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Bản hướng dẫn thực thi (IG) dành các tài liệu lâm sàng
0.0.1 - CI Build

Bản hướng dẫn thực thi (IG) dành các tài liệu lâm sàng, published by Bộ Y tế. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7vn/vn-clin-doc/ and changes regularly. See the Directory of published versions

Resource Profile: DischargeSummary

Discharge Summary profile

Đường dẫn URL chính thức của Profile này: 

http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/CCDA-DischargeSummary

Nội dung Profile

Thông tin bổ sung cho các thông tin hiển thị (Nội dung mô tả, Differential Table, Snapshot Table, ...).

Profile này được dựa trên Resource VNDocumentHeader

Summary

Mandatory: 20 elements(36 nested mandatory elements)
Must-Support: 76 elements
Fixed: 10 elements

Structures

This structure refers to these other structures:

  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis (no profile found)
  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-service-request (no profile found)
  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request (no profile found)
  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement (no profile found)
  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-observation-physicalfindings (no profile found)
  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-procedure (no profile found)
  • Vital Signs Profile (http://hl7.org/fhir/StructureDefinition/vitalsigns)

Slices

This structure defines the following Slices:

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

Profile này được dựa trên Resource VNDocumentHeader

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* VNDocumentHeader A set of resources composed into a single coherent clinical statement with clinical attestation
... type 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: DischargeSummaryDocumentTypeCode (required)
... Slices for section 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:allergies_and_intolerances_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
...... text 1..1 string Plain text representation of the concept
Fixed Value: Allergies and adverse reactions
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... entry S 0..* Reference(Resource) A reference to data that supports this section
.... section:hospital_course_section S 1..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital course
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital course
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:discharge_diagnosis_section S 1..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge diagnosis
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital discharge diagnosis
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:discharge_diagnosis_entry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis) A reference to data that supports this section
.... section:plan_of_treatment_section S 1..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of treatment
...... text 1..1 string Plain text representation of the concept
Fixed Value: Plan of treatment
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-service-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request) A reference to data that supports this section
.... section:discharge_medications_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10183-2
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge medications
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital discharge medications
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:discharge_medications_entry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement) A reference to data that supports this section
.... section:admission_diagnosis_section S 1..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46241-6
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital admission diagnosis
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital admission diagnosis
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:admission_diagnosis_entry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis) A reference to data that supports this section
.... section:admission_medications_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42346-7
....... display 1..1 string Representation defined by the system
Fixed Value: Medications on admission
...... text 1..1 string Plain text representation of the concept
Fixed Value: Medications on admission
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement) A reference to data that supports this section
.... section:chief_complaint_and_reason_for_visit_section S 1..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46239-0
....... display 1..1 string Representation defined by the system
Fixed Value: Chief Complaint and Reason for Visit
...... text 1..1 string Plain text representation of the concept
Fixed Value: Chief Complaint and Reason for Visit
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:history_of_present_illness_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10164-2
....... display 1..1 string Representation defined by the system
Fixed Value: History of Present Illness
...... text 1..1 string Plain text representation of the concept
Fixed Value: History of Present Illness
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:hospital_consultations_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18841-7
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital consultations
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital consultations
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:family_history_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10157-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of family member diseases
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:functional_status_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 1..1 string Representation defined by the system
Fixed Value: Functional status
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:hospital_discharge_instructions_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge instructions
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:hospital_discharge_physical_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10184-0
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:physicalFindingEntry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-observation-physicalfindings) A reference to data that supports this section
.... section:hospital_discharge_studies_section S 0..* BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11493-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge studies summary
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:procedures_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-procedure) A reference to data that supports this section
.... section:vital_signs_section 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 1..1 string Representation defined by the system
Fixed Value: Vital signs
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry S 0..* Reference(Vital Signs Profile) A reference to data that supports this section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* VNDocumentHeader A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... versionNumber 0..1 integer Extension
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-VersionNumber
.... dataEnterer 0..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-DataEnterer
.... informant 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-patient) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-Informant
.... informationRecipient 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-patient) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-InformationRecipient
.... participant 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-patient) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-Participant
.... performer 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-Performer
.... order 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-service-request) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-Order
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Version-independent identifier for the Composition
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: DischargeSummaryDocumentTypeCode (required)
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ 1..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-patient) Who and/or what the composition is about
... encounter Σ 1..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner) Who and/or what authored the composition
... title Σ 1..1 string Human Readable name/title
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode, value:party.reference
.... attester:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1 dateTime When the composition was attested
..... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
.... attester:legal_attester 0..1 BackboneElement Attests to accuracy of composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1 dateTime When the composition was attested
..... party 0..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-provider) Who attested the composition
.... attester:professional_attester 0..* BackboneElement Attests to accuracy of composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1 dateTime When the composition was attested
..... party 0..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner) Who attested the composition
.... attester:personal_attester 0..* BackboneElement Attests to accuracy of composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1 dateTime When the composition was attested
..... party 0..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-patient) Who attested the composition
... custodian Σ 1..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-provider) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:allergies_and_intolerances_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Allergies and adverse reactions
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:hospital_course_section SC 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital course
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital course
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:discharge_diagnosis_section SC 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge diagnosis
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital discharge diagnosis
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:discharge_diagnosis_entry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:plan_of_treatment_section SC 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of treatment
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Plan of treatment
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-service-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:discharge_medications_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10183-2
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge medications
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital discharge medications
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:discharge_medications_entry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:admission_diagnosis_section SC 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46241-6
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital admission diagnosis
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital admission diagnosis
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:admission_diagnosis_entry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:admission_medications_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42346-7
....... display 1..1 string Representation defined by the system
Fixed Value: Medications on admission
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Medications on admission
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:chief_complaint_and_reason_for_visit_section SC 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46239-0
....... display 1..1 string Representation defined by the system
Fixed Value: Chief Complaint and Reason for Visit
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Chief Complaint and Reason for Visit
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:history_of_present_illness_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10164-2
....... display 1..1 string Representation defined by the system
Fixed Value: History of Present Illness
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: History of Present Illness
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:hospital_consultations_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18841-7
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital consultations
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital consultations
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:family_history_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10157-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of family member diseases
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:functional_status_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 1..1 string Representation defined by the system
Fixed Value: Functional status
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:hospital_discharge_instructions_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge instructions
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:hospital_discharge_physical_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10184-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:physicalFindingEntry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-observation-physicalfindings) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:hospital_discharge_studies_section SC 0..* BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11493-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge studies summary
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:procedures_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-procedure) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:vital_signs_section C 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 1..1 string Representation defined by the system
Fixed Value: Vital signs
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry SC 0..* Reference(Vital Signs Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section

doco Documentation for this format

Profile này được dựa trên Resource VNDocumentHeader

Summary

Mandatory: 20 elements(36 nested mandatory elements)
Must-Support: 76 elements
Fixed: 10 elements

Structures

This structure refers to these other structures:

  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis (no profile found)
  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-service-request (no profile found)
  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request (no profile found)
  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement (no profile found)
  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-observation-physicalfindings (no profile found)
  • Unable to summarise profile http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-procedure (no profile found)
  • Vital Signs Profile (http://hl7.org/fhir/StructureDefinition/vitalsigns)

Slices

This structure defines the following Slices:

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

Differential View

Profile này được dựa trên Resource VNDocumentHeader

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* VNDocumentHeader A set of resources composed into a single coherent clinical statement with clinical attestation
... type 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: DischargeSummaryDocumentTypeCode (required)
... Slices for section 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:allergies_and_intolerances_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
...... text 1..1 string Plain text representation of the concept
Fixed Value: Allergies and adverse reactions
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... entry S 0..* Reference(Resource) A reference to data that supports this section
.... section:hospital_course_section S 1..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital course
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital course
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:discharge_diagnosis_section S 1..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge diagnosis
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital discharge diagnosis
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:discharge_diagnosis_entry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis) A reference to data that supports this section
.... section:plan_of_treatment_section S 1..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of treatment
...... text 1..1 string Plain text representation of the concept
Fixed Value: Plan of treatment
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-service-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request) A reference to data that supports this section
.... section:discharge_medications_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10183-2
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge medications
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital discharge medications
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:discharge_medications_entry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement) A reference to data that supports this section
.... section:admission_diagnosis_section S 1..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46241-6
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital admission diagnosis
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital admission diagnosis
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:admission_diagnosis_entry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis) A reference to data that supports this section
.... section:admission_medications_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42346-7
....... display 1..1 string Representation defined by the system
Fixed Value: Medications on admission
...... text 1..1 string Plain text representation of the concept
Fixed Value: Medications on admission
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement) A reference to data that supports this section
.... section:chief_complaint_and_reason_for_visit_section S 1..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46239-0
....... display 1..1 string Representation defined by the system
Fixed Value: Chief Complaint and Reason for Visit
...... text 1..1 string Plain text representation of the concept
Fixed Value: Chief Complaint and Reason for Visit
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:history_of_present_illness_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10164-2
....... display 1..1 string Representation defined by the system
Fixed Value: History of Present Illness
...... text 1..1 string Plain text representation of the concept
Fixed Value: History of Present Illness
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:hospital_consultations_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18841-7
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital consultations
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital consultations
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:family_history_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10157-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of family member diseases
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:functional_status_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 1..1 string Representation defined by the system
Fixed Value: Functional status
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:hospital_discharge_instructions_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge instructions
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:hospital_discharge_physical_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10184-0
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:physicalFindingEntry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-observation-physicalfindings) A reference to data that supports this section
.... section:hospital_discharge_studies_section S 0..* BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11493-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge studies summary
..... text S 1..1 Narrative Text summary of the section, for human interpretation
.... section:procedures_section S 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry S 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-procedure) A reference to data that supports this section
.... section:vital_signs_section 0..1 BackboneElement Composition is broken into sections
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 1..1 string Representation defined by the system
Fixed Value: Vital signs
..... text S 1..1 Narrative Text summary of the section, for human interpretation
..... Slices for entry 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry S 0..* Reference(Vital Signs Profile) A reference to data that supports this section

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* VNDocumentHeader A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... versionNumber 0..1 integer Extension
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-VersionNumber
.... dataEnterer 0..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-DataEnterer
.... informant 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-patient) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-Informant
.... informationRecipient 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-patient) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-InformationRecipient
.... participant 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-patient) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-Participant
.... performer 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-Performer
.... order 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-service-request) Optional Extensions Element
URL: http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/Extension-Order
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Version-independent identifier for the Composition
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
Binding: DischargeSummaryDocumentTypeCode (required)
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ 1..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-patient) Who and/or what the composition is about
... encounter Σ 1..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-encounter) Context of the Composition
... date Σ 1..1 dateTime Composition editing time
... author Σ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner) Who and/or what authored the composition
... title Σ 1..1 string Human Readable name/title
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode, value:party.reference
.... attester:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1 dateTime When the composition was attested
..... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
.... attester:legal_attester 0..1 BackboneElement Attests to accuracy of composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1 dateTime When the composition was attested
..... party 0..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-provider) Who attested the composition
.... attester:professional_attester 0..* BackboneElement Attests to accuracy of composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1 dateTime When the composition was attested
..... party 0..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-practitioner) Who attested the composition
.... attester:personal_attester 0..* BackboneElement Attests to accuracy of composition
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

..... time 0..1 dateTime When the composition was attested
..... party 0..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-patient) Who attested the composition
... custodian Σ 1..1 Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-provider) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:allergies_and_intolerances_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Allergies and adverse reactions
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry SC 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:hospital_course_section SC 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital course
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital course
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:discharge_diagnosis_section SC 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge diagnosis
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital discharge diagnosis
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:discharge_diagnosis_entry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:plan_of_treatment_section SC 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 1..1 string Representation defined by the system
Fixed Value: Plan of treatment
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Plan of treatment
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-service-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:discharge_medications_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10183-2
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge medications
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital discharge medications
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:discharge_medications_entry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:admission_diagnosis_section SC 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46241-6
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital admission diagnosis
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital admission diagnosis
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:admission_diagnosis_entry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:admission_medications_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42346-7
....... display 1..1 string Representation defined by the system
Fixed Value: Medications on admission
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Medications on admission
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:chief_complaint_and_reason_for_visit_section SC 1..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46239-0
....... display 1..1 string Representation defined by the system
Fixed Value: Chief Complaint and Reason for Visit
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Chief Complaint and Reason for Visit
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:history_of_present_illness_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10164-2
....... display 1..1 string Representation defined by the system
Fixed Value: History of Present Illness
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: History of Present Illness
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:hospital_consultations_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18841-7
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital consultations
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 1..1 string Plain text representation of the concept
Fixed Value: Hospital consultations
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:family_history_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10157-6
....... display 1..1 string Representation defined by the system
Fixed Value: History of family member diseases
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:functional_status_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 1..1 string Representation defined by the system
Fixed Value: Functional status
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:hospital_discharge_instructions_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge instructions
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:hospital_discharge_physical_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10184-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:physicalFindingEntry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-observation-physicalfindings) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:hospital_discharge_studies_section SC 0..* BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11493-4
....... display 1..1 string Representation defined by the system
Fixed Value: Hospital discharge studies summary
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:procedures_section SC 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry SC 0..* Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-procedure) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section
.... section:vital_signs_section C 0..1 BackboneElement Composition is broken into sections
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 1..1 string Representation defined by the system
Fixed Value: Vital signs
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SC 1..1 Narrative Text summary of the section, for human interpretation
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by value:reference
...... entry:sliceEntry SC 0..* Reference(Vital Signs Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section C 0..* See section (Composition) Nested Section

doco Documentation for this format

 

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Terminology Bindings

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredDischargeSummaryDocumentTypeCode
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.4.1
from this IG
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:legal_attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:professional_attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:personal_attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:allergies_and_intolerances_section.codeexampleFixed Value: "Allergies and adverse reactions"
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:allergies_and_intolerances_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:allergies_and_intolerances_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:allergies_and_intolerances_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:hospital_course_section.codeexampleFixed Value: "Hospital course"
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:hospital_course_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:hospital_course_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:hospital_course_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:discharge_diagnosis_section.codeexampleFixed Value: "Hospital discharge diagnosis"
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:discharge_diagnosis_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:discharge_diagnosis_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:discharge_diagnosis_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:plan_of_treatment_section.codeexampleFixed Value: "Plan of treatment"
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:plan_of_treatment_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:plan_of_treatment_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:plan_of_treatment_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:discharge_medications_section.codeexampleFixed Value: "Hospital discharge medications"
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:discharge_medications_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:discharge_medications_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:discharge_medications_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admission_diagnosis_section.codeexampleFixed Value: "Hospital admission diagnosis"
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admission_diagnosis_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admission_diagnosis_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admission_diagnosis_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:admission_medications_section.codeexampleFixed Value: "Medications on admission"
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admission_medications_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:admission_medications_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:admission_medications_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:chief_complaint_and_reason_for_visit_section.codeexampleFixed Value: "Chief Complaint and Reason for Visit"
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:chief_complaint_and_reason_for_visit_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:chief_complaint_and_reason_for_visit_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:chief_complaint_and_reason_for_visit_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:history_of_present_illness_section.codeexampleFixed Value: "History of Present Illness"
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:history_of_present_illness_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:history_of_present_illness_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:history_of_present_illness_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:hospital_consultations_section.codeexampleFixed Value: "Hospital consultations"
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:hospital_consultations_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:hospital_consultations_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:hospital_consultations_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:family_history_section.codeexamplePattern: LOINC Code 10157-6("History of family member diseases")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:family_history_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:family_history_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:family_history_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:functional_status_section.codeexamplePattern: LOINC Code 47420-5("Functional status")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:functional_status_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:functional_status_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:functional_status_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:hospital_discharge_instructions_section.codeexamplePattern: LOINC Code 8653-8("Hospital discharge instructions")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:hospital_discharge_instructions_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:hospital_discharge_instructions_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:hospital_discharge_instructions_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:hospital_discharge_physical_section.codeexamplePattern: LOINC Code 10184-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:hospital_discharge_physical_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:hospital_discharge_physical_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:hospital_discharge_physical_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:hospital_discharge_studies_section.codeexamplePattern: LOINC Code 11493-4("Hospital discharge studies summary")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:hospital_discharge_studies_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:hospital_discharge_studies_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:hospital_discharge_studies_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:procedures_section.codeexamplePattern: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:procedures_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:procedures_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:procedures_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:vital_signs_section.codeexamplePattern: LOINC Code 8716-3("Vital signs")
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:vital_signs_section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:vital_signs_section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:vital_signs_section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Constraints

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:procedures_section, Composition.section:vital_signs_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:procedures_section, Composition.section:vital_signs_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()