AU Patient Summary Implementation Guide
0.2.0-preview - Preview Australia flag

AU Patient Summary Implementation Guide - Local Development build (v0.2.0-preview) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: AU PS Composition

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-composition Version: 0.2.0-preview
Standards status: Draft Maturity Level: 0 Computable Name: AUPSComposition

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

This profile sets minimum expectations for a Composition resource in the context of a patient summary in an Australian context. It is based on AU Base Composition and imposes Composition (IPS).

See Comparison with other national and international IGs for a comparison between AU Patient Summary profiles and profiles in other implementation guides.

Profile specific implementation guidance

  • See guidance on how to represent Empty & Known Absent Sections in IPS.
  • See Narrative Content Guidance in IPS.
  • See guidance on representing medications information in the Medications Summary section on the Medication Lists in the IPS section in IPS.
  • The patient summary document may be constructed by a human or an automated process, regardless of whether the patient summary contains some content of both kinds. In all instances, document level authorship information is required. As per the guidance in IPS:
    • The distinction between the two types of IPS, human-curated or software-assembled, is based on the authors recorded in the composition: the author shall be a human (e.g. Practitioner), if the IPS provenance type is “human-curated”, or a device if the IPS provenance type is “software-assembled”. In the case of a software-assembled IPS that is then verified by a human, the document provenance type shall be “software-assembled” and the author shall be the device or system that constructed the IPS document, but an additional attester identity shall name the human who performed this check.
    • Additional provenance information below the document level is optional. There are no Provenance profiles currently defined by this guide, or by IPS or AU Core.

Usages:

Formal Views of Profile Content

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

This structure is derived from AUBaseComposition

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

doco Documentation for this format

Constraints

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

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

doco Documentation for this format

Terminology Bindings

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

Constraints

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

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

doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from AUBaseComposition

Summary

Mandatory: 8 elements(16 nested mandatory elements)
Must-Support: 48 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Maturity: 0

Differential View

This structure is derived from AUBaseComposition

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

doco Documentation for this format

Constraints

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

Key Elements View

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

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

doco Documentation for this format

Terminology Bindings

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

Constraints

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

Snapshot View

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

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

doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from AUBaseComposition

Summary

Mandatory: 8 elements(16 nested mandatory elements)
Must-Support: 48 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Maturity: 0

 

Other representations of profile: CSV, Excel, Schematron