National Electronic Health Record Implementation Guide
0.1.0 - ci-build
National Electronic Health Record Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://ig.hiu.lk/fhir/nehr/StructureDefinition/LKEncounterSummary | Version: 0.1.0 | |||
| Draft as of 2025-10-23 | Computable Name: LKEncounterSummary | |||
A profile of the Composition Resource for the NEHR representing an encounter summary.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | Identifier | Version-independent identifier for the Composition |
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?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
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Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. |
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Σ | 1..1 | Reference(LKPatient) | Who and/or what the composition is about |
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Σ | 1..1 | dateTime | Composition editing time |
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Σ | 1..* | Reference(LKPractitioner) | Unique identification of the primary performer/performers. |
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Σ | 1..1 | string | Human Readable name/title |
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C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by profile:entry.resolve() Constraints: cmp-1, cmp-2 |
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Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) | |
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C | 1..* | Reference(Resource) | A reference to data that supports this section |
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C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Encounter Output | |
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C | 1..* | Reference(LKEncounter) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Discharge Diagnosis/ Diagnoses | |
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C | 1..* | Reference(LKCondition) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Allergies and Adverse Reactions | |
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C | 1..* | Reference(AllergyIntolerance) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past Medical History | |
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C | 1..* | Reference(LKCondition) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past surgical History | |
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C | 1..* | Reference(Procedure) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Regular Medication | |
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C | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Obstetric Summary | |
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C | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Immunizations | |
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C | 1..* | Reference(Immunization) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Behavioral Risk Factors | |
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C | 1..* | Reference(LKCondition) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Health Risk Assessment | |
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C | 1..* | Reference(Observation) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Investigation Request | |
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C | 1..* | Reference(ServiceRequest) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Perscription | |
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C | 1..* | Reference(MedicationRequest) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Follow-up Care Plan | |
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C | 1..* | Reference(CarePlan) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Laboratory Test Results | |
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C | 1..* | Reference(DiagnosticReport) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Imaging Examination Results | |
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C | 1..* | Reference(DiagnosticReport) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Administration | |
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C | 1..* | Reference(MedicationAdministration) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Procedure | |
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C | 1..* | Reference(Procedure) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Dispensing | |
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C | 1..* | Reference(MedicationDispense) | A reference to data that supports this section |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:encounter, Composition.section:diagnosis, Composition.section:allergies, Composition.section:medicalhistory, Composition.section:surgicalhistory, Composition.section:medication, Composition.section:obstetric, Composition.section:immunization, Composition.section:briskfactors, Composition.section:hriskfactors, Composition.section:investigation, Composition.section:perscription, Composition.section:careplan, Composition.section:labresult, Composition.section:imagingresult, Composition.section:medicationadmin, Composition.section:procedure, Composition.section:medicationdispense | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:encounter, Composition.section:diagnosis, Composition.section:allergies, Composition.section:medicalhistory, Composition.section:surgicalhistory, Composition.section:medication, Composition.section:obstetric, Composition.section:immunization, Composition.section:briskfactors, Composition.section:hriskfactors, Composition.section:investigation, Composition.section:perscription, Composition.section:careplan, Composition.section:labresult, Composition.section:imagingresult, Composition.section:medicationadmin, Composition.section:procedure, Composition.section:medicationdispense | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
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1..1 | Identifier | Version-independent identifier for the Composition | |
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1..1 | Reference(LKPatient) | Who and/or what the composition is about | |
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1..* | Reference(LKPractitioner) | Unique identification of the primary performer/performers. | |
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1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by profile:entry.resolve() | |
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Content/Rules for all slices | |||
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1..1 | string | Label for section (e.g. for ToC) | |
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1..* | Reference(Resource) | A reference to data that supports this section | |
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1..1 | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Encounter Output | |
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1..* | Reference(LKEncounter) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Discharge Diagnosis/ Diagnoses | |
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1..* | Reference(LKCondition) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Allergies and Adverse Reactions | |
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1..* | Reference(AllergyIntolerance) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past Medical History | |
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1..* | Reference(LKCondition) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past surgical History | |
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1..* | Reference(Procedure) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Regular Medication | |
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1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Obstetric Summary | |
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1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Immunizations | |
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1..* | Reference(Immunization) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Behavioral Risk Factors | |
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1..* | Reference(LKCondition) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Health Risk Assessment | |
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1..* | Reference(Observation) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Investigation Request | |
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1..* | Reference(ServiceRequest) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Perscription | |
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1..* | Reference(MedicationRequest) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Follow-up Care Plan | |
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1..* | Reference(CarePlan) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Laboratory Test Results | |
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1..* | Reference(DiagnosticReport) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Imaging Examination Results | |
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1..* | Reference(DiagnosticReport) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Administration | |
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1..* | Reference(MedicationAdministration) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Required Pattern: Procedure | |
![]() ![]() ![]() ![]() |
1..* | Reference(Procedure) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Dispensing | |
![]() ![]() ![]() ![]() |
1..* | Reference(MedicationDispense) | A reference to data that supports this section | |
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
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?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
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Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | ||||
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Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
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Σ | 1..1 | Reference(LKPatient) | Who and/or what the composition is about | ||||
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Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
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Σ | 1..1 | dateTime | Composition editing time | ||||
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Σ | 1..* | Reference(LKPractitioner) | Unique identification of the primary performer/performers. | ||||
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Σ | 1..1 | string | Human Readable name/title | ||||
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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. | ||||
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0..* | BackboneElement | Attests to accuracy of composition | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
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0..1 | dateTime | When the composition was attested | |||||
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0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
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Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
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0..* | BackboneElement | Relationships to other compositions/documents | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
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1..1 | Target of the relationship | ||||||
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Identifier | |||||||
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Reference(Composition) | |||||||
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Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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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. | ||||
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Σ | 0..1 | Period | The period covered by the documentation | ||||
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Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
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C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by profile:entry.resolve() Constraints: cmp-1, cmp-2 | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Label for section (e.g. for ToC) | |||||
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0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Resource) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Encounter Output | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKEncounter) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Discharge Diagnosis/ Diagnoses | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKCondition) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Allergies and Adverse Reactions | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(AllergyIntolerance) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past Medical History | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKCondition) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past surgical History | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Procedure) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Regular Medication | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Obstetric Summary | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Immunizations | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Immunization) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Behavioral Risk Factors | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKCondition) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Health Risk Assessment | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Observation) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Investigation Request | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(ServiceRequest) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Perscription | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationRequest) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Follow-up Care Plan | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(CarePlan) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Laboratory Test Results | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(DiagnosticReport) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Imaging Examination Results | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(DiagnosticReport) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Administration | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationAdministration) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Procedure | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Procedure) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Dispensing | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationDispense) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:encounter.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:encounter.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:encounter.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:encounter.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:diagnosis.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:diagnosis.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:diagnosis.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:diagnosis.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:allergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:allergies.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:allergies.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:allergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:medicalhistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicalhistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:medicalhistory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicalhistory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:surgicalhistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:surgicalhistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:surgicalhistory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:surgicalhistory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:medication.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medication.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:medication.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medication.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:obstetric.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:obstetric.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:obstetric.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:obstetric.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:immunization.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:immunization.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:immunization.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:immunization.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:briskfactors.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:briskfactors.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:briskfactors.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:briskfactors.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:hriskfactors.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:hriskfactors.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:hriskfactors.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:hriskfactors.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:investigation.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:investigation.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:investigation.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:investigation.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:perscription.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:perscription.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:perscription.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:perscription.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:careplan.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:careplan.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:careplan.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:careplan.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:labresult.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:labresult.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:labresult.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:labresult.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:imagingresult.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:imagingresult.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:imagingresult.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:imagingresult.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationadmin.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationadmin.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationadmin.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationadmin.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:procedure.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:procedure.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:procedure.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:procedure.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationdispense.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationdispense.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationdispense.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationdispense.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:encounter, Composition.section:diagnosis, Composition.section:allergies, Composition.section:medicalhistory, Composition.section:surgicalhistory, Composition.section:medication, Composition.section:obstetric, Composition.section:immunization, Composition.section:briskfactors, Composition.section:hriskfactors, Composition.section:investigation, Composition.section:perscription, Composition.section:careplan, Composition.section:labresult, Composition.section:imagingresult, Composition.section:medicationadmin, Composition.section:procedure, Composition.section:medicationdispense | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:encounter, Composition.section:diagnosis, Composition.section:allergies, Composition.section:medicalhistory, Composition.section:surgicalhistory, Composition.section:medication, Composition.section:obstetric, Composition.section:immunization, Composition.section:briskfactors, Composition.section:hriskfactors, Composition.section:investigation, Composition.section:perscription, Composition.section:careplan, Composition.section:labresult, Composition.section:imagingresult, Composition.section:medicationadmin, Composition.section:procedure, Composition.section:medicationdispense | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Composition
Summary
Mandatory: 6 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
Σ | 1..1 | Identifier | Version-independent identifier for the Composition |
![]() ![]() |
?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
![]() ![]() |
Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. |
![]() ![]() |
Σ | 1..1 | Reference(LKPatient) | Who and/or what the composition is about |
![]() ![]() |
Σ | 1..1 | dateTime | Composition editing time |
![]() ![]() |
Σ | 1..* | Reference(LKPractitioner) | Unique identification of the primary performer/performers. |
![]() ![]() |
Σ | 1..1 | string | Human Readable name/title |
![]() ![]() |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by profile:entry.resolve() Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Resource) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Encounter Output | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKEncounter) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Discharge Diagnosis/ Diagnoses | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKCondition) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Allergies and Adverse Reactions | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(AllergyIntolerance) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past Medical History | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKCondition) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past surgical History | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Procedure) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Regular Medication | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Obstetric Summary | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Immunizations | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Immunization) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Behavioral Risk Factors | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKCondition) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Health Risk Assessment | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Observation) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Investigation Request | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(ServiceRequest) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Perscription | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationRequest) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Follow-up Care Plan | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(CarePlan) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Laboratory Test Results | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(DiagnosticReport) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Imaging Examination Results | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(DiagnosticReport) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Administration | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationAdministration) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Procedure | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Procedure) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Dispensing | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationDispense) | A reference to data that supports this section |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:encounter, Composition.section:diagnosis, Composition.section:allergies, Composition.section:medicalhistory, Composition.section:surgicalhistory, Composition.section:medication, Composition.section:obstetric, Composition.section:immunization, Composition.section:briskfactors, Composition.section:hriskfactors, Composition.section:investigation, Composition.section:perscription, Composition.section:careplan, Composition.section:labresult, Composition.section:imagingresult, Composition.section:medicationadmin, Composition.section:procedure, Composition.section:medicationdispense | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:encounter, Composition.section:diagnosis, Composition.section:allergies, Composition.section:medicalhistory, Composition.section:surgicalhistory, Composition.section:medication, Composition.section:obstetric, Composition.section:immunization, Composition.section:briskfactors, Composition.section:hriskfactors, Composition.section:investigation, Composition.section:perscription, Composition.section:careplan, Composition.section:labresult, Composition.section:imagingresult, Composition.section:medicationadmin, Composition.section:procedure, Composition.section:medicationdispense | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() |
1..1 | Identifier | Version-independent identifier for the Composition | |
![]() ![]() |
1..1 | Reference(LKPatient) | Who and/or what the composition is about | |
![]() ![]() |
1..* | Reference(LKPractitioner) | Unique identification of the primary performer/performers. | |
![]() ![]() |
1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by profile:entry.resolve() | |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() |
1..* | Reference(Resource) | A reference to data that supports this section | |
![]() ![]() ![]() |
1..1 | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Encounter Output | |
![]() ![]() ![]() ![]() |
1..* | Reference(LKEncounter) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Discharge Diagnosis/ Diagnoses | |
![]() ![]() ![]() ![]() |
1..* | Reference(LKCondition) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Allergies and Adverse Reactions | |
![]() ![]() ![]() ![]() |
1..* | Reference(AllergyIntolerance) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past Medical History | |
![]() ![]() ![]() ![]() |
1..* | Reference(LKCondition) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past surgical History | |
![]() ![]() ![]() ![]() |
1..* | Reference(Procedure) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Regular Medication | |
![]() ![]() ![]() ![]() |
1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Obstetric Summary | |
![]() ![]() ![]() ![]() |
1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Immunizations | |
![]() ![]() ![]() ![]() |
1..* | Reference(Immunization) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Behavioral Risk Factors | |
![]() ![]() ![]() ![]() |
1..* | Reference(LKCondition) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Health Risk Assessment | |
![]() ![]() ![]() ![]() |
1..* | Reference(Observation) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Investigation Request | |
![]() ![]() ![]() ![]() |
1..* | Reference(ServiceRequest) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Perscription | |
![]() ![]() ![]() ![]() |
1..* | Reference(MedicationRequest) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Follow-up Care Plan | |
![]() ![]() ![]() ![]() |
1..* | Reference(CarePlan) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Laboratory Test Results | |
![]() ![]() ![]() ![]() |
1..* | Reference(DiagnosticReport) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Imaging Examination Results | |
![]() ![]() ![]() ![]() |
1..* | Reference(DiagnosticReport) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Administration | |
![]() ![]() ![]() ![]() |
1..* | Reference(MedicationAdministration) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Procedure | |
![]() ![]() ![]() ![]() |
1..* | Reference(Procedure) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Dispensing | |
![]() ![]() ![]() ![]() |
1..* | Reference(MedicationDispense) | A reference to data that supports this section | |
Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
![]() ![]() |
?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
![]() ![]() |
Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | ||||
![]() ![]() |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
![]() ![]() |
Σ | 1..1 | Reference(LKPatient) | Who and/or what the composition is about | ||||
![]() ![]() |
Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
![]() ![]() |
Σ | 1..1 | dateTime | Composition editing time | ||||
![]() ![]() |
Σ | 1..* | Reference(LKPractitioner) | Unique identification of the primary performer/performers. | ||||
![]() ![]() |
Σ | 1..1 | string | Human Readable name/title | ||||
![]() ![]() |
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. | ||||
![]() ![]() |
0..* | BackboneElement | Attests to accuracy of composition | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
![]() ![]() ![]() |
0..1 | dateTime | When the composition was attested | |||||
![]() ![]() ![]() |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
![]() ![]() |
Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
![]() ![]() |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
![]() ![]() ![]() |
1..1 | Target of the relationship | ||||||
![]() ![]() ![]() ![]() |
Identifier | |||||||
![]() ![]() ![]() ![]() |
Reference(Composition) | |||||||
![]() ![]() |
Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() |
Σ | 0..1 | Period | The period covered by the documentation | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
![]() ![]() |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by profile:entry.resolve() Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Resource) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Encounter Output | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKEncounter) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Discharge Diagnosis/ Diagnoses | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKCondition) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Allergies and Adverse Reactions | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(AllergyIntolerance) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past Medical History | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKCondition) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Past surgical History | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Procedure) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Regular Medication | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Obstetric Summary | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Immunizations | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Immunization) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Behavioral Risk Factors | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(LKCondition) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Health Risk Assessment | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Observation) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Investigation Request | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(ServiceRequest) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Perscription | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationRequest) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Follow-up Care Plan | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(CarePlan) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Laboratory Test Results | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(DiagnosticReport) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Imaging Examination Results | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(DiagnosticReport) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Administration | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationAdministration) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Procedure | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Procedure) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication Dispensing | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(MedicationDispense) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:encounter.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:encounter.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:encounter.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:encounter.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:diagnosis.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:diagnosis.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:diagnosis.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:diagnosis.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:allergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:allergies.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:allergies.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:allergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:medicalhistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicalhistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:medicalhistory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicalhistory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:surgicalhistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:surgicalhistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:surgicalhistory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:surgicalhistory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:medication.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medication.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:medication.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medication.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:obstetric.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:obstetric.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:obstetric.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:obstetric.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:immunization.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:immunization.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:immunization.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:immunization.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:briskfactors.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:briskfactors.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:briskfactors.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:briskfactors.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:hriskfactors.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:hriskfactors.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:hriskfactors.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:hriskfactors.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:investigation.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:investigation.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:investigation.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:investigation.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:perscription.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:perscription.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:perscription.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:perscription.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:careplan.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:careplan.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:careplan.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:careplan.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:labresult.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:labresult.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:labresult.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:labresult.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:imagingresult.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:imagingresult.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:imagingresult.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:imagingresult.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationadmin.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationadmin.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationadmin.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationadmin.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:procedure.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:procedure.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:procedure.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:procedure.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationdispense.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationdispense.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationdispense.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:medicationdispense.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:encounter, Composition.section:diagnosis, Composition.section:allergies, Composition.section:medicalhistory, Composition.section:surgicalhistory, Composition.section:medication, Composition.section:obstetric, Composition.section:immunization, Composition.section:briskfactors, Composition.section:hriskfactors, Composition.section:investigation, Composition.section:perscription, Composition.section:careplan, Composition.section:labresult, Composition.section:imagingresult, Composition.section:medicationadmin, Composition.section:procedure, Composition.section:medicationdispense | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:encounter, Composition.section:diagnosis, Composition.section:allergies, Composition.section:medicalhistory, Composition.section:surgicalhistory, Composition.section:medication, Composition.section:obstetric, Composition.section:immunization, Composition.section:briskfactors, Composition.section:hriskfactors, Composition.section:investigation, Composition.section:perscription, Composition.section:careplan, Composition.section:labresult, Composition.section:imagingresult, Composition.section:medicationadmin, Composition.section:procedure, Composition.section:medicationdispense | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Composition
Summary
Mandatory: 6 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron