AU Patient Summary Implementation Guide
0.5.0-cibuild - CI Build Australia flag

AU Patient Summary Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 0.5.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-ps/ and changes regularly. See the Directory of published versions

Resource Profile: AU PS Composition

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-composition Version: 0.5.0-cibuild
Standards status: Draft Maturity Level: 0 Computable Name: AUPSComposition

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.

This profile sets minimum expectations for a Composition resource in the context of a patient summary in an Australian context. It is based on AU Base Composition and imposes Composition (IPS). AU Patient Summary (AU PS) is specified in this guide as a HL7 FHIR document (a Bundle including a Composition), composed by a set of potentially reusable ‘minimal’ data blocks (the AU PS profiles).

See Comparison With Other National and International IGs for a comparison between AU Patient Summary (AU PS) profiles and profiles in other implementation guides.

Profile specific implementation guidance

  • Implementers need to be consider narrative content expectations and considerations, see the guidance in IPS Narrative Content Guidance for more information.
  • Implementers need to be aware of the requirements for representing missing data, empty sections, known absence of data:
    • Where data is missing for an element within a resource and the reason is not known (for example, the onset date of a particular allergy is not available in the system and the system does not know the reason for the absence), systems SHALL implement the requirements of the Missing Data section.
    • Where data is missing for a section and the reason is not known (for example, where a source system does not have information on a patient’s allergies), systems SHALL implement the requirements of the Empty Sections section.
    • Where data is not available due to a known workflow reason (for example, allergies were not reviewed and are unknown), systems SHOULD implement the requirements of the Known Absence of Data Due to Workflow section.
    • When stating “no known X” or “no history of X” (for example, that a patient has no known allergies), systems SHOULD implement the guidance of the No Known X section.
  • The Medication Summary is expressed as a list of MedicationStatements or MedicationRequests. Guidance on medications lists is available in IPS Medication Lists in the IPS.
  • Implementers populating a section entry with an unprofiled resoure type, e.g. MedicationAdministration, are recommended to consider the corresponding AU Base profile, e.g. AU Base MedicationAdministration, as guidance for that resource type in an Australian healthcare context.
  • Implementers populating “additional” sections are recommended to ensure there is some definition available in a specification describing the intended contents and use of any additional sections. See Extensibility – “Additional” Sections for more guidance.
  • The patient summary document may be constructed by a human or an automated process, regardless of whether the patient summary contains some content of both kinds. In all instances, document level authorship information is required. As per the guidance in IPS:
    • The distinction between the two types of IPS, human-curated or software-assembled, is based on the authors recorded in the composition: the author will be a human (e.g. Practitioner), if the IPS provenance type is “human-curated”, or a device if the IPS provenance type is “software-assembled”. In the case of a software-assembled IPS that is then verified by a human, the document provenance type will be “software-assembled” and the author will be the device or system that constructed the IPS document, but an additional attester identity will name the human who performed this check.
    • Additional provenance information below the document level is optional. There are no Provenance profiles currently defined by this guide, IPS or AU Core.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

This structure is derived from AUBaseComposition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* AUBaseComposition AU Patient Summary Composition
This profile also imposes the profile Composition (IPS)
... meta
.... profile SO 0..* canonical(StructureDefinition) Conformance claim to a specific Patient Summary specification
ObligationsActor
MAY:able-to-populate AU PS Producer
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... identifier SO 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... type SO 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Required Pattern: At least the following
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
... subject SO 1..1 Reference(AU PS Patient) Who and/or what the composition is about
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
... date SO 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... author SO 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) Who and/or what authored the patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... title SO 1..1 string The title of this patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... mode SO 1..1 code personal | professional | legal | official
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... party SO 0..1 Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... custodian SO 0..1 Reference(AU PS Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (IPS) | AU PS Composition)
... Slices for event 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:careProvisioningEvent SO 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Code(s) that apply to the event being documented
Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
..... period SO 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for section SO 3..* BackboneElement Sections composing the patient summary
Slice: Unordered, Open by pattern:code
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
ObligationsActor
SHALL:handle AU PS Consumer
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... section 0..0
.... section:sectionProblems SOC 1..1 BackboneElement Patient Summary Problems Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient
Slice: Unordered, Open by profile:resolve()
...... entry:problem SO 0..* Reference(AU PS Condition) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionAllergies SOC 1..1 BackboneElement Patient Summary Allergies and Intolerances Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SO 0..* Reference(AU PS AllergyIntolerance) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionMedications SOC 1..1 BackboneElement Patient Summary Medication Summary Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SO 0..* Reference(AU PS MedicationStatement | AU PS MedicationRequest) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionImmunizations SO 0..1 BackboneElement Patient Summary Immunizations Section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Immunization | DocumentReference) Patient's immunisation status and pertinent history
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SO 0..* Reference(AU PS Immunization) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionResults SO 0..1 BackboneElement Patient Summary Results Section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SO 0..* Reference(AU PS Pathology Result Observation) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-observation-radiology SO 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-diagnosticReport SO 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionProceduresHx SO 0..1 BackboneElement Patient Summary History of Procedures Section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SO 0..* Reference(AU PS Procedure) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionMedicalDevices SO 0..1 BackboneElement Patient Summary Medical Devices Section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SO 0..* Reference(DeviceUseStatement (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionAdvanceDirectives SO 0..1 BackboneElement Patient Summary Advance Directives Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Consent | DocumentReference) A patient's advance directives
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SO 0..1 BackboneElement Patient Summary Alerts Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Flag | DocumentReference) Alert information
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SO 0..1 BackboneElement Patient Summary Functional Status Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Condition | ClinicalImpression | DocumentReference) Disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability 0..* Reference(AU PS Condition) A reference to data that supports this section
...... entry:functionalAssessment 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastProblems SO 0..1 BackboneElement Patient Summary History of Past Illness Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem 0..* Reference(AU PS Condition) A reference to data that supports this section
.... section:sectionPregnancyHx SO 0..1 BackboneElement Patient Summary History of Pregnancy Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus 0..* Reference(Observation Pregnancy - Status (IPS)) A reference to data that supports this section
...... entry:pregnancyOutcome 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SO 0..1 BackboneElement Patient Summary Patient Story Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... entry 0..* Reference(Resource) Patient Story resources
.... section:sectionPlanOfCare SO 0..1 BackboneElement Patient Summary Plan of Care Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan 0..* Reference(CarePlan) A reference to data that supports this section
...... entry:immunizationRecommendation 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionSocialHistory SO 0..1 BackboneElement Patient Summary Social History Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations"
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse 0..1 Reference(AU PS Smoking Status) A reference to data that supports this section
...... entry:alcoholUse 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SO 0..1 BackboneElement Patient Summary Vital Signs Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign 0..* Reference(Vital Signs Profile) A reference to data that supports this section

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ips-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedicationsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* AUBaseComposition AU Patient Summary Composition
This profile also imposes the profile Composition (IPS)
... meta Σ 0..1 Meta Metadata about the resource
.... profile SOΣ 0..* canonical(StructureDefinition) Conformance claim to a specific Patient Summary specification
ObligationsActor
MAY:able-to-populate AU PS Producer
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) Who and/or what should receive a copy of the composition
URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SOΣ 1..1 Reference(AU PS Patient) Who and/or what the composition is about
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... author SOΣ 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) Who and/or what authored the patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... title SOΣ 1..1 string The title of this patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... party SO 0..1 Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... custodian SOΣ 0..1 Reference(AU PS Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (IPS) | AU PS Composition)
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SOΣ 1..1 CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for section SOC 3..* BackboneElement Sections composing the patient summary
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
ObligationsActor
SHALL:handle AU PS Consumer
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionProblems SOC 1..1 BackboneElement Patient Summary Problems Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(AU PS Condition) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionAllergies SOC 1..1 BackboneElement Patient Summary Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(AU PS AllergyIntolerance) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionMedications SOC 1..1 BackboneElement Patient Summary Medication Summary Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(AU PS MedicationStatement | AU PS MedicationRequest) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionImmunizations SOC 0..1 BackboneElement Patient Summary Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunisation status and pertinent history
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(AU PS Immunization) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionResults SOC 0..1 BackboneElement Patient Summary Results Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(AU PS Pathology Result Observation) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-observation-radiology SOC 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-diagnosticReport SOC 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionProceduresHx SOC 0..1 BackboneElement Patient Summary History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SOC 0..* Reference(AU PS Procedure) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionMedicalDevices SOC 0..1 BackboneElement Patient Summary Medical Devices Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SOC 0..* Reference(DeviceUseStatement (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionAdvanceDirectives SOC 0..1 BackboneElement Patient Summary Advance Directives Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Consent | DocumentReference) A patient's advance directives
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent C 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SOC 0..1 BackboneElement Patient Summary Alerts Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Flag | DocumentReference) Alert information
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag C 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SOC 0..1 BackboneElement Patient Summary Functional Status Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Condition | ClinicalImpression | DocumentReference) Disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability C 0..* Reference(AU PS Condition) A reference to data that supports this section
...... entry:functionalAssessment C 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastProblems SOC 0..1 BackboneElement Patient Summary History of Past Illness Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem C 0..* Reference(AU PS Condition) A reference to data that supports this section
.... section:sectionPregnancyHx SOC 0..1 BackboneElement Patient Summary History of Pregnancy Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus C 0..* Reference(Observation Pregnancy - Status (IPS)) A reference to data that supports this section
...... entry:pregnancyOutcome C 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SOC 0..1 BackboneElement Patient Summary Patient Story Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... entry C 0..* Reference(Resource) Patient Story resources
.... section:sectionPlanOfCare SOC 0..1 BackboneElement Patient Summary Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan C 0..* Reference(CarePlan) A reference to data that supports this section
...... entry:immunizationRecommendation C 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionSocialHistory SOC 0..1 BackboneElement Patient Summary Social History Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations"
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse C 0..1 Reference(AU PS Smoking Status) A reference to data that supports this section
...... entry:alcoholUse C 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SOC 0..1 BackboneElement Patient Summary Vital Signs Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign C 0..* Reference(Vital Signs Profile) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typepreferredPattern Value: LOINC Code 60591-5
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
Composition.event:careProvisioningEvent.codeexamplePattern Value: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.codeexamplePattern Value: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAllergies.codeexamplePattern Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedications.codeexamplePattern Value: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionImmunizations.codeexamplePattern Value: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.codeexamplePattern Value: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexamplePattern Value: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedicalDevices.codeexamplePattern Value: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexamplePattern Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAlerts.codeexamplePattern Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionFunctionalStatus.codeexamplePattern Value: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPastProblems.codeexamplePattern Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPregnancyHx.codeexamplePattern Value: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPatientStory.codeexamplePattern Value: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPlanOfCare.codeexamplePattern Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionSocialHistory.codeexamplePattern Value: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionVitalSigns.codeexamplePattern Value: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ips-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedicationsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* AUBaseComposition AU Patient Summary Composition
This profile also imposes the profile Composition (IPS)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SOΣ 0..* canonical(StructureDefinition) Conformance claim to a specific Patient Summary specification
ObligationsActor
MAY:able-to-populate AU PS Producer
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) Who and/or what should receive a copy of the composition
URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject SOΣ 1..1 Reference(AU PS Patient) Who and/or what the composition is about
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... author SOΣ 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) Who and/or what authored the patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... title SOΣ 1..1 string The title of this patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... party SO 0..1 Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... custodian SOΣ 0..1 Reference(AU PS Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (IPS) | AU PS Composition)
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
..... period Σ 0..1 Period The period covered by the documentation
..... detail Σ 0..* Reference(Resource) The event(s) being documented
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SOΣ 1..1 CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section SOC 3..* BackboneElement Sections composing the patient summary
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
ObligationsActor
SHALL:handle AU PS Consumer
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionProblems SOC 1..1 BackboneElement Patient Summary Problems Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(AU PS Condition) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionAllergies SOC 1..1 BackboneElement Patient Summary Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(AU PS AllergyIntolerance) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionMedications SOC 1..1 BackboneElement Patient Summary Medication Summary Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(AU PS MedicationStatement | AU PS MedicationRequest) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionImmunizations SOC 0..1 BackboneElement Patient Summary Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunisation status and pertinent history
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(AU PS Immunization) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionResults SOC 0..1 BackboneElement Patient Summary Results Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(AU PS Pathology Result Observation) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-observation-radiology SOC 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-diagnosticReport SOC 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionProceduresHx SOC 0..1 BackboneElement Patient Summary History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SOC 0..* Reference(AU PS Procedure) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionMedicalDevices SOC 0..1 BackboneElement Patient Summary Medical Devices Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SOC 0..* Reference(DeviceUseStatement (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionAdvanceDirectives SOC 0..1 BackboneElement Patient Summary Advance Directives Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Consent | DocumentReference) A patient's advance directives
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent C 0..* Reference(Consent) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionAlerts SOC 0..1 BackboneElement Patient Summary Alerts Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Flag | DocumentReference) Alert information
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag C 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionFunctionalStatus SOC 0..1 BackboneElement Patient Summary Functional Status Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | ClinicalImpression | DocumentReference) Disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability C 0..* Reference(AU PS Condition) A reference to data that supports this section
...... entry:functionalAssessment C 0..* Reference(ClinicalImpression) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPastProblems SOC 0..1 BackboneElement Patient Summary History of Past Illness Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem C 0..* Reference(AU PS Condition) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPregnancyHx SOC 0..1 BackboneElement Patient Summary History of Pregnancy Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus C 0..* Reference(Observation Pregnancy - Status (IPS)) A reference to data that supports this section
...... entry:pregnancyOutcome C 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPatientStory SOC 0..1 BackboneElement Patient Summary Patient Story Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) Patient Story resources
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPlanOfCare SOC 0..1 BackboneElement Patient Summary Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan C 0..* Reference(CarePlan) A reference to data that supports this section
...... entry:immunizationRecommendation C 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionSocialHistory SOC 0..1 BackboneElement Patient Summary Social History Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations"
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse C 0..1 Reference(AU PS Smoking Status) A reference to data that supports this section
...... entry:alcoholUse C 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionVitalSigns SOC 0..1 BackboneElement Patient Summary Vital Signs Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign C 0..* Reference(Vital Signs Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
Composition.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typepreferredPattern Value: LOINC Code 60591-5
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
Composition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.event:careProvisioningEvent.codeexamplePattern Value: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionProblems.codeexamplePattern Value: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAllergies.codeexamplePattern Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedications.codeexamplePattern Value: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionImmunizations.codeexamplePattern Value: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionImmunizations.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionImmunizations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionImmunizations.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionResults.codeexamplePattern Value: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionResults.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexamplePattern Value: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProceduresHx.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedicalDevices.codeexamplePattern Value: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedicalDevices.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedicalDevices.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedicalDevices.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexamplePattern Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAlerts.codeexamplePattern Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAlerts.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAlerts.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAlerts.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionFunctionalStatus.codeexamplePattern Value: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionFunctionalStatus.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionFunctionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionFunctionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPastProblems.codeexamplePattern Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPastProblems.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPastProblems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPastProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPregnancyHx.codeexamplePattern Value: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPregnancyHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPregnancyHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPregnancyHx.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPatientStory.codeexamplePattern Value: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPatientStory.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPatientStory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPatientStory.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPlanOfCare.codeexamplePattern Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPlanOfCare.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPlanOfCare.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionSocialHistory.codeexamplePattern Value: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionSocialHistory.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionSocialHistory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionSocialHistory.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionVitalSigns.codeexamplePattern Value: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionVitalSigns.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionVitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionVitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard

Constraints

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

This structure is derived from AUBaseComposition

Summary

Mandatory: 17 elements(40 nested mandatory elements)
Must-Support: 98 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.event
  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.entry
  • The element 2 is sliced based on the values of Composition.section.entry

Maturity: 0

Differential View

This structure is derived from AUBaseComposition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* AUBaseComposition AU Patient Summary Composition
This profile also imposes the profile Composition (IPS)
... meta
.... profile SO 0..* canonical(StructureDefinition) Conformance claim to a specific Patient Summary specification
ObligationsActor
MAY:able-to-populate AU PS Producer
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... identifier SO 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... type SO 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Required Pattern: At least the following
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
... subject SO 1..1 Reference(AU PS Patient) Who and/or what the composition is about
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
... date SO 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... author SO 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) Who and/or what authored the patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... title SO 1..1 string The title of this patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... mode SO 1..1 code personal | professional | legal | official
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... party SO 0..1 Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... custodian SO 0..1 Reference(AU PS Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (IPS) | AU PS Composition)
... Slices for event 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:careProvisioningEvent SO 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Code(s) that apply to the event being documented
Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
..... period SO 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for section SO 3..* BackboneElement Sections composing the patient summary
Slice: Unordered, Open by pattern:code
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
ObligationsActor
SHALL:handle AU PS Consumer
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... section 0..0
.... section:sectionProblems SOC 1..1 BackboneElement Patient Summary Problems Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient
Slice: Unordered, Open by profile:resolve()
...... entry:problem SO 0..* Reference(AU PS Condition) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionAllergies SOC 1..1 BackboneElement Patient Summary Allergies and Intolerances Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SO 0..* Reference(AU PS AllergyIntolerance) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionMedications SOC 1..1 BackboneElement Patient Summary Medication Summary Section
Constraints: ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SO 0..* Reference(AU PS MedicationStatement | AU PS MedicationRequest) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionImmunizations SO 0..1 BackboneElement Patient Summary Immunizations Section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Immunization | DocumentReference) Patient's immunisation status and pertinent history
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SO 0..* Reference(AU PS Immunization) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionResults SO 0..1 BackboneElement Patient Summary Results Section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SO 0..* Reference(AU PS Pathology Result Observation) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-observation-radiology SO 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-diagnosticReport SO 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionProceduresHx SO 0..1 BackboneElement Patient Summary History of Procedures Section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SO 0..* Reference(AU PS Procedure) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionMedicalDevices SO 0..1 BackboneElement Patient Summary Medical Devices Section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SO 0..* Reference(DeviceUseStatement (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionAdvanceDirectives SO 0..1 BackboneElement Patient Summary Advance Directives Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Consent | DocumentReference) A patient's advance directives
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SO 0..1 BackboneElement Patient Summary Alerts Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Flag | DocumentReference) Alert information
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SO 0..1 BackboneElement Patient Summary Functional Status Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Condition | ClinicalImpression | DocumentReference) Disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability 0..* Reference(AU PS Condition) A reference to data that supports this section
...... entry:functionalAssessment 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastProblems SO 0..1 BackboneElement Patient Summary History of Past Illness Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem 0..* Reference(AU PS Condition) A reference to data that supports this section
.... section:sectionPregnancyHx SO 0..1 BackboneElement Patient Summary History of Pregnancy Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus 0..* Reference(Observation Pregnancy - Status (IPS)) A reference to data that supports this section
...... entry:pregnancyOutcome 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SO 0..1 BackboneElement Patient Summary Patient Story Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... entry 0..* Reference(Resource) Patient Story resources
.... section:sectionPlanOfCare SO 0..1 BackboneElement Patient Summary Plan of Care Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan 0..* Reference(CarePlan) A reference to data that supports this section
...... entry:immunizationRecommendation 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionSocialHistory SO 0..1 BackboneElement Patient Summary Social History Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations"
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse 0..1 Reference(AU PS Smoking Status) A reference to data that supports this section
...... entry:alcoholUse 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SO 0..1 BackboneElement Patient Summary Vital Signs Section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign 0..* Reference(Vital Signs Profile) A reference to data that supports this section

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ips-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedicationsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* AUBaseComposition AU Patient Summary Composition
This profile also imposes the profile Composition (IPS)
... meta Σ 0..1 Meta Metadata about the resource
.... profile SOΣ 0..* canonical(StructureDefinition) Conformance claim to a specific Patient Summary specification
ObligationsActor
MAY:able-to-populate AU PS Producer
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) Who and/or what should receive a copy of the composition
URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SOΣ 1..1 Reference(AU PS Patient) Who and/or what the composition is about
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... author SOΣ 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) Who and/or what authored the patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... title SOΣ 1..1 string The title of this patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... party SO 0..1 Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... custodian SOΣ 0..1 Reference(AU PS Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (IPS) | AU PS Composition)
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SOΣ 1..1 CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... Slices for section SOC 3..* BackboneElement Sections composing the patient summary
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
ObligationsActor
SHALL:handle AU PS Consumer
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionProblems SOC 1..1 BackboneElement Patient Summary Problems Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(AU PS Condition) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionAllergies SOC 1..1 BackboneElement Patient Summary Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(AU PS AllergyIntolerance) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionMedications SOC 1..1 BackboneElement Patient Summary Medication Summary Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(AU PS MedicationStatement | AU PS MedicationRequest) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionImmunizations SOC 0..1 BackboneElement Patient Summary Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunisation status and pertinent history
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(AU PS Immunization) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionResults SOC 0..1 BackboneElement Patient Summary Results Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(AU PS Pathology Result Observation) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-observation-radiology SOC 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-diagnosticReport SOC 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionProceduresHx SOC 0..1 BackboneElement Patient Summary History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SOC 0..* Reference(AU PS Procedure) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionMedicalDevices SOC 0..1 BackboneElement Patient Summary Medical Devices Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SOC 0..* Reference(DeviceUseStatement (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionAdvanceDirectives SOC 0..1 BackboneElement Patient Summary Advance Directives Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Consent | DocumentReference) A patient's advance directives
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent C 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SOC 0..1 BackboneElement Patient Summary Alerts Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Flag | DocumentReference) Alert information
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag C 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SOC 0..1 BackboneElement Patient Summary Functional Status Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Condition | ClinicalImpression | DocumentReference) Disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability C 0..* Reference(AU PS Condition) A reference to data that supports this section
...... entry:functionalAssessment C 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastProblems SOC 0..1 BackboneElement Patient Summary History of Past Illness Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem C 0..* Reference(AU PS Condition) A reference to data that supports this section
.... section:sectionPregnancyHx SOC 0..1 BackboneElement Patient Summary History of Pregnancy Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus C 0..* Reference(Observation Pregnancy - Status (IPS)) A reference to data that supports this section
...... entry:pregnancyOutcome C 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SOC 0..1 BackboneElement Patient Summary Patient Story Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... entry C 0..* Reference(Resource) Patient Story resources
.... section:sectionPlanOfCare SOC 0..1 BackboneElement Patient Summary Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan C 0..* Reference(CarePlan) A reference to data that supports this section
...... entry:immunizationRecommendation C 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionSocialHistory SOC 0..1 BackboneElement Patient Summary Social History Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations"
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse C 0..1 Reference(AU PS Smoking Status) A reference to data that supports this section
...... entry:alcoholUse C 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SOC 0..1 BackboneElement Patient Summary Vital Signs Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign C 0..* Reference(Vital Signs Profile) A reference to data that supports this section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typepreferredPattern Value: LOINC Code 60591-5
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
Composition.event:careProvisioningEvent.codeexamplePattern Value: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.codeexamplePattern Value: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAllergies.codeexamplePattern Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedications.codeexamplePattern Value: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionImmunizations.codeexamplePattern Value: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.codeexamplePattern Value: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexamplePattern Value: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedicalDevices.codeexamplePattern Value: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexamplePattern Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAlerts.codeexamplePattern Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionFunctionalStatus.codeexamplePattern Value: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPastProblems.codeexamplePattern Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPregnancyHx.codeexamplePattern Value: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPatientStory.codeexamplePattern Value: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPlanOfCare.codeexamplePattern Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionSocialHistory.codeexamplePattern Value: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionVitalSigns.codeexamplePattern Value: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard

Constraints

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

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* AUBaseComposition AU Patient Summary Composition
This profile also imposes the profile Composition (IPS)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SOΣ 0..* canonical(StructureDefinition) Conformance claim to a specific Patient Summary specification
ObligationsActor
MAY:able-to-populate AU PS Producer
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:informationRecipient 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) Who and/or what should receive a copy of the composition
URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject SOΣ 1..1 Reference(AU PS Patient) Who and/or what the composition is about
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... author SOΣ 1..* Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) Who and/or what authored the patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... title SOΣ 1..1 string The title of this patient summary
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... party SO 0..1 Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... custodian SOΣ 0..1 Reference(AU PS Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (IPS) | AU PS Composition)
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
..... period Σ 0..1 Period The period covered by the documentation
..... detail Σ 0..* Reference(Resource) The event(s) being documented
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SOΣ 1..1 CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section SOC 3..* BackboneElement Sections composing the patient summary
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
ObligationsActor
SHALL:handle AU PS Consumer
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionProblems SOC 1..1 BackboneElement Patient Summary Problems Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(AU PS Condition) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionAllergies SOC 1..1 BackboneElement Patient Summary Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances (conditions) for that patient
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(AU PS AllergyIntolerance) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionMedications SOC 1..1 BackboneElement Patient Summary Medication Summary Section
Constraints: cmp-1, cmp-2, ips-comp-1
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(AU PS MedicationStatement | AU PS MedicationRequest) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate AU PS Producer
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
.... section:sectionImmunizations SOC 0..1 BackboneElement Patient Summary Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunisation status and pertinent history
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(AU PS Immunization) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionResults SOC 0..1 BackboneElement Patient Summary Results Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(AU PS Pathology Result Observation) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-observation-radiology SOC 0..* Reference(Observation Results - Radiology (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
...... entry:results-diagnosticReport SOC 0..* Reference(DiagnosticReport (IPS)) A reference to data that supports this section
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionProceduresHx SOC 0..1 BackboneElement Patient Summary History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SOC 0..* Reference(AU PS Procedure) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionMedicalDevices SOC 0..1 BackboneElement Patient Summary Medical Devices Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SOC 0..* Reference(DeviceUseStatement (IPS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionAdvanceDirectives SOC 0..1 BackboneElement Patient Summary Advance Directives Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Consent | DocumentReference) A patient's advance directives
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent C 0..* Reference(Consent) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionAlerts SOC 0..1 BackboneElement Patient Summary Alerts Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Flag | DocumentReference) Alert information
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag C 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionFunctionalStatus SOC 0..1 BackboneElement Patient Summary Functional Status Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | ClinicalImpression | DocumentReference) Disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability C 0..* Reference(AU PS Condition) A reference to data that supports this section
...... entry:functionalAssessment C 0..* Reference(ClinicalImpression) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPastProblems SOC 0..1 BackboneElement Patient Summary History of Past Illness Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem C 0..* Reference(AU PS Condition) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPregnancyHx SOC 0..1 BackboneElement Patient Summary History of Pregnancy Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus C 0..* Reference(Observation Pregnancy - Status (IPS)) A reference to data that supports this section
...... entry:pregnancyOutcome C 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPatientStory SOC 0..1 BackboneElement Patient Summary Patient Story Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) Patient Story resources
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPlanOfCare SOC 0..1 BackboneElement Patient Summary Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan C 0..* Reference(CarePlan) A reference to data that supports this section
...... entry:immunizationRecommendation C 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionSocialHistory SOC 0..1 BackboneElement Patient Summary Social History Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations"
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse C 0..1 Reference(AU PS Smoking Status) A reference to data that supports this section
...... entry:alcoholUse C 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionVitalSigns SOC 0..1 BackboneElement Patient Summary Vital Signs Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource)
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
ObligationsActor
SHALL:handle AU PS Consumer
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate AU PS Producer
SHALL:handle AU PS Consumer
SHOULD:display AU PS Consumer
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign C 0..* Reference(Vital Signs Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
Composition.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typepreferredPattern Value: LOINC Code 60591-5
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
Composition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.event:careProvisioningEvent.codeexamplePattern Value: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionProblems.codeexamplePattern Value: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAllergies.codeexamplePattern Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedications.codeexamplePattern Value: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionImmunizations.codeexamplePattern Value: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionImmunizations.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionImmunizations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionImmunizations.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionResults.codeexamplePattern Value: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionResults.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexamplePattern Value: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProceduresHx.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedicalDevices.codeexamplePattern Value: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedicalDevices.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedicalDevices.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedicalDevices.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexamplePattern Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAlerts.codeexamplePattern Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAlerts.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAlerts.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAlerts.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionFunctionalStatus.codeexamplePattern Value: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionFunctionalStatus.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionFunctionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionFunctionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPastProblems.codeexamplePattern Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPastProblems.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPastProblems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPastProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPregnancyHx.codeexamplePattern Value: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPregnancyHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPregnancyHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPregnancyHx.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPatientStory.codeexamplePattern Value: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPatientStory.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPatientStory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPatientStory.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPlanOfCare.codeexamplePattern Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPlanOfCare.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPlanOfCare.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionSocialHistory.codeexamplePattern Value: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionSocialHistory.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionSocialHistory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionSocialHistory.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionVitalSigns.codeexamplePattern Value: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionVitalSigns.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionVitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionVitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard

Constraints

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

This structure is derived from AUBaseComposition

Summary

Mandatory: 17 elements(40 nested mandatory elements)
Must-Support: 98 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.event
  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.entry
  • The element 2 is sliced based on the values of Composition.section.entry

Maturity: 0

 

Other representations of profile: CSV, Excel, Schematron