
      </type>
    </element>
    <element id="Composition.section:exams.entry:bodyweigth">
      <path value="Composition.section.entry"/>
      <sliceName value="bodyweigth"/>
      <short value="Peso (gr)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/BirthWeight"/>
      </type>
    </element>
    <element id="Composition.section:exams.entry:cephalicPerimeter">
      <path value="Composition.section.entry"/>
      <sliceName value="cephalicPerimeter"/>
      <short value="Perímetro cefálico (cm)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/BirthHeadCircumference"/>
      </type>
    </element>
    <element id="Composition.section:exams.entry:apgar">
      <path value="Composition.section.entry"/>
      <sliceName value="apgar"/>
      <short value="Índice(s) apgar"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/ApgarScore"/>
      </type>
    </element>
    <element id="Composition.section:exams.entry:malformation">
      <path value="Composition.section.entry"/>
      <sliceName value="malformation"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Malformation"/>
      </type>
    </element>
    <element id="Composition.section:exams.entry:Phototherapy">
      <path value="Composition.section.entry"/>
      <sliceName value="Phototherapy"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Phototherapy"/>
      </type>
    </element>
    <element id="Composition.section:exams.entry:hearingscreen">
      <path value="Composition.section.entry"/>
      <sliceName value="hearingscreen"/>
      <short value="Rastreio auditivo neonatal universal (realizado)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Hearingscreen"/>
      </type>
    </element>
    <element id="Composition.section:exams.entry:Congenital">
      <path value="Composition.section.entry"/>
      <sliceName value="Congenital"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Congenital"/>
      </type>
    </element>
    <element id="Composition.section:exams.entry:Metabolic">
      <path value="Composition.section.entry"/>
      <sliceName value="Metabolic"/>
      <short
             value="Rastreio de doenças metabólicas (realizado/não realizado)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Metabolic"/>
      </type>
    </element>
    <element id="Composition.section:exams.entry:Pupillary">
      <path value="Composition.section.entry"/>
      <sliceName value="Pupillary"/>
      <short value="Teste Reflexo pupilar"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Pupillary"/>
      </type>
    </element>
    <element id="Composition.section:exams.entry:newbornriskassessment">
      <path value="Composition.section.entry"/>
      <sliceName value="newbornriskassessment"/>
      <short value="Avaliação de risco e referenciação ao NHACJR"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Newbornriskassessment"/>
      </type>
    </element>
    <element id="Composition.section:exams.entry:screeningRequest">
      <path value="Composition.section.entry"/>
      <sliceName value="screeningRequest"/>
      <short
             value="Rastreio auditivo e/ou de doenças metabólicas marcado para data futura"/>
      <min value="0"/>
      <max value="2"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/ScreeningRequest"/>
      </type>
    </element>
    <element id="Composition.section:vaccination">
      <path value="Composition.section"/>
      <sliceName value="vaccination"/>
      <min value="1"/>
      <max value="1"/>
      <constraint>
        <key value="vacc-hepb"/>
        <severity value="error"/>
        <human
               value="A secção de vacinação tem de incluir exatamente um registo da vacina contra a Hepatite B (SNOMED CT 836374004)"/>
        <expression
                    value="entry.resolve().ofType(Immunization).where(vaccineCode.coding.where(system = 'http://snomed.info/sct' and code = '836374004').exists()).count() = 1"/>
        <source
                value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia"/>
      </constraint>
      <constraint>
        <key value="vacc-bcg"/>
        <severity value="error"/>
        <human
               value="A secção de vacinação tem de incluir exatamente um registo da vacina BCG (SNOMED CT 836402002)"/>
        <expression
                    value="entry.resolve().ofType(Immunization).where(vaccineCode.coding.where(system = 'http://snomed.info/sct' and code = '836402002').exists()).count() = 1"/>
        <source
                value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia"/>
      </constraint>
      <constraint>
        <key value="vacc-antid"/>
        <severity value="error"/>
        <human
               value="A secção de vacinação tem de incluir exatamente um registo da imunoglobulina anti-D (SNOMED CT 786224004)"/>
        <expression
                    value="entry.resolve().ofType(Immunization).where(vaccineCode.coding.where(system = 'http://snomed.info/sct' and code = '786224004').exists()).count() = 1"/>
        <source
                value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/CompositionNoticia"/>
      </constraint>
    </element>
    <element id="Composition.section:vaccination.code">
      <path value="Composition.section.code"/>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11369-6"/>
          <display value="History of Immunization Narrative"/>
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Composition.section:vaccination.entry">
      <path value="Composition.section.entry"/>
      <min value="3"/>
      <max value="3"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Vaccination"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:followup">
      <path value="Composition.section"/>
      <sliceName value="followup"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="Composition.section:followup.code">
      <path value="Composition.section.code"/>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="11544-4"/>
          <display value="Hospital discharge follow-up Narrative"/>
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Composition.section:followup.entry">
      <path value="Composition.section.entry"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="resolve()"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <min value="1"/>
      <mustSupport value="true"/>
    </element>
    <element id="Composition.section:followup.entry:puerperium">
      <path value="Composition.section.entry"/>
      <sliceName value="puerperium"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Puerperium"/>
      </type>
    </element>
    <element id="Composition.section:followup.entry:childhealthsurveilance">
      <path value="Composition.section.entry"/>
      <sliceName value="childhealthsurveilance"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/HealthcareOrganization"/>
      </type>
    </element>
    <element id="Composition.section:followup.entry:bulletindelivery">
      <path value="Composition.section.entry"/>
      <sliceName value="bulletindelivery"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Bulletindelivery"/>
      </type>
    </element>
    <element id="Composition.section:followup.entry:letter">
      <path value="Composition.section.entry"/>
      <sliceName value="letter"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Letter"/>
      </type>
    </element>
    <element id="Composition.section:followup.entry:nextappointment">
      <path value="Composition.section.entry"/>
      <sliceName value="nextappointment"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
    </element>
    <element id="Composition.section:followup.entry:transport">
      <path value="Composition.section.entry"/>
      <sliceName value="transport"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://hl7.pt/fhir/NoticiaNascimento/StructureDefinition/Transport"/>
      </type>
    </element>
    <element id="Composition.section:destination">
      <path value="Composition.section"/>
      <sliceName value="destination"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="Composition.section:destination.code">
      <path value="Composition.section.code"/>
      <patternCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="45131006"/>
          <display value="Primary care hospital (environment)"/>
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Composition.section:destination.entry">
      <path value="Composition.section.entry"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mustSupport value="true"/>
    </element>
  </differential>
</StructureDefinition>