AU Patient Summary Implementation Guide
1.0.0-ballot - Ballot

AU Patient Summary Implementation Guide - Downloaded Version 1.0.0-ballot See the Directory of published versions

## Resource Profile: AU PS Composition

Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-composition | Version: 1.0.0-ballot
Standards status: Draft | Maturity Level: 1 | Computable Name: AUPSComposition
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2024+; Licensed Under Creative Commons No Rights Reserved.

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

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

### Profile specific implementation guidance

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

Examples for this Profile: Bundle/aups-basicsummary, Bundle/aups-gpvisit-retrieval, Bundle/aups-noknownx, Bundle/aups-referral-endoconsult-autogen, Bundle/aups-referral-endoconsult-curated and Bundle/aups-section-emptyreason

Usages:

- Use this Profile: AU PS Bundle
- Refer to this Profile: AU PS Composition

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | AUBaseComposition | AU Patient Summary Composition This profile also complies with the profile Composition (IPS)
meta | Σ | 0..1 | Meta | Metadata about the resource
profile | SO Σ | 0..* | canonical(StructureDefinition) | Conformance claim to a specific Patient Summary specification
Obligations | Actor
MAY:able-to-populate | AU PS Producer
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | SO | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 | SO Σ | 0..1 | Identifier | Version-independent identifier for the Composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
status | ?!SO Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
type | SO Σ | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | SO Σ | 1..1 | Reference(AU PS Patient) | Who and/or what the composition is about
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
reference | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
date | SO Σ | 1..1 | dateTime | Composition editing time
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
author | SO Σ | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
title | SO Σ | 1..1 | string | The title of this patient summary
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
attester | SO | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | SO | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
time | SO | 0..1 | dateTime | When the composition was attested
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
party | SO | 0..1 | Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) | Who attested the composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
custodian | SO Σ | 0..1 | Reference(AU PS Organization) | Organization which maintains the composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition | Composition (IPS) | AU PS Composition) |
Slices for event | Σ | 0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by value:code
event:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event:careProvisioningEvent | SO Σ | 0..1 | BackboneElement | The care provisioning being documented
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | SO Σ | 1..1 | CodeableConceptIPS | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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 | SO Σ | 0..1 | Period | The period covered by the documentation
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for section | SO C | 3..* | BackboneElement | Sections composing the patient summary Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Obligations | Actor
SHALL:handle | AU PS Consumer
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionProblems | SO C | 1..1 | BackboneElement | Patient Summary Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient Slice: Unordered, Open by profile:resolve()
entry:problem | SO C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionAllergies | SO C | 1..1 | BackboneElement | Patient Summary Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(AllergyIntolerance | DocumentReference) | Relevant allergies or intolerances (conditions) for that patient Slice: Unordered, Open by profile:resolve()
entry:allergyOrIntolerance | SO C | 0..* | Reference(AU PS AllergyIntolerance) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionMedications | SO C | 1..1 | BackboneElement | Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve()
entry:medicationStatementOrRequest | SO C | 0..* | Reference(AU PS MedicationStatement | AU PS MedicationRequest) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionImmunizations | SO C | 0..1 | BackboneElement | Patient Summary Immunizations Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunisation status and pertinent history Slice: Unordered, Open by profile:resolve()
entry:immunization | SO C | 0..* | Reference(AU PS Immunization) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionResults | SO C | 0..1 | BackboneElement | Patient Summary Results Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient Slice: Unordered, Open by type:resolve(), profile:resolve()
entry:results-observation-laboratory-pathology | SO C | 0..* | Reference(AU PS Pathology Result Observation) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
entry:results-observation-radiology | SO C | 0..* | Reference(Observation Results - Radiology (IPS)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
entry:results-diagnosticReport | SO C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionProceduresHx | SO C | 0..1 | BackboneElement | Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Procedure | DocumentReference) | Patient past procedures pertinent to the scope of this patient summary Slice: Unordered, Open by profile:resolve()
entry:procedure | SO C | 0..* | Reference(AU PS Procedure) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionMedicalDevices | SO C | 0..1 | BackboneElement | Patient Summary Medical Devices Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(DeviceUseStatement | DocumentReference) | Patient history of medical device use Slice: Unordered, Open by profile:resolve()
entry:deviceStatement | SO C | 0..* | Reference(DeviceUseStatement (IPS)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionAdvanceDirectives | SO C | 0..1 | BackboneElement | Patient Summary Advance Directives Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Consent | DocumentReference) | A patient's advance directives Slice: Unordered, Open by profile:resolve()
entry:advanceDirectivesConsent | C | 0..* | Reference(Consent) | A reference to data that supports this section
section:sectionAlerts | SO C | 0..1 | BackboneElement | Patient Summary Alerts Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Flag | DocumentReference) | Alert information Slice: Unordered, Open by profile:resolve()
entry:alertsFlag | C | 0..* | Reference(Flag - Alert (IPS)) | A reference to data that supports this section
section:sectionFunctionalStatus | SO C | 0..1 | BackboneElement | Patient Summary Functional Status Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Disabilities and functional assessments Slice: Unordered, Open by profile:resolve()
entry:disability | C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
entry:functionalAssessment | C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section
section:sectionPastProblems | SO C | 0..1 | BackboneElement | Patient Summary History of Past Illness Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Condition | DocumentReference) | Conditions the patient suffered in the past Slice: Unordered, Open by profile:resolve()
entry:pastProblem | C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
section:sectionPregnancyHx | SO C | 0..1 | BackboneElement | Patient Summary History of Pregnancy Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:resolve()
entry:pregnancyStatus | C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | A reference to data that supports this section
entry:pregnancyOutcome | C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | A reference to data that supports this section
section:sectionPatientStory | SO C | 0..1 | BackboneElement | Patient Summary Patient Story Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
entry | C | 0..* | Reference(Resource) | Patient Story resources
section:sectionPlanOfCare | SO C | 0..1 | BackboneElement | Patient Summary Plan of Care Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Structured care plans Slice: Unordered, Open by profile:resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | A reference to data that supports this section
entry:immunizationRecommendation | C | 0..* | Reference(ImmunizationRecommendation) | A reference to data that supports this section
section:sectionSocialHistory | SO C | 0..1 | BackboneElement | Patient Summary Social History Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" Slice: Unordered, Open by profile:resolve()
entry:smokingTobaccoUse | C | 0..1 | Reference(AU PS Smoking Status) | A reference to data that supports this section
entry:alcoholUse | C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | A reference to data that supports this section
section:sectionVitalSigns | SO C | 0..1 | BackboneElement | Patient Summary Vital Signs Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Notable vital signs or physical findings Slice: Unordered, Open by profile:resolve()
entry:vitalSign | C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event:careProvisioningEvent.​code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0
Composition.section.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlerts.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPregnancyHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientStory.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPlanOfCare.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionSocialHistory.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionVitalSigns.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from AUBaseComposition

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

#### Constraints

Id | Grade | Path(s) | Description | Expression
ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications | Either section.entry or emptyReason are present | `(entry.reference.exists() or emptyReason.exists())`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | AUBaseComposition | AU Patient Summary Composition This profile also complies with the profile Composition (IPS)
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | SO Σ | 0..* | canonical(StructureDefinition) | Conformance claim to a specific Patient Summary specification
Obligations | Actor
MAY:able-to-populate | AU PS Producer
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text | SO | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:informationRecipient |  | 0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Who and/or what should receive a copy of the composition URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | SO Σ | 0..1 | Identifier | Version-independent identifier for the Composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
status | ?!SO Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
type | SO Σ | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | SO Σ | 1..1 | Reference(AU PS Patient) | Who and/or what the composition is about
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | SO Σ | 1..1 | dateTime | Composition editing time
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
author | SO Σ | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
title | SO Σ | 1..1 | string | The title of this patient summary
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester | SO | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | SO | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
time | SO | 0..1 | dateTime | When the composition was attested
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
party | SO | 0..1 | Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) | Who attested the composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
custodian | SO Σ | 0..1 | Reference(AU PS Organization) | Organization which maintains the composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition | Composition (IPS) | AU PS Composition) |
Slices for event | Σ | 0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by value: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 | SO Σ | 0..1 | BackboneElement | The care provisioning being documented
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | SO Σ | 1..1 | CodeableConceptIPS | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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 | SO Σ | 0..1 | Period | The period covered by the documentation
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | SO C | 3..* | BackboneElement | Sections composing the patient summary Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Obligations | Actor
SHALL:handle | AU PS Consumer
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionProblems | SO C | 1..1 | BackboneElement | Patient Summary Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient Slice: Unordered, Open by profile:resolve()
entry:problem | SO C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionAllergies | SO C | 1..1 | BackboneElement | Patient Summary Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(AllergyIntolerance | DocumentReference) | Relevant allergies or intolerances (conditions) for that patient Slice: Unordered, Open by profile:resolve()
entry:allergyOrIntolerance | SO C | 0..* | Reference(AU PS AllergyIntolerance) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionMedications | SO C | 1..1 | BackboneElement | Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve()
entry:medicationStatementOrRequest | SO C | 0..* | Reference(AU PS MedicationStatement | AU PS MedicationRequest) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionImmunizations | SO C | 0..1 | BackboneElement | Patient Summary Immunizations Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunisation status and pertinent history Slice: Unordered, Open by profile:resolve()
entry:immunization | SO C | 0..* | Reference(AU PS Immunization) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionResults | SO C | 0..1 | BackboneElement | Patient Summary Results Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient Slice: Unordered, Open by type:resolve(), profile:resolve()
entry:results-observation-laboratory-pathology | SO C | 0..* | Reference(AU PS Pathology Result Observation) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
entry:results-observation-radiology | SO C | 0..* | Reference(Observation Results - Radiology (IPS)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
entry:results-diagnosticReport | SO C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionProceduresHx | SO C | 0..1 | BackboneElement | Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Procedure | DocumentReference) | Patient past procedures pertinent to the scope of this patient summary Slice: Unordered, Open by profile:resolve()
entry:procedure | SO C | 0..* | Reference(AU PS Procedure) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionMedicalDevices | SO C | 0..1 | BackboneElement | Patient Summary Medical Devices Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(DeviceUseStatement | DocumentReference) | Patient history of medical device use Slice: Unordered, Open by profile:resolve()
entry:deviceStatement | SO C | 0..* | Reference(DeviceUseStatement (IPS)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAdvanceDirectives | SO C | 0..1 | BackboneElement | Patient Summary Advance Directives Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Consent | DocumentReference) | A patient's advance directives Slice: Unordered, Open by profile:resolve()
entry:advanceDirectivesConsent | C | 0..* | Reference(Consent) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAlerts | SO C | 0..1 | BackboneElement | Patient Summary Alerts Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Flag | DocumentReference) | Alert information Slice: Unordered, Open by profile:resolve()
entry:alertsFlag | C | 0..* | Reference(Flag - Alert (IPS)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionFunctionalStatus | SO C | 0..1 | BackboneElement | Patient Summary Functional Status Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Disabilities and functional assessments Slice: Unordered, Open by profile:resolve()
entry:disability | C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
entry:functionalAssessment | C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPastProblems | SO C | 0..1 | BackboneElement | Patient Summary History of Past Illness Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Condition | DocumentReference) | Conditions the patient suffered in the past Slice: Unordered, Open by profile:resolve()
entry:pastProblem | C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPregnancyHx | SO C | 0..1 | BackboneElement | Patient Summary History of Pregnancy Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:resolve()
entry:pregnancyStatus | C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | A reference to data that supports this section
entry:pregnancyOutcome | C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPatientStory | SO C | 0..1 | BackboneElement | Patient Summary Patient Story Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | Patient Story resources
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPlanOfCare | SO C | 0..1 | BackboneElement | Patient Summary Plan of Care Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Structured care plans Slice: Unordered, Open by profile:resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | A reference to data that supports this section
entry:immunizationRecommendation | C | 0..* | Reference(ImmunizationRecommendation) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionSocialHistory | SO C | 0..1 | BackboneElement | Patient Summary Social History Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" Slice: Unordered, Open by profile:resolve()
entry:smokingTobaccoUse | C | 0..1 | Reference(AU PS Smoking Status) | A reference to data that supports this section
entry:alcoholUse | C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionVitalSigns | SO C | 0..1 | BackboneElement | Patient Summary Vital Signs Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Notable vital signs or physical findings Slice: Unordered, Open by profile:resolve()
entry:vitalSign | C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std.
Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std.
Composition.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0
Composition.event:careProvisioningEvent.​code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0
Composition.section.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlerts.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlerts.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlerts.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlerts.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPregnancyHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPregnancyHx.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPregnancyHx.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPregnancyHx.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientStory.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientStory.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientStory.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientStory.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPlanOfCare.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPlanOfCare.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPlanOfCare.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPlanOfCare.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionSocialHistory.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionSocialHistory.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionSocialHistory.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionSocialHistory.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionVitalSigns.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionVitalSigns.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionVitalSigns.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionVitalSigns.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from AUBaseComposition

Summary

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

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)
- AU PS Practitioner (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitioner)
- AU PS PractitionerRole (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitionerrole)
- AU PS RelatedPerson (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-relatedperson)
- AU PS Organization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-organization)
- Composition (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips)
- AU PS Composition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-composition)
- AU PS Condition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition)
- AU PS AllergyIntolerance (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-allergyintolerance)
- AU PS MedicationStatement (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationstatement)
- AU PS MedicationRequest (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationrequest)
- AU PS Immunization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization)
- AU PS Pathology Result Observation (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-diagnosticresult-path)
- Observation Results - Radiology (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips)
- DiagnosticReport (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips)
- AU PS Procedure (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-procedure)
- DeviceUseStatement (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DeviceUseStatement-uv-ips)
- Flag - Alert (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Flag-alert-uv-ips)
- Observation Pregnancy - Status (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips)
- Observation Pregnancy - Outcome (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips)
- AU PS Smoking Status (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-smokingstatus)
- Observation Social History - Alcohol Use (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips)
- Vital Signs Profile (http://hl7.org/fhir/StructureDefinition/vitalsigns)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/note

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: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | AUBaseComposition | AU Patient Summary Composition This profile also complies with the profile Composition (IPS)
meta | Σ | 0..1 | Meta | Metadata about the resource
profile | SO Σ | 0..* | canonical(StructureDefinition) | Conformance claim to a specific Patient Summary specification
Obligations | Actor
MAY:able-to-populate | AU PS Producer
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | SO | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 | SO Σ | 0..1 | Identifier | Version-independent identifier for the Composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
status | ?!SO Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
type | SO Σ | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | SO Σ | 1..1 | Reference(AU PS Patient) | Who and/or what the composition is about
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
reference | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
date | SO Σ | 1..1 | dateTime | Composition editing time
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
author | SO Σ | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
title | SO Σ | 1..1 | string | The title of this patient summary
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
attester | SO | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | SO | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
time | SO | 0..1 | dateTime | When the composition was attested
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
party | SO | 0..1 | Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) | Who attested the composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
custodian | SO Σ | 0..1 | Reference(AU PS Organization) | Organization which maintains the composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition | Composition (IPS) | AU PS Composition) |
Slices for event | Σ | 0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by value:code
event:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event:careProvisioningEvent | SO Σ | 0..1 | BackboneElement | The care provisioning being documented
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | SO Σ | 1..1 | CodeableConceptIPS | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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 | SO Σ | 0..1 | Period | The period covered by the documentation
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for section | SO C | 3..* | BackboneElement | Sections composing the patient summary Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Obligations | Actor
SHALL:handle | AU PS Consumer
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionProblems | SO C | 1..1 | BackboneElement | Patient Summary Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient Slice: Unordered, Open by profile:resolve()
entry:problem | SO C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionAllergies | SO C | 1..1 | BackboneElement | Patient Summary Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(AllergyIntolerance | DocumentReference) | Relevant allergies or intolerances (conditions) for that patient Slice: Unordered, Open by profile:resolve()
entry:allergyOrIntolerance | SO C | 0..* | Reference(AU PS AllergyIntolerance) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionMedications | SO C | 1..1 | BackboneElement | Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve()
entry:medicationStatementOrRequest | SO C | 0..* | Reference(AU PS MedicationStatement | AU PS MedicationRequest) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionImmunizations | SO C | 0..1 | BackboneElement | Patient Summary Immunizations Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunisation status and pertinent history Slice: Unordered, Open by profile:resolve()
entry:immunization | SO C | 0..* | Reference(AU PS Immunization) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionResults | SO C | 0..1 | BackboneElement | Patient Summary Results Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient Slice: Unordered, Open by type:resolve(), profile:resolve()
entry:results-observation-laboratory-pathology | SO C | 0..* | Reference(AU PS Pathology Result Observation) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
entry:results-observation-radiology | SO C | 0..* | Reference(Observation Results - Radiology (IPS)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
entry:results-diagnosticReport | SO C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionProceduresHx | SO C | 0..1 | BackboneElement | Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Procedure | DocumentReference) | Patient past procedures pertinent to the scope of this patient summary Slice: Unordered, Open by profile:resolve()
entry:procedure | SO C | 0..* | Reference(AU PS Procedure) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionMedicalDevices | SO C | 0..1 | BackboneElement | Patient Summary Medical Devices Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(DeviceUseStatement | DocumentReference) | Patient history of medical device use Slice: Unordered, Open by profile:resolve()
entry:deviceStatement | SO C | 0..* | Reference(DeviceUseStatement (IPS)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionAdvanceDirectives | SO C | 0..1 | BackboneElement | Patient Summary Advance Directives Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Consent | DocumentReference) | A patient's advance directives Slice: Unordered, Open by profile:resolve()
entry:advanceDirectivesConsent | C | 0..* | Reference(Consent) | A reference to data that supports this section
section:sectionAlerts | SO C | 0..1 | BackboneElement | Patient Summary Alerts Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Flag | DocumentReference) | Alert information Slice: Unordered, Open by profile:resolve()
entry:alertsFlag | C | 0..* | Reference(Flag - Alert (IPS)) | A reference to data that supports this section
section:sectionFunctionalStatus | SO C | 0..1 | BackboneElement | Patient Summary Functional Status Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Disabilities and functional assessments Slice: Unordered, Open by profile:resolve()
entry:disability | C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
entry:functionalAssessment | C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section
section:sectionPastProblems | SO C | 0..1 | BackboneElement | Patient Summary History of Past Illness Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Condition | DocumentReference) | Conditions the patient suffered in the past Slice: Unordered, Open by profile:resolve()
entry:pastProblem | C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
section:sectionPregnancyHx | SO C | 0..1 | BackboneElement | Patient Summary History of Pregnancy Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:resolve()
entry:pregnancyStatus | C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | A reference to data that supports this section
entry:pregnancyOutcome | C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | A reference to data that supports this section
section:sectionPatientStory | SO C | 0..1 | BackboneElement | Patient Summary Patient Story Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
entry | C | 0..* | Reference(Resource) | Patient Story resources
section:sectionPlanOfCare | SO C | 0..1 | BackboneElement | Patient Summary Plan of Care Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Structured care plans Slice: Unordered, Open by profile:resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | A reference to data that supports this section
entry:immunizationRecommendation | C | 0..* | Reference(ImmunizationRecommendation) | A reference to data that supports this section
section:sectionSocialHistory | SO C | 0..1 | BackboneElement | Patient Summary Social History Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" Slice: Unordered, Open by profile:resolve()
entry:smokingTobaccoUse | C | 0..1 | Reference(AU PS Smoking Status) | A reference to data that supports this section
entry:alcoholUse | C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | A reference to data that supports this section
section:sectionVitalSigns | SO C | 0..1 | BackboneElement | Patient Summary Vital Signs Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for extension |  |  |  | Content/Rules for all slices
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Notable vital signs or physical findings Slice: Unordered, Open by profile:resolve()
entry:vitalSign | C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event:careProvisioningEvent.​code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0
Composition.section.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlerts.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPregnancyHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientStory.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPlanOfCare.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionSocialHistory.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionVitalSigns.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.

#### Constraints

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

Differential View

This structure is derived from AUBaseComposition

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

#### Constraints

Id | Grade | Path(s) | Description | Expression
ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications | Either section.entry or emptyReason are present | `(entry.reference.exists() or emptyReason.exists())`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | AUBaseComposition | AU Patient Summary Composition This profile also complies with the profile Composition (IPS)
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | SO Σ | 0..* | canonical(StructureDefinition) | Conformance claim to a specific Patient Summary specification
Obligations | Actor
MAY:able-to-populate | AU PS Producer
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text | SO | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:informationRecipient |  | 0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Who and/or what should receive a copy of the composition URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | SO Σ | 0..1 | Identifier | Version-independent identifier for the Composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
status | ?!SO Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
type | SO Σ | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | SO Σ | 1..1 | Reference(AU PS Patient) | Who and/or what the composition is about
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | SO Σ | 1..1 | dateTime | Composition editing time
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
author | SO Σ | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
title | SO Σ | 1..1 | string | The title of this patient summary
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester | SO | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | SO | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
time | SO | 0..1 | dateTime | When the composition was attested
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
party | SO | 0..1 | Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) | Who attested the composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
custodian | SO Σ | 0..1 | Reference(AU PS Organization) | Organization which maintains the composition
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition | Composition (IPS) | AU PS Composition) |
Slices for event | Σ | 0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by value: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 | SO Σ | 0..1 | BackboneElement | The care provisioning being documented
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | SO Σ | 1..1 | CodeableConceptIPS | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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 | SO Σ | 0..1 | Period | The period covered by the documentation
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | SO C | 3..* | BackboneElement | Sections composing the patient summary Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Obligations | Actor
SHALL:handle | AU PS Consumer
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionProblems | SO C | 1..1 | BackboneElement | Patient Summary Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient Slice: Unordered, Open by profile:resolve()
entry:problem | SO C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionAllergies | SO C | 1..1 | BackboneElement | Patient Summary Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(AllergyIntolerance | DocumentReference) | Relevant allergies or intolerances (conditions) for that patient Slice: Unordered, Open by profile:resolve()
entry:allergyOrIntolerance | SO C | 0..* | Reference(AU PS AllergyIntolerance) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionMedications | SO C | 1..1 | BackboneElement | Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve()
entry:medicationStatementOrRequest | SO C | 0..* | Reference(AU PS MedicationStatement | AU PS MedicationRequest) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | AU PS Producer
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | SO C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
section:sectionImmunizations | SO C | 0..1 | BackboneElement | Patient Summary Immunizations Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunisation status and pertinent history Slice: Unordered, Open by profile:resolve()
entry:immunization | SO C | 0..* | Reference(AU PS Immunization) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionResults | SO C | 0..1 | BackboneElement | Patient Summary Results Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient Slice: Unordered, Open by type:resolve(), profile:resolve()
entry:results-observation-laboratory-pathology | SO C | 0..* | Reference(AU PS Pathology Result Observation) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
entry:results-observation-radiology | SO C | 0..* | Reference(Observation Results - Radiology (IPS)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
entry:results-diagnosticReport | SO C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionProceduresHx | SO C | 0..1 | BackboneElement | Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Procedure | DocumentReference) | Patient past procedures pertinent to the scope of this patient summary Slice: Unordered, Open by profile:resolve()
entry:procedure | SO C | 0..* | Reference(AU PS Procedure) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionMedicalDevices | SO C | 0..1 | BackboneElement | Patient Summary Medical Devices Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(DeviceUseStatement | DocumentReference) | Patient history of medical device use Slice: Unordered, Open by profile:resolve()
entry:deviceStatement | SO C | 0..* | Reference(DeviceUseStatement (IPS)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAdvanceDirectives | SO C | 0..1 | BackboneElement | Patient Summary Advance Directives Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Consent | DocumentReference) | A patient's advance directives Slice: Unordered, Open by profile:resolve()
entry:advanceDirectivesConsent | C | 0..* | Reference(Consent) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAlerts | SO C | 0..1 | BackboneElement | Patient Summary Alerts Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Flag | DocumentReference) | Alert information Slice: Unordered, Open by profile:resolve()
entry:alertsFlag | C | 0..* | Reference(Flag - Alert (IPS)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionFunctionalStatus | SO C | 0..1 | BackboneElement | Patient Summary Functional Status Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Disabilities and functional assessments Slice: Unordered, Open by profile:resolve()
entry:disability | C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
entry:functionalAssessment | C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPastProblems | SO C | 0..1 | BackboneElement | Patient Summary History of Past Illness Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Condition | DocumentReference) | Conditions the patient suffered in the past Slice: Unordered, Open by profile:resolve()
entry:pastProblem | C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPregnancyHx | SO C | 0..1 | BackboneElement | Patient Summary History of Pregnancy Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:resolve()
entry:pregnancyStatus | C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | A reference to data that supports this section
entry:pregnancyOutcome | C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPatientStory | SO C | 0..1 | BackboneElement | Patient Summary Patient Story Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | Patient Story resources
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPlanOfCare | SO C | 0..1 | BackboneElement | Patient Summary Plan of Care Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Structured care plans Slice: Unordered, Open by profile:resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | A reference to data that supports this section
entry:immunizationRecommendation | C | 0..* | Reference(ImmunizationRecommendation) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionSocialHistory | SO C | 0..1 | BackboneElement | Patient Summary Social History Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" Slice: Unordered, Open by profile:resolve()
entry:smokingTobaccoUse | C | 0..1 | Reference(AU PS Smoking Status) | A reference to data that supports this section
entry:alcoholUse | C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionVitalSigns | SO C | 0..1 | BackboneElement | Patient Summary Vital Signs Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title | SO | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
code | SO | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
Obligations | Actor
SHALL:handle | AU PS Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | SO C | 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
Obligations | Actor
SHALL:populate | AU PS Producer
SHALL:handle | AU PS Consumer
SHOULD:display | AU PS Consumer
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Notable vital signs or physical findings Slice: Unordered, Open by profile:resolve()
entry:vitalSign | C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std.
Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std.
Composition.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0
Composition.event:careProvisioningEvent.​code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0
Composition.section.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProblems.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAllergies.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedications.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionImmunizations.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionResults.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionProceduresHx.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionMedicalDevices.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAdvanceDirectives.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlerts.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlerts.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlerts.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlerts.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionFunctionalStatus.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPastProblems.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPregnancyHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPregnancyHx.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPregnancyHx.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPregnancyHx.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientStory.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientStory.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientStory.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientStory.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPlanOfCare.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPlanOfCare.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPlanOfCare.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPlanOfCare.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionSocialHistory.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionSocialHistory.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionSocialHistory.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionSocialHistory.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionVitalSigns.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionVitalSigns.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionVitalSigns.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionVitalSigns.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from AUBaseComposition

Summary

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

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)
- AU PS Practitioner (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitioner)
- AU PS PractitionerRole (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitionerrole)
- AU PS RelatedPerson (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-relatedperson)
- AU PS Organization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-organization)
- Composition (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips)
- AU PS Composition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-composition)
- AU PS Condition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition)
- AU PS AllergyIntolerance (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-allergyintolerance)
- AU PS MedicationStatement (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationstatement)
- AU PS MedicationRequest (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationrequest)
- AU PS Immunization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization)
- AU PS Pathology Result Observation (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-diagnosticresult-path)
- Observation Results - Radiology (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips)
- DiagnosticReport (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips)
- AU PS Procedure (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-procedure)
- DeviceUseStatement (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DeviceUseStatement-uv-ips)
- Flag - Alert (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Flag-alert-uv-ips)
- Observation Pregnancy - Status (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips)
- Observation Pregnancy - Outcome (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips)
- AU PS Smoking Status (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-smokingstatus)
- Observation Social History - Alcohol Use (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips)
- Vital Signs Profile (http://hl7.org/fhir/StructureDefinition/vitalsigns)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/note

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: 1

Other representations of profile: CSV, Excel, Schematron