ch-emr-composition
type: StructureDefinition
node role: treeRoot
id:
  v: ch-emr-composition
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition ch-emr-composition Name Flags Card. Type Description & Constraints Composition ChIpsComposition This profile also imposes the profile Composition (IPS) #xD; subject 0..1 Reference(CH IPS Patient) {b} Who and/or what the composition is about #xD; author 1..* Reference(CH IPS Practitioner | CH IPS PractitionerRole | CH IPS Organization | CH IPS Patient | CH Emergency Record RelatedPerson) {b} Who and/or what authored the composition #xD; section 4..* BackboneElement Composition is broken into sections #xD; Slices for section Content/Rules for all slices #xD; section:sectionMedications 1..1 BackboneElement Composition is broken into sections #xD; Slices for entry Content/Rules for all slices #xD; entry:medicationStatementOrRequest 0..* Reference(CH Emergency Record Medication Statement) {b} A reference to data that supports this section #xD; section:sectionImmunizations 0..1 BackboneElement Composition is broken into sections #xD; Slices for entry Content/Rules for all slices #xD; entry:immunization 0..* Reference(CH IPS Immunization) {b} A reference to data that supports this section #xD; section:sectionMedicalDevices 0..1 BackboneElement Composition is broken into sections #xD; Slices for entry Content/Rules for all slices #xD; entry:deviceStatement 0..* Reference(CH Emergency Record Device Use Statement) {b} A reference to data that supports this section #xD; section:sectionPregnancyHx 0..1 BackboneElement Composition is broken into sections #xD; Slices for entry Content/Rules for all slices #xD; entry:pregnancyStatus SO 0..* Reference(Observation Pregnancy - Status (IPS)) {b} A reference to data that supports this section Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS) #xD; section:sectionAdvanceDirectives 0..1 BackboneElement Composition is broken into sections #xD; Slices for entry Content/Rules for all slices #xD; entry:advanceDirective 0..* Reference(CH Em…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile
  value: canonical
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips
url:
  v: http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-composition
version:
  v: 1.0.0-ballot
name:
  v: ChEmrComposition
title:
  v: CH Emergency Record Composition
status:
  v: active
date:
  v: 2026-06-15T07:48:41+00:00
publisher:
  v: HL7 Switzerland
contact:
  name:
    v: HL7 Switzerland
  telecom:
    system:
      v: url
    value:
      v: https://www.hl7.ch/
description:
  v: Swiss Emergency Record based on International Patient Summary
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
    code:
      v: CHE
copyright:
  v: CC0-1.0
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: cda
  uri:
    v: http://hl7.org/v3/cda
  name:
    v: CDA (R2)
mapping:
  identity:
    v: fhirdocumentreference
  uri:
    v: http://hl7.org/fhir/documentreference
  name:
    v: FHIR DocumentReference
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
  name:
    v: FiveWs Pattern Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: Composition
base definition:
  v: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-composition
  link: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-composition
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 2.0.0
  element:
    id:
      v: Composition
    path:
      v: Composition
    short:
      v: CH IPS Composition
    definition:
      v: A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).
    comment:
      v: While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Composition
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
      expression:
        v: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      extension:
        value: boolean
      extension:
        value: markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      xpath:
        v: exists(f:text/h:div)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim

boolean
v: true

markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: rim
map:
  v: Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]

identity:
  v: cda
map:
  v: ClinicalDocument

identity:
  v: fhirdocumentreference
map:
  v: when described by DocumentReference

id:
  v: Composition.id
path:
  v: Composition.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: id
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: true

id:
  v: Composition.meta
path:
  v: Composition.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: Composition.implicitRules
path:
  v: Composition.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true

id:
  v: Composition.language
path:
  v: Composition.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
    value: canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      link: http://hl7.org/fhir/ValueSet/all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages|4.0.1
    link: 4.0
    link: .1

id:
  v: Composition.text
path:
  v: Composition.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: Composition.contained
path:
  v: Composition.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.extension
path:
  v: Composition.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.modifierExtension
path:
  v: Composition.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.identifier
path:
  v: Composition.identifier
short:
  v: Version-independent identifier for the Composition
definition:
  v: A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.
comment:
  v: Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: Document.id / Document.setId
mapping:
  identity:
    v: cda
  map:
    v: .setId
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.masterIdentifier

id:
  v: Composition.status
path:
  v: Composition.status
short:
  v: preliminary | final | amended | entered-in-error
definition:
  v: The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.
comment:
  v: If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements. Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.
requirements:
  v: Need to be able to mark interim, amended, or withdrawn compositions or documents.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: true
is modifier reason:
  v: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: CompositionStatus
  strength:
    v: required
  description:
    v: The workflow/clinical status of the composition.
  value set:
    v: http://hl7.org/fhir/ValueSet/composition-status|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: rim
  map:
    v: interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
mapping:
  identity:
    v: cda
  map:
    v: n/a
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.status

id:
  v: Composition.type
path:
  v: Composition.type
short:
  v: Kind of composition (LOINC if possible)
definition:
  v: Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.
comment:
  v: For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.
requirements:
  v: Key metadata element describing the composition, used in searching/filtering.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.type
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DocumentType
  strength:
    v: preferred
  description:
    v: Type of a composition.
  value set:
    v: http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: cda
  map:
    v: .code
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.type

id:
  v: Composition.category
path:
  v: Composition.category
short:
  v: Categorization of Composition
definition:
  v: A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.
comment:
  v: This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).
requirements:
  v: Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DocumentCategory
  strength:
    v: example
  description:
    v: High-level kind of a clinical document at a macro level.
  value set:
    v: http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
mapping:
  identity:
    v: cda
  map:
    v: n/a
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumenttReference.category

id:
  v: Composition.subject
path:
  v: Composition.subject
short:
  v: Who and/or what the composition is about
definition:
  v: Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).
comment:
  v: For clinical documents, this is usually the patient.
requirements:
  v: Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.subject
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-patient
    link: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-patient
  aggregation:
    v: bundled
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="SBJ"].role[typeCode="PAT"]
mapping:
  identity:
    v: cda
  map:
    v: .recordTarget
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject

id:
  v: Composition.subject.id
path:
  v: Composition.subject.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.subject.extension
path:
  v: Composition.subject.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.subject.reference
path:
  v: Composition.subject.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.subject.type
path:
  v: Composition.subject.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.subject.identifier
path:
  v: Composition.subject.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Composition.subject.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
path:
  v: Composition.subject.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.encounter
path:
  v: Composition.encounter
short:
  v: Context of the Composition
definition:
  v: Describes the clinical encounter or type of care this documentation is associated with.
requirements:
  v: Provides context for the composition and supports searching.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-encounter|7.0.0-ballot
    link: 7.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.context
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context
mapping:
  identity:
    v: rim
  map:
    v: unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
mapping:
  identity:
    v: cda
  map:
    v: .componentOf.encompassingEncounter
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.context.encounter

id:
  v: Composition.date
path:
  v: Composition.date
short:
  v: Composition editing time
definition:
  v: The composition editing time, when the composition was last logically changed by the author.
comment:
  v: The Last Modified Date on the composition may be after the date of the document was attested without being changed.
requirements:
  v: dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/R4/bundle-definitions.html#Bundle.timestamp) is the date of packaging.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.date
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime[type="TS"]
mapping:
  identity:
    v: cda
  map:
    v: .effectiveTime
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.content.attachment.date, DocumentReference.created

id:
  v: Composition.author
path:
  v: Composition.author
short:
  v: Who and/or what authored the composition
definition:
  v: Identifies who is responsible for the information in the composition, not necessarily who typed it in.
requirements:
  v: Identifies who is responsible for the content.
min:
  v: 1
max:
  v: *
base:
  path:
    v: Composition.author
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-practitioner
    link: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-practitioner
  target profile:
    v: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-practitionerrole
    link: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-practitionerrole
  target profile:
    v: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-organization
    link: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-organization
  target profile:
    v: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-patient
    link: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-patient
  target profile:
    v: http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-relatedperson
    link: http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-relatedperson
  aggregation:
    v: bundled
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
mapping:
  identity:
    v: cda
  map:
    v: .author.assignedAuthor
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.agent

id:
  v: Composition.author.id
path:
  v: Composition.author.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.author.extension
path:
  v: Composition.author.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.author.reference
path:
  v: Composition.author.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.author.type
path:
  v: Composition.author.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.author.identifier
path:
  v: Composition.author.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Composition.author.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
path:
  v: Composition.author.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.title
path:
  v: Composition.title
short:
  v: Human Readable name/title
definition:
  v: Official human-readable label for the composition.
comment:
  v: For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.title
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: ./title
mapping:
  identity:
    v: cda
  map:
    v: .title
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.description, DocumentReference.content.attachment.title

id:
  v: Composition.confidentiality
path:
  v: Composition.confidentiality
short:
  v: As defined by affinity domain
definition:
  v: The code specifying the level of confidentiality of the Composition.
comment:
  v: The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.confidentiality
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DocumentConfidentiality
  strength:
    v: required
  description:
    v: Codes specifying the level of confidentiality of the composition.
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
    link: 2014
    link: -03
    link: -26
mapping:
  identity:
    v: rim
  map:
    v: .confidentialityCode
mapping:
  identity:
    v: cda
  map:
    v: .confidentialityCode
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.securityLabel

id:
  v: Composition.attester
path:
  v: Composition.attester
short:
  v: Attests to accuracy of composition
definition:
  v: A participant who has attested to the accuracy of the composition/document.
comment:
  v: Only list each attester once.
requirements:
  v: Identifies responsibility for the accuracy of the composition content.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.attester
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
mapping:
  identity:
    v: cda
  map:
    v: .authenticator/.legalAuthenticator
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.authenticator

id:
  v: Composition.attester.id
path:
  v: Composition.attester.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.attester.extension
path:
  v: Composition.attester.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.attester.modifierExtension
path:
  v: Composition.attester.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.attester.mode
path:
  v: Composition.attester.mode
short:
  v: personal | professional | legal | official
definition:
  v: The type of attestation the authenticator offers.
requirements:
  v: Indicates the level of authority of the attestation.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.attester.mode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: CompositionAttestationMode
  strength:
    v: required
  description:
    v: The way in which a person authenticated a composition.
  value set:
    v: http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: unique(./modeCode)
mapping:
  identity:
    v: cda
  map:
    v: implied by .authenticator/.legalAuthenticator

id:
  v: Composition.attester.time
path:
  v: Composition.attester.time
short:
  v: When the composition was attested
definition:
  v: When the composition was attested by the party.
requirements:
  v: Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.attester.time
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./time[type="TS" and isNormalDatatype()]
mapping:
  identity:
    v: cda
  map:
    v: .authenticator.time

id:
  v: Composition.attester.party
path:
  v: Composition.attester.party
short:
  v: Who attested the composition
definition:
  v: Who attested the composition in the specified way.
requirements:
  v: Identifies who has taken on the responsibility for accuracy of the composition content.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.attester.party
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-relatedperson|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization|7.0.0-ballot
    link: 7.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.witness
mapping:
  identity:
    v: rim
  map:
    v: ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
mapping:
  identity:
    v: cda
  map:
    v: .authenticator.assignedEnttty

id:
  v: Composition.attester.party.id
path:
  v: Composition.attester.party.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.attester.party.extension
path:
  v: Composition.attester.party.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.attester.party.reference
path:
  v: Composition.attester.party.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.attester.party.type
path:
  v: Composition.attester.party.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.attester.party.identifier
path:
  v: Composition.attester.party.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Composition.attester.party.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
path:
  v: Composition.attester.party.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.custodian
path:
  v: Composition.custodian
short:
  v: Organization which maintains the composition
definition:
  v: Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.
comment:
  v: This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.
requirements:
  v: Identifies where to go to find the current version, where to report issues, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.custodian
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization|7.0.0-ballot
    link: 7.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
mapping:
  identity:
    v: cda
  map:
    v: .custodian.assignedCustodian
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.custodian

id:
  v: Composition.custodian.id
path:
  v: Composition.custodian.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.custodian.extension
path:
  v: Composition.custodian.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.custodian.reference
path:
  v: Composition.custodian.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.custodian.type
path:
  v: Composition.custodian.type
short:
  v: Type the reference refers to (e.g. "Patient")
definition:
  v: The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
comment:
  v: This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.custodian.identifier
path:
  v: Composition.custodian.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Composition.custodian.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
path:
  v: Composition.custodian.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.relatesTo
path:
  v: Composition.relatesTo
short:
  v: Relationships to other compositions/documents
definition:
  v: Relationships that this composition has with other compositions or documents that already exist.
comment:
  v: A document is a version specific composition.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.relatesTo
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship
mapping:
  identity:
    v: cda
  map:
    v: .relatedDocument
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.relatesTo

id:
  v: Composition.relatesTo.id
path:
  v: Composition.relatesTo.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.relatesTo.extension
path:
  v: Composition.relatesTo.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.relatesTo.modifierExtension
path:
  v: Composition.relatesTo.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.relatesTo.code
path:
  v: Composition.relatesTo.code
short:
  v: replaces | transforms | signs | appends
definition:
  v: The type of relationship that this composition has with anther composition or document.
comment:
  v: If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.relatesTo.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DocumentRelationshipType
  strength:
    v: required
  description:
    v: The type of relationship between documents.
  value set:
    v: http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship.typeCode
mapping:
  identity:
    v: cda
  map:
    v: .relatedDocument.typeCode
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.relatesTo.code

id:
  v: Composition.relatesTo.target[x]
path:
  v: Composition.relatesTo.target[x]
short:
  v: Target of the relationship
definition:
  v: The target composition/document of this relationship.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.relatesTo.target[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Identifier
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-composition
    link: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-composition
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .target[classCode="DOC", moodCode="EVN"].id
mapping:
  identity:
    v: cda
  map:
    v: .relatedDocument.id
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.relatesTo.target

id:
  v: Composition.event
path:
  v: Composition.event
short:
  v: The clinical service(s) being documented
definition:
  v: The clinical service, such as a colonoscopy or an appendectomy, being documented.
comment:
  v: The event needs to be consistent with the type element, though can provide further information if desired.
requirements:
  v: Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.event
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
mapping:
  identity:
    v: cda
  map:
    v: .documentationOf.serviceEvent
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.event

id:
  v: Composition.event.id
path:
  v: Composition.event.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.event.extension
path:
  v: Composition.event.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.event.modifierExtension
path:
  v: Composition.event.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.event.code
path:
  v: Composition.event.code
short:
  v: Code(s) that apply to the event being documented
definition:
  v: This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.
comment:
  v: An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.event.code
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DocumentEventType
  strength:
    v: example
  description:
    v: This list of codes represents the main clinical acts being documented.
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-ActCode
    link: http://terminology.hl7.org/ValueSet/v3-ActCode
mapping:
  identity:
    v: rim
  map:
    v: .code
mapping:
  identity:
    v: cda
  map:
    v: .code
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.event.code

id:
  v: Composition.event.period
path:
  v: Composition.event.period
short:
  v: The period covered by the documentation
definition:
  v: The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.event.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime
mapping:
  identity:
    v: cda
  map:
    v: .effectiveTime
mapping:
  identity:
    v: fhirdocumentreference
  map:
    v: DocumentReference.event.period

id:
  v: Composition.event.detail
path:
  v: Composition.event.detail
short:
  v: The event(s) being documented
definition:
  v: The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.event.detail
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode="SUBJ"].target
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section
path:
  v: Composition.section
slicing:
  discriminator:
    type:
      v: value
    path:
      v: code
  ordered:
    v: false
  rules:
    v: open
short:
  v: Composition is broken into sections
definition:
  v: The root of the sections that make up the composition.
min:
  v: 4
max:
  v: *
base:
  path:
    v: Composition.section
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: cmp-1
  severity:
    v: error
  human:
    v: A section must contain at least one of text, entries, or sub-sections
  expression:
    v: text.exists() or entry.exists() or section.exists()
  xpath:
    v: exists(f:text) or exists(f:entry) or exists(f:section)
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: cmp-2
  severity:
    v: error
  human:
    v: A section can only have an emptyReason if it is empty
  expression:
    v: emptyReason.empty() or entry.empty()
  xpath:
    v: not(exists(f:emptyReason) and exists(f:entry))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.structuredBody.component.section

id:
  v: Composition.section.id
path:
  v: Composition.section.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section.extension
path:
  v: Composition.section.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section.modifierExtension
path:
  v: Composition.section.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.section.title
path:
  v: Composition.section.title
short:
  v: Label for section (e.g. for ToC)
definition:
  v: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
comment:
  v: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
requirements:
  v: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
alias:
  v: header
alias:
  v: label
alias:
  v: caption
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.title
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./title
mapping:
  identity:
    v: cda
  map:
    v: .title

id:
  v: Composition.section.code
path:
  v: Composition.section.code
short:
  v: Classification of section (recommended)
definition:
  v: A code identifying the kind of content contained within the section. This must be consistent with the section title.
comment:
  v: The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
requirements:
  v: Provides computable standardized labels to topics within the document.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: CompositionSectionType
  strength:
    v: example
  description:
    v: Classification of a section of a composition/document.
  value set:
    v: http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: cda
  map:
    v: .code

id:
  v: Composition.section.author
path:
  v: Composition.section.author
short:
  v: Who and/or what authored the section
definition:
  v: Identifies who is responsible for the information in this section, not necessarily who typed it in.
requirements:
  v: Identifies who is responsible for the content.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.author
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    link: http://hl7.org/fhir/StructureDefinition/Device
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-relatedperson|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization|7.0.0-ballot
    link: 7.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
mapping:
  identity:
    v: cda
  map:
    v: .author.assignedAuthor

id:
  v: Composition.section.focus
path:
  v: Composition.section.focus
short:
  v: Who/what the section is about, when it is not about the subject of composition
definition:
  v: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
comment:
  v: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.focus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: cda
  map:
    v: .subject? (CDA did not differentiate between subject and focus)

id:
  v: Composition.section.text
path:
  v: Composition.section.text
short:
  v: Text summary of the section, for human interpretation
definition:
  v: A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.
comment:
  v: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
condition:
  v: cmp-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .text
mapping:
  identity:
    v: cda
  map:
    v: .text

id:
  v: Composition.section.mode
path:
  v: Composition.section.mode
short:
  v: working | snapshot | changes
definition:
  v: How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
comment:
  v: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
requirements:
  v: Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.mode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionMode
  strength:
    v: required
  description:
    v: The processing mode that applies to this section.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section.orderedBy
path:
  v: Composition.section.orderedBy
short:
  v: Order of section entries
definition:
  v: Specifies the order applied to the items in the section entries.
comment:
  v: Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
requirements:
  v: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.orderedBy
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionEntryOrder
  strength:
    v: preferred
  description:
    v: What order applies to the items in the entry.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-order|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section.entry
path:
  v: Composition.section.entry
short:
  v: A reference to data that supports this section
definition:
  v: A reference to the actual resource from which the narrative in the section is derived.
comment:
  v: If there are no entries in the list, an emptyReason SHOULD be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.entry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
mapping:
  identity:
    v: cda
  map:
    v: .entry

id:
  v: Composition.section.emptyReason
path:
  v: Composition.section.emptyReason
short:
  v: Why the section is empty
definition:
  v: If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
comment:
  v: The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
requirements:
  v: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionEmptyReason
  strength:
    v: preferred
  description:
    v: If a section is empty, why it is empty.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section.section
path:
  v: Composition.section.section
short:
  v: Nested Section
definition:
  v: A nested sub-section within this section.
comment:
  v: Nested sections are primarily used to help human readers navigate to particular portions of the document.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.section
  min:
    v: 0
  max:
    v: *
content reference:
  v: http://hl7.org/fhir/StructureDefinition/Composition#Composition.section
condition:
  v: cmp-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.section

id:
  v: Composition.section:sectionMedications
path:
  v: Composition.section
slice name:
  v: sectionMedications
short:
  v: Composition is broken into sections
definition:
  v: The root of the sections that make up the composition.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.section
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: cmp-1
  severity:
    v: error
  human:
    v: A section must contain at least one of text, entries, or sub-sections
  expression:
    v: text.exists() or entry.exists() or section.exists()
  xpath:
    v: exists(f:text) or exists(f:entry) or exists(f:section)
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: cmp-2
  severity:
    v: error
  human:
    v: A section can only have an emptyReason if it is empty
  expression:
    v: emptyReason.empty() or entry.empty()
  xpath:
    v: not(exists(f:emptyReason) and exists(f:entry))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.structuredBody.component.section

id:
  v: Composition.section:sectionMedications.id
path:
  v: Composition.section.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section:sectionMedications.extension
path:
  v: Composition.section.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section:sectionMedications.modifierExtension
path:
  v: Composition.section.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.section:sectionMedications.title
path:
  v: Composition.section.title
short:
  v: Label for section (e.g. for ToC)
definition:
  v: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
comment:
  v: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
requirements:
  v: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
alias:
  v: header
alias:
  v: label
alias:
  v: caption
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.title
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./title
mapping:
  identity:
    v: cda
  map:
    v: .title

id:
  v: Composition.section:sectionMedications.code
path:
  v: Composition.section.code
short:
  v: Classification of section (recommended)
definition:
  v: A code identifying the kind of content contained within the section. This must be consistent with the section title.
comment:
  v: The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
requirements:
  v: Provides computable standardized labels to topics within the document.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.section.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
pattern: CodeableConcept
  coding: https://loinc.org/rdf/10160-0
    system:
      v: http://loinc.org
    code:
      v: 10160-0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: CompositionSectionType
  strength:
    v: example
  description:
    v: Classification of a section of a composition/document.
  value set:
    v: http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: cda
  map:
    v: .code

id:
  v: Composition.section:sectionMedications.author
path:
  v: Composition.section.author
short:
  v: Who and/or what authored the section
definition:
  v: Identifies who is responsible for the information in this section, not necessarily who typed it in.
requirements:
  v: Identifies who is responsible for the content.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.author
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    link: http://hl7.org/fhir/StructureDefinition/Device
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-relatedperson|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization|7.0.0-ballot
    link: 7.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
mapping:
  identity:
    v: cda
  map:
    v: .author.assignedAuthor

id:
  v: Composition.section:sectionMedications.focus
path:
  v: Composition.section.focus
short:
  v: Who/what the section is about, when it is not about the subject of composition
definition:
  v: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
comment:
  v: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.focus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: cda
  map:
    v: .subject? (CDA did not differentiate between subject and focus)

id:
  v: Composition.section:sectionMedications.text
path:
  v: Composition.section.text
short:
  v: Text summary of the section, for human interpretation
definition:
  v: A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.
comment:
  v: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
condition:
  v: cmp-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .text
mapping:
  identity:
    v: cda
  map:
    v: .text

id:
  v: Composition.section:sectionMedications.mode
path:
  v: Composition.section.mode
short:
  v: working | snapshot | changes
definition:
  v: How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
comment:
  v: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
requirements:
  v: Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.mode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionMode
  strength:
    v: required
  description:
    v: The processing mode that applies to this section.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionMedications.orderedBy
path:
  v: Composition.section.orderedBy
short:
  v: Order of section entries
definition:
  v: Specifies the order applied to the items in the section entries.
comment:
  v: Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
requirements:
  v: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.orderedBy
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionEntryOrder
  strength:
    v: preferred
  description:
    v: What order applies to the items in the entry.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-order|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionMedications.entry
path:
  v: Composition.section.entry
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: resolve()
  rules:
    v: open
short:
  v: A reference to data that supports this section
definition:
  v: A reference to the actual resource from which the narrative in the section is derived.
comment:
  v: If there are no entries in the list, an emptyReason SHOULD be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.entry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
mapping:
  identity:
    v: cda
  map:
    v: .entry

id:
  v: Composition.section:sectionMedications.entry:medicationStatementOrRequest
path:
  v: Composition.section.entry
slice name:
  v: medicationStatementOrRequest
short:
  v: A reference to data that supports this section
definition:
  v: A reference to the actual resource from which the narrative in the section is derived.
comment:
  v: If there are no entries in the list, an emptyReason SHOULD be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.entry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-medicationstatement
    link: http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-medicationstatement
  aggregation:
    v: bundled
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
mapping:
  identity:
    v: cda
  map:
    v: .entry

id:
  v: Composition.section:sectionMedications.emptyReason
path:
  v: Composition.section.emptyReason
short:
  v: Why the section is empty
definition:
  v: If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
comment:
  v: The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
requirements:
  v: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionEmptyReason
  strength:
    v: preferred
  description:
    v: If a section is empty, why it is empty.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionMedications.section
path:
  v: Composition.section.section
short:
  v: Nested Section
definition:
  v: A nested sub-section within this section.
comment:
  v: Nested sections are primarily used to help human readers navigate to particular portions of the document.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.section
  min:
    v: 0
  max:
    v: *
content reference:
  v: http://hl7.org/fhir/StructureDefinition/Composition#Composition.section
condition:
  v: cmp-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.section

id:
  v: Composition.section:sectionAllergies
path:
  v: Composition.section
slice name:
  v: sectionAllergies
short:
  v: Composition is broken into sections
definition:
  v: The root of the sections that make up the composition.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.section
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: cmp-1
  severity:
    v: error
  human:
    v: A section must contain at least one of text, entries, or sub-sections
  expression:
    v: text.exists() or entry.exists() or section.exists()
  xpath:
    v: exists(f:text) or exists(f:entry) or exists(f:section)
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: cmp-2
  severity:
    v: error
  human:
    v: A section can only have an emptyReason if it is empty
  expression:
    v: emptyReason.empty() or entry.empty()
  xpath:
    v: not(exists(f:emptyReason) and exists(f:entry))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.structuredBody.component.section

id:
  v: Composition.section:sectionAllergies.id
path:
  v: Composition.section.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section:sectionAllergies.extension
path:
  v: Composition.section.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section:sectionAllergies.modifierExtension
path:
  v: Composition.section.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.section:sectionAllergies.title
path:
  v: Composition.section.title
short:
  v: Label for section (e.g. for ToC)
definition:
  v: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
comment:
  v: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
requirements:
  v: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
alias:
  v: header
alias:
  v: label
alias:
  v: caption
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.title
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./title
mapping:
  identity:
    v: cda
  map:
    v: .title

id:
  v: Composition.section:sectionAllergies.code
path:
  v: Composition.section.code
short:
  v: Classification of section (recommended)
definition:
  v: A code identifying the kind of content contained within the section. This must be consistent with the section title.
comment:
  v: The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
requirements:
  v: Provides computable standardized labels to topics within the document.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.section.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
pattern: CodeableConcept
  coding: https://loinc.org/rdf/48765-2
    system:
      v: http://loinc.org
    code:
      v: 48765-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: CompositionSectionType
  strength:
    v: example
  description:
    v: Classification of a section of a composition/document.
  value set:
    v: http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: cda
  map:
    v: .code

id:
  v: Composition.section:sectionAllergies.author
path:
  v: Composition.section.author
short:
  v: Who and/or what authored the section
definition:
  v: Identifies who is responsible for the information in this section, not necessarily who typed it in.
requirements:
  v: Identifies who is responsible for the content.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.author
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    link: http://hl7.org/fhir/StructureDefinition/Device
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-relatedperson|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization|7.0.0-ballot
    link: 7.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
mapping:
  identity:
    v: cda
  map:
    v: .author.assignedAuthor

id:
  v: Composition.section:sectionAllergies.focus
path:
  v: Composition.section.focus
short:
  v: Who/what the section is about, when it is not about the subject of composition
definition:
  v: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
comment:
  v: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.focus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: cda
  map:
    v: .subject? (CDA did not differentiate between subject and focus)

id:
  v: Composition.section:sectionAllergies.text
path:
  v: Composition.section.text
short:
  v: Text summary of the section, for human interpretation
definition:
  v: A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.
comment:
  v: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
condition:
  v: cmp-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .text
mapping:
  identity:
    v: cda
  map:
    v: .text

id:
  v: Composition.section:sectionAllergies.mode
path:
  v: Composition.section.mode
short:
  v: working | snapshot | changes
definition:
  v: How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
comment:
  v: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
requirements:
  v: Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.mode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionMode
  strength:
    v: required
  description:
    v: The processing mode that applies to this section.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionAllergies.orderedBy
path:
  v: Composition.section.orderedBy
short:
  v: Order of section entries
definition:
  v: Specifies the order applied to the items in the section entries.
comment:
  v: Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
requirements:
  v: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.orderedBy
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionEntryOrder
  strength:
    v: preferred
  description:
    v: What order applies to the items in the entry.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-order|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionAllergies.entry
path:
  v: Composition.section.entry
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: resolve()
  rules:
    v: open
short:
  v: A reference to data that supports this section
definition:
  v: A reference to the actual resource from which the narrative in the section is derived.
comment:
  v: If there are no entries in the list, an emptyReason SHOULD be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.entry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
mapping:
  identity:
    v: cda
  map:
    v: .entry

id:
  v: Composition.section:sectionAllergies.entry:allergyOrIntolerance
path:
  v: Composition.section.entry
slice name:
  v: allergyOrIntolerance
short:
  v: A reference to data that supports this section
definition:
  v: A reference to the actual resource from which the narrative in the section is derived.
comment:
  v: If there are no entries in the list, an emptyReason SHOULD be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.entry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-allergyintolerance
    link: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-allergyintolerance
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
mapping:
  identity:
    v: cda
  map:
    v: .entry

id:
  v: Composition.section:sectionAllergies.emptyReason
path:
  v: Composition.section.emptyReason
short:
  v: Why the section is empty
definition:
  v: If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
comment:
  v: The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
requirements:
  v: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionEmptyReason
  strength:
    v: preferred
  description:
    v: If a section is empty, why it is empty.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionAllergies.section
path:
  v: Composition.section.section
short:
  v: Nested Section
definition:
  v: A nested sub-section within this section.
comment:
  v: Nested sections are primarily used to help human readers navigate to particular portions of the document.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.section
  min:
    v: 0
  max:
    v: *
content reference:
  v: http://hl7.org/fhir/StructureDefinition/Composition#Composition.section
condition:
  v: cmp-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.section

id:
  v: Composition.section:sectionProblems
path:
  v: Composition.section
slice name:
  v: sectionProblems
short:
  v: Composition is broken into sections
definition:
  v: The root of the sections that make up the composition.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.section
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: cmp-1
  severity:
    v: error
  human:
    v: A section must contain at least one of text, entries, or sub-sections
  expression:
    v: text.exists() or entry.exists() or section.exists()
  xpath:
    v: exists(f:text) or exists(f:entry) or exists(f:section)
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: cmp-2
  severity:
    v: error
  human:
    v: A section can only have an emptyReason if it is empty
  expression:
    v: emptyReason.empty() or entry.empty()
  xpath:
    v: not(exists(f:emptyReason) and exists(f:entry))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.structuredBody.component.section

id:
  v: Composition.section:sectionProblems.id
path:
  v: Composition.section.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section:sectionProblems.extension
path:
  v: Composition.section.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section:sectionProblems.modifierExtension
path:
  v: Composition.section.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.section:sectionProblems.title
path:
  v: Composition.section.title
short:
  v: Label for section (e.g. for ToC)
definition:
  v: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
comment:
  v: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
requirements:
  v: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
alias:
  v: header
alias:
  v: label
alias:
  v: caption
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.title
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./title
mapping:
  identity:
    v: cda
  map:
    v: .title

id:
  v: Composition.section:sectionProblems.code
path:
  v: Composition.section.code
short:
  v: Classification of section (recommended)
definition:
  v: A code identifying the kind of content contained within the section. This must be consistent with the section title.
comment:
  v: The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
requirements:
  v: Provides computable standardized labels to topics within the document.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.section.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
pattern: CodeableConcept
  coding: https://loinc.org/rdf/11450-4
    system:
      v: http://loinc.org
    code:
      v: 11450-4
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: CompositionSectionType
  strength:
    v: example
  description:
    v: Classification of a section of a composition/document.
  value set:
    v: http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: cda
  map:
    v: .code

id:
  v: Composition.section:sectionProblems.author
path:
  v: Composition.section.author
short:
  v: Who and/or what authored the section
definition:
  v: Identifies who is responsible for the information in this section, not necessarily who typed it in.
requirements:
  v: Identifies who is responsible for the content.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.author
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    link: http://hl7.org/fhir/StructureDefinition/Device
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-relatedperson|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization|7.0.0-ballot
    link: 7.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
mapping:
  identity:
    v: cda
  map:
    v: .author.assignedAuthor

id:
  v: Composition.section:sectionProblems.focus
path:
  v: Composition.section.focus
short:
  v: Who/what the section is about, when it is not about the subject of composition
definition:
  v: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
comment:
  v: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.focus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: cda
  map:
    v: .subject? (CDA did not differentiate between subject and focus)

id:
  v: Composition.section:sectionProblems.text
path:
  v: Composition.section.text
short:
  v: Text summary of the section, for human interpretation
definition:
  v: A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.
comment:
  v: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
condition:
  v: cmp-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .text
mapping:
  identity:
    v: cda
  map:
    v: .text

id:
  v: Composition.section:sectionProblems.mode
path:
  v: Composition.section.mode
short:
  v: working | snapshot | changes
definition:
  v: How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
comment:
  v: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
requirements:
  v: Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.mode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionMode
  strength:
    v: required
  description:
    v: The processing mode that applies to this section.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionProblems.orderedBy
path:
  v: Composition.section.orderedBy
short:
  v: Order of section entries
definition:
  v: Specifies the order applied to the items in the section entries.
comment:
  v: Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
requirements:
  v: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.orderedBy
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionEntryOrder
  strength:
    v: preferred
  description:
    v: What order applies to the items in the entry.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-order|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionProblems.entry
path:
  v: Composition.section.entry
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: resolve()
  rules:
    v: open
short:
  v: A reference to data that supports this section
definition:
  v: A reference to the actual resource from which the narrative in the section is derived.
comment:
  v: If there are no entries in the list, an emptyReason SHOULD be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.entry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
mapping:
  identity:
    v: cda
  map:
    v: .entry

id:
  v: Composition.section:sectionProblems.entry:problem
path:
  v: Composition.section.entry
slice name:
  v: problem
short:
  v: A reference to data that supports this section
definition:
  v: A reference to the actual resource from which the narrative in the section is derived.
comment:
  v: If there are no entries in the list, an emptyReason SHOULD be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.entry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-condition
    link: http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-condition
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
mapping:
  identity:
    v: cda
  map:
    v: .entry

id:
  v: Composition.section:sectionProblems.emptyReason
path:
  v: Composition.section.emptyReason
short:
  v: Why the section is empty
definition:
  v: If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
comment:
  v: The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
requirements:
  v: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionEmptyReason
  strength:
    v: preferred
  description:
    v: If a section is empty, why it is empty.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionProblems.section
path:
  v: Composition.section.section
short:
  v: Nested Section
definition:
  v: A nested sub-section within this section.
comment:
  v: Nested sections are primarily used to help human readers navigate to particular portions of the document.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.section
  min:
    v: 0
  max:
    v: *
content reference:
  v: http://hl7.org/fhir/StructureDefinition/Composition#Composition.section
condition:
  v: cmp-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.section

id:
  v: Composition.section:sectionProceduresHx
path:
  v: Composition.section
slice name:
  v: sectionProceduresHx
short:
  v: Composition is broken into sections
definition:
  v: The root of the sections that make up the composition.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: cmp-1
  severity:
    v: error
  human:
    v: A section must contain at least one of text, entries, or sub-sections
  expression:
    v: text.exists() or entry.exists() or section.exists()
  xpath:
    v: exists(f:text) or exists(f:entry) or exists(f:section)
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: cmp-2
  severity:
    v: error
  human:
    v: A section can only have an emptyReason if it is empty
  expression:
    v: emptyReason.empty() or entry.empty()
  xpath:
    v: not(exists(f:emptyReason) and exists(f:entry))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.structuredBody.component.section

id:
  v: Composition.section:sectionProceduresHx.id
path:
  v: Composition.section.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section:sectionProceduresHx.extension
path:
  v: Composition.section.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section:sectionProceduresHx.modifierExtension
path:
  v: Composition.section.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.section:sectionProceduresHx.title
path:
  v: Composition.section.title
short:
  v: Label for section (e.g. for ToC)
definition:
  v: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
comment:
  v: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
requirements:
  v: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
alias:
  v: header
alias:
  v: label
alias:
  v: caption
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.title
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./title
mapping:
  identity:
    v: cda
  map:
    v: .title

id:
  v: Composition.section:sectionProceduresHx.code
path:
  v: Composition.section.code
short:
  v: Classification of section (recommended)
definition:
  v: A code identifying the kind of content contained within the section. This must be consistent with the section title.
comment:
  v: The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
requirements:
  v: Provides computable standardized labels to topics within the document.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.section.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
pattern: CodeableConcept
  coding: https://loinc.org/rdf/47519-4
    system:
      v: http://loinc.org
    code:
      v: 47519-4
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: CompositionSectionType
  strength:
    v: example
  description:
    v: Classification of a section of a composition/document.
  value set:
    v: http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: cda
  map:
    v: .code

id:
  v: Composition.section:sectionProceduresHx.author
path:
  v: Composition.section.author
short:
  v: Who and/or what authored the section
definition:
  v: Identifies who is responsible for the information in this section, not necessarily who typed it in.
requirements:
  v: Identifies who is responsible for the content.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.author
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    link: http://hl7.org/fhir/StructureDefinition/Device
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-relatedperson|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization|7.0.0-ballot
    link: 7.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
mapping:
  identity:
    v: cda
  map:
    v: .author.assignedAuthor

id:
  v: Composition.section:sectionProceduresHx.focus
path:
  v: Composition.section.focus
short:
  v: Who/what the section is about, when it is not about the subject of composition
definition:
  v: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
comment:
  v: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.focus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: cda
  map:
    v: .subject? (CDA did not differentiate between subject and focus)

id:
  v: Composition.section:sectionProceduresHx.text
path:
  v: Composition.section.text
short:
  v: Text summary of the section, for human interpretation
definition:
  v: A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.
comment:
  v: Document profiles may define what content should be represented in the narrative to ensure clinical safety.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
condition:
  v: cmp-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .text
mapping:
  identity:
    v: cda
  map:
    v: .text

id:
  v: Composition.section:sectionProceduresHx.mode
path:
  v: Composition.section.mode
short:
  v: working | snapshot | changes
definition:
  v: How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
comment:
  v: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
requirements:
  v: Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.mode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionMode
  strength:
    v: required
  description:
    v: The processing mode that applies to this section.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionProceduresHx.orderedBy
path:
  v: Composition.section.orderedBy
short:
  v: Order of section entries
definition:
  v: Specifies the order applied to the items in the section entries.
comment:
  v: Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
requirements:
  v: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.orderedBy
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionEntryOrder
  strength:
    v: preferred
  description:
    v: What order applies to the items in the entry.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-order|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionProceduresHx.entry
path:
  v: Composition.section.entry
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: resolve()
  rules:
    v: open
short:
  v: A reference to data that supports this section
definition:
  v: A reference to the actual resource from which the narrative in the section is derived.
comment:
  v: If there are no entries in the list, an emptyReason SHOULD be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.entry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
mapping:
  identity:
    v: cda
  map:
    v: .entry

id:
  v: Composition.section:sectionProceduresHx.entry:procedure
path:
  v: Composition.section.entry
slice name:
  v: procedure
short:
  v: A reference to data that supports this section
definition:
  v: A reference to the actual resource from which the narrative in the section is derived.
comment:
  v: If there are no entries in the list, an emptyReason SHOULD be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.entry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips
    link: http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
mapping:
  identity:
    v: cda
  map:
    v: .entry

id:
  v: Composition.section:sectionProceduresHx.emptyReason
path:
  v: Composition.section.emptyReason
short:
  v: Why the section is empty
definition:
  v: If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
comment:
  v: The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
requirements:
  v: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
condition:
  v: cmp-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: SectionEmptyReason
  strength:
    v: preferred
  description:
    v: If a section is empty, why it is empty.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
mapping:
  identity:
    v: cda
  map:
    v: n/a

id:
  v: Composition.section:sectionProceduresHx.section
path:
  v: Composition.section.section
short:
  v: Nested Section
definition:
  v: A nested sub-section within this section.
comment:
  v: Nested sections are primarily used to help human readers navigate to particular portions of the document.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.section
  min:
    v: 0
  max:
    v: *
content reference:
  v: http://hl7.org/fhir/StructureDefinition/Composition#Composition.section
condition:
  v: cmp-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.section

id:
  v: Composition.section:sectionImmunizations
path:
  v: Composition.section
slice name:
  v: sectionImmunizations
short:
  v: Composition is broken into sections
definition:
  v: The root of the sections that make up the composition.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: cmp-1
  severity:
    v: error
  human:
    v: A section must contain at least one of text, entries, or sub-sections
  expression:
    v: text.exists() or entry.exists() or section.exists()
  xpath:
    v: exists(f:text) or exists(f:entry) or exists(f:section)
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: cmp-2
  severity:
    v: error
  human:
    v: A section can only have an emptyReason if it is empty
  expression:
    v: emptyReason.empty() or entry.empty()
  xpath:
    v: not(exists(f:emptyReason) and exists(f:entry))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Composition
    link: http://hl7.org/fhir/StructureDefinition/Composition
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
mapping:
  identity:
    v: cda
  map:
    v: .component.structuredBody.component.section

id:
  v: Composition.section:sectionImmunizations.id
path:
  v: Composition.section.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section:sectionImmunizations.extension
path:
  v: Composition.section.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Composition.section:sectionImmunizations.modifierExtension
path:
  v: Composition.section.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Composition.section:sectionImmunizations.title
path:
  v: Composition.section.title
short:
  v: Label for section (e.g. for ToC)
definition:
  v: The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
comment:
  v: The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
requirements:
  v: Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
alias:
  v: header
alias:
  v: label
alias:
  v: caption
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.title
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: ./title
mapping:
  identity:
    v: cda
  map:
    v: .title

id:
  v: Composition.section:sectionImmunizations.code
path:
  v: Composition.section.code
short:
  v: Classification of section (recommended)
definition:
  v: A code identifying the kind of content contained within the section. This must be consistent with the section title.
comment:
  v: The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
requirements:
  v: Provides computable standardized labels to topics within the document.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Composition.section.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
pattern: CodeableConcept
  coding: https://loinc.org/rdf/11369-6
    system:
      v: http://loinc.org
    code:
      v: 11369-6
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: CompositionSectionType
  strength:
    v: example
  description:
    v: Classification of a section of a composition/document.
  value set:
    v: http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    link: 4.0
    link: .1
mapping:
  identity:
    v: rim
  map:
    v: ./code
mapping:
  identity:
    v: cda
  map:
    v: .code

id:
  v: Composition.section:sectionImmunizations.author
path:
  v: Composition.section.author
short:
  v: Who and/or what authored the section
definition:
  v: Identifies who is responsible for the information in this section, not necessarily who typed it in.
requirements:
  v: Identifies who is responsible for the content.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Composition.section.author
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    link: http://hl7.org/fhir/StructureDefinition/Device
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-relatedperson|7.0.0-ballot
    link: 7.0
    link: .0
  target profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization|7.0.0-ballot
    link: 7.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
mapping:
  identity:
    v: cda
  map:
    v: .author.assignedAuthor

id:
  v: Composition.section:sectionImmunizations.focus
path:
  v: Composition.section.focus
short:
  v: Who/what the section is about, when it is not about the subject of composition
definition:
  v: The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
comment:
  v: Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Composition.section.focus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    link: 4.0
    link: .1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: cda
  map:
    v: .subject? (CDA did not differentiate between subject and focus)