HL7 Europe Patient Summary
1.0.0-ballot - ci-build 150

HL7 Europe Patient Summary - Downloaded Version 1.0.0-ballot See the Directory of published versions

## Resource Profile: Composition (EPS)

Official URL: http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps | Version: 1.0.0-ballot
Standards status: Draft | Maturity Level: 1 | Computable Name: CompositionEuEps
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile defines how the Composition resource is used to represent a European Patient Summary.

Note about the Functional Status Section

The Functional Status model used by the (Xt-EHR) European Patient Summary identifies, as part of that model, a set of assessment results that appear to be more appropriately represented by an Observation rather than by a ClinicalImpression.

However, Observation is not included among the allowed target resources for this section.

Considering that:

- in most cases this section is textual, and
- further analysis is needed to increase the maturity of this section,

it has been agreed, for this version, to maintain conformance with the IPS.

Adopters should nevertheless be aware that this section may be subject to substantial changes in future versions.

Usages:

- Use this Profile: Bundle (EPS)
- Examples for this Profile: Composition/24c0f4df-ed5c-4a81-b34f-6d7cfffe310b

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..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | O | 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for extension |  |  |  | Content/Rules for all slices
extension:version |  | 0..1 | (Complex) | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
extension:diagnosticReport |  | 0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 1..1 | Identifier | PS business identifier
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
status | ?!O Σ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
type | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
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 | O Σ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
reference | O Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
date | O Σ | 1..1 | dateTime | PS date
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
author | O Σ | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
title | O Σ | 1..1 | string | Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for attester | O | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
attester:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
time | O | 0..1 | dateTime | When the composition was attested
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
party | O | 0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
attester:legalAuthenticator |  | 0..* | BackboneElement | Attests to accuracy of composition
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition
attester:validator |  | 0..* | BackboneElement | Attests to accuracy of composition
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition
custodian | O Σ | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
event | O Σ | 0..* | BackboneElement | The clinical service(s) being documented
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | O Σ | 0..* | CodeableConcept | Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
period | O Σ | 0..1 | Period | Event period
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for section | O C | 5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:All Slices |  |  |  | Content/Rules for all slices
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code | O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Obligations | Actor
SHALL:handle | Consumer (IPS)
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionProblems | O C | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:$this.resolve()
entry:problem | O C | 0..* | Reference(Condition (EU core)) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionAllergies | O C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:$this.resolve()
entry:allergyOrIntolerance | O C | 0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionMedications | O C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:$this.resolve()
entry:medicationStatementOrRequest | O C | 0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionImmunizations | O C | 0..1 | BackboneElement | EPS Immunizations Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:$this.resolve()
entry:immunization | O C | 0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionResults | O C | 0..1 | BackboneElement | EPS Results Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:$this.resolve()
entry:results-medicalTestResult | O C | 0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
entry:results-diagnosticReport | O C | 0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionProceduresHx | O C | 1..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:$this.resolve()
entry:procedure | O C | 0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionMedicalDevices | O C | 1..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:$this.resolve()
entry:deviceStatement | O C | 0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionAdvanceDirectives | O C | 0..1 | BackboneElement | EPS Advance Directives Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:$this.resolve()
entry:advanceDirectivesConsent | C | 0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive.
section:sectionAlert | O C | 0..1 | BackboneElement | EPS Alerts Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:$this.resolve()
entry:flag | C | 0..* | Reference(Flag: Patient (EU core)) | Alert information
section:sectionFunctionalStatus | O C | 0..1 | BackboneElement | EPS Functional Status Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:$this.resolve()
entry:disability | C | 0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities
entry:functionalAssessment | C | 0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments
section:sectionPregnancyHx | O C | 0..1 | BackboneElement | EPS History of Pregnancy Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyStatus | C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status
entry:pregnancyOutcome | C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies
entry:gestationalAge | C | 0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy
section:sectionPatientStory | O C | 0..1 | BackboneElement | EPS Patient Story Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
entry | C | 0..* | Reference(Resource) | Patient Story resources.
section:sectionPlanOfCare | O C | 0..1 | BackboneElement | EPS Plan of Care Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:$this.resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | Optional slice used to represent care plans
entry:immunizationRecommendation | C | 0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations
section:sectionSocialHistory | O C | 0..1 | BackboneElement | EPS Social History Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve()
entry:smokingTobaccoUse | C | 0..* | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits
entry:alcoholUse | C | 0..* | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption
section:sectionVitalSigns | O C | 0..1 | BackboneElement | EPS Vital Signs Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:$this.resolve()
entry:vitalSign | C | 0..* | Reference(Vital Signs Profile) | Notable vital signs or physical findings.
section:sectionTravelHx | C | 0..1 | BackboneElement | EPS Travel History Section Constraints: cmp-1, cmp-2
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
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 | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:$this.resolve()
entry:travelObservation | C | 0..* | Reference(Observation: Country Visited (EPS)) | A reference to data that supports this section
section:sectionPatientHx | C | 0..1 | BackboneElement | EPS Patient History Section Constraints: cmp-1, cmp-2
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
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 | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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.attester:legalAuthenticator.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.attester:validator.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📦2018-08-12 | FHIR Std.
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:sectionAlert.​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: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.
Composition.section:sectionTravelHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientHx.​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:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | 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:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | 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 | Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension, Composition.event.modifierExtension, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section:sectionProblems.extension:section-note, Composition.section:sectionProblems.modifierExtension, Composition.section:sectionAllergies.extension:section-note, Composition.section:sectionAllergies.modifierExtension, Composition.section:sectionMedications.extension:section-note, Composition.section:sectionMedications.modifierExtension, Composition.section:sectionImmunizations.extension:section-note, Composition.section:sectionImmunizations.modifierExtension, Composition.section:sectionResults.extension:section-note, Composition.section:sectionResults.modifierExtension, Composition.section:sectionProceduresHx.extension:section-note, Composition.section:sectionProceduresHx.modifierExtension, Composition.section:sectionMedicalDevices.extension:section-note, Composition.section:sectionMedicalDevices.modifierExtension, Composition.section:sectionAdvanceDirectives.extension:section-note, Composition.section:sectionAdvanceDirectives.modifierExtension, Composition.section:sectionAlert.extension:section-note, Composition.section:sectionAlert.modifierExtension, Composition.section:sectionFunctionalStatus.extension:section-note, Composition.section:sectionFunctionalStatus.modifierExtension, Composition.section:sectionPregnancyHx.extension:section-note, Composition.section:sectionPregnancyHx.modifierExtension, Composition.section:sectionPatientStory.extension:section-note, Composition.section:sectionPatientStory.modifierExtension, Composition.section:sectionPlanOfCare.extension:section-note, Composition.section:sectionPlanOfCare.modifierExtension, Composition.section:sectionSocialHistory.extension:section-note, Composition.section:sectionSocialHistory.modifierExtension, Composition.section:sectionVitalSigns.extension:section-note, Composition.section:sectionVitalSigns.modifierExtension, Composition.section:sectionTravelHx.extension:section-note, Composition.section:sectionTravelHx.modifierExtension, Composition.section:sectionPatientHx.extension:section-note, Composition.section:sectionPatientHx.modifierExtension | 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 CompositionEuCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS)
meta |  |  |  |
profile | O | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
Obligations | Actor
MAY:able-to-populate | Creator (IPS)
text | O | 0..1 | Narrative | Text summary of the resource, for human interpretation
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for extension |  |  |  | Content/Rules for all slices
extension:version |  | 0..1 | R5 Composition.version | Business version
identifier | O | 1..1 | Identifier | PS business identifier
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
status | O | 1..1 | code | PS status
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
type | O | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Required Pattern: At least the following
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
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 | O | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
reference | O | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
date | O | 1..1 | dateTime | PS date
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
author | O | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
title | O | 1..1 | string | Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
attester | O | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
mode | O | 1..1 | code | The type of attestation
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
time | O | 0..1 | dateTime | When the composition was attested
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
party | O | 0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
custodian | O | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
event | O | 0..* | BackboneElement | The clinical service(s) being documented
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code | O | 0..* | CodeableConcept | Event code
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
period | O | 0..1 | Period | Event period
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for section | O | 5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:All Slices |  |  |  | Content/Rules for all slices
title | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code | O | 1..1 | CodeableConceptIPS | Classification of section (recommended)
Obligations | Actor
SHALL:handle | Consumer (IPS)
text | O | 1..1 | Narrative | Text summary of the section, for human interpretation
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section |  | 0..0 |  | Nested Section
section:sectionProblems | O C | 1..1 | BackboneElement | EPS Problems Section Constraints: ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
Slices for entry |  | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:$this.resolve()
entry:problem | O | 0..* | Reference(Condition (EU core)) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O | 0..1 | CodeableConcept | Empty reason
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionAllergies | O C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
Slices for entry |  | 0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:$this.resolve()
entry:allergyOrIntolerance | O | 0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O | 0..1 | CodeableConcept | Empty reason
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionMedications | O C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
Slices for entry |  | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:$this.resolve()
entry:medicationStatementOrRequest | O | 0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O | 0..1 | CodeableConcept | Empty reason
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionImmunizations | O | 0..1 | BackboneElement | EPS Immunizations Section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
Slices for entry |  | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:$this.resolve()
entry:immunization | O | 0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionResults | O | 0..1 | BackboneElement | EPS Results Section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
Slices for entry |  | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:$this.resolve()
entry:results-medicalTestResult | O | 0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
entry:results-diagnosticReport | O | 0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionProceduresHx | O | 1..1 | BackboneElement | EPS History of Procedures Section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
Slices for entry |  | 0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:$this.resolve()
entry:procedure | O | 0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionMedicalDevices | O | 1..1 | BackboneElement | EPS Medical Devices Section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
Slices for entry |  | 0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:$this.resolve()
entry:deviceStatement | O | 0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionAdvanceDirectives | O | 0..1 | BackboneElement | EPS Advance Directives Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
Slices for entry |  | 0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:$this.resolve()
entry:advanceDirectivesConsent |  | 0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive.
section:sectionAlert | O | 0..1 | BackboneElement | EPS Alerts Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
Slices for entry |  | 0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:$this.resolve()
entry:flag |  | 0..* | Reference(Flag: Patient (EU core)) | Alert information
section:sectionFunctionalStatus | O | 0..1 | BackboneElement | EPS Functional Status
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
Slices for entry |  | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:$this.resolve()
entry:disability |  | 0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities
entry:functionalAssessment |  | 0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments
section:sectionPregnancyHx | O | 0..1 | BackboneElement | EPS History of Pregnancy Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
Slices for entry |  | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyStatus |  | 0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status
entry:pregnancyOutcome |  | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies
entry:gestationalAge |  | 0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy
section:sectionPatientStory | O | 0..1 | BackboneElement | EPS Patient Story Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
entry |  | 0..* | Reference(Resource) | Patient Story resources.
section:sectionPlanOfCare | O | 0..1 | BackboneElement | EPS Plan of Care Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
Slices for entry |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:$this.resolve()
entry:carePlan |  | 0..* | Reference(CarePlan) | Optional slice used to represent care plans
entry:immunizationRecommendation |  | 0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations
section:sectionSocialHistory | O | 0..1 | BackboneElement | EPS Social History Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
Slices for entry |  | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve()
entry:smokingTobaccoUse |  | 0..* | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits
entry:alcoholUse |  | 0..* | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption
section:sectionVitalSigns | O | 0..1 | BackboneElement | EPS Vital Signs Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
Slices for entry |  | 0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:$this.resolve()
entry:vitalSign |  | 0..* | Reference(Vital Signs Profile) | Notable vital signs or physical findings.
section:sectionTravelHx |  | 0..1 | BackboneElement | EPS Travel History Section
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
Slices for entry |  | 0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:$this.resolve()
entry:travelObservation |  | 0..* | Reference(Observation: Country Visited (EPS)) | A reference to data that supports this section
section:sectionPatientHx |  | 0..1 | BackboneElement | EPS Patient History Section
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
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..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS)
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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 | O Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
Obligations | Actor
MAY:able-to-populate | Creator (IPS)
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 composition content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text | O | 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:version |  | 0..1 | (Complex) | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
value[x] |  | 0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Value of extension
extension:diagnosticReport |  | 0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 1..1 | Identifier | PS business identifier
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
status | ?!O Σ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
type | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
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 | Document Category Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | O Σ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
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 | O Σ | 1..1 | dateTime | PS date
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
author | O Σ | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
title | O Σ | 1..1 | string | Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for attester | O | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
attester:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
time | O | 0..1 | dateTime | When the composition was attested
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
party | O | 0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
attester:legalAuthenticator |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition
attester:validator |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition
custodian | O Σ | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | O Σ | 0..* | BackboneElement | The clinical service(s) being documented
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O Σ | 0..* | CodeableConcept | Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
period | O Σ | 0..1 | Period | Event period
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | O C | 5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code | O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Obligations | Actor
SHALL:handle | Consumer (IPS)
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 | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionProblems | O C | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 type:$this.resolve()
entry:problem | O C | 0..* | Reference(Condition (EU core)) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionAllergies | O C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | allergyOrIntolerance Slice: Unordered, Open by type:$this.resolve()
entry:allergyOrIntolerance | O C | 0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionMedications | O C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | medicationStatementOrRequest Slice: Unordered, Open by type:$this.resolve()
entry:medicationStatementOrRequest | O C | 0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionImmunizations | O C | 0..1 | BackboneElement | EPS Immunizations Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:$this.resolve()
entry:immunization | O C | 0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionResults | O C | 0..1 | BackboneElement | EPS Results Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | EPS Results entry Slice: Unordered, Open by type:$this.resolve()
entry:results-medicalTestResult | O C | 0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
entry:results-diagnosticReport | O C | 0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionProceduresHx | O C | 1..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | Slice on procedure Slice: Unordered, Open by type:$this.resolve()
entry:procedure | O C | 0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionMedicalDevices | O C | 1..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | EPS Medical Device entry Slice: Unordered, Open by type:$this.resolve()
entry:deviceStatement | O C | 0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAdvanceDirectives | O C | 0..1 | BackboneElement | EPS Advance Directives Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | Advance directives Slice: Unordered, Open by type:$this.resolve()
entry:advanceDirectivesConsent | C | 0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive.
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAlert | O C | 0..1 | BackboneElement | EPS Alerts Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | EPS Alerts entry Slice: Unordered, Open by type:$this.resolve()
entry:flag | C | 0..* | Reference(Flag: Patient (EU core)) | Alert information
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionFunctionalStatus | O C | 0..1 | BackboneElement | EPS Functional Status Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:$this.resolve()
entry:disability | C | 0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities
entry:functionalAssessment | C | 0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPregnancyHx | O C | 0..1 | BackboneElement | EPS History of Pregnancy Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyStatus | C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status
entry:pregnancyOutcome | C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies
entry:gestationalAge | C | 0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPatientStory | O C | 0..1 | BackboneElement | EPS Patient Story Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPlanOfCare | O C | 0..1 | BackboneElement | EPS Plan of Care Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:$this.resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | Optional slice used to represent care plans
entry:immunizationRecommendation | C | 0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionSocialHistory | O C | 0..1 | BackboneElement | EPS Social History Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve()
entry:smokingTobaccoUse | C | 0..* | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits
entry:alcoholUse | C | 0..* | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionVitalSigns | O C | 0..1 | BackboneElement | EPS Vital Signs Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | Vital Signs Slice: Unordered, Open by type:$this.resolve()
entry:vitalSign | C | 0..* | Reference(Vital Signs Profile) | Notable vital signs or physical findings.
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionTravelHx | C | 0..1 | BackboneElement | EPS Travel History Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | 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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
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 | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | Travel history observation Slice: Unordered, Open by type:$this.resolve()
entry:travelObservation | C | 0..* | Reference(Observation: Country Visited (EPS)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPatientHx | C | 0..1 | BackboneElement | EPS Patient History Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | 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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
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 | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | Empty reason 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.attester:legalAuthenticator.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.attester:validator.​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 | 📦2018-08-12 | FHIR Std.
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:sectionAlert.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​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: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.
Composition.section:sectionTravelHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionTravelHx.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionTravelHx.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionTravelHx.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientHx.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientHx.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientHx.​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:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | 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:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | 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 CompositionEuCore

Summary

Mandatory: 6 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)
- Patient (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps)
- Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
- PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
- Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)
- Condition (EU core) (http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core)
- AllergyIntolerance (EU core) (http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core)
- MedicationStatement (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps)
- Immunization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core)
- Observation: Medical Test Result (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core)
- DiagnosticReport (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/diagnosticReport-eu-eps)
- Procedure (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps)
- DeviceUseStatement (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps)
- Consent: Advance Directives (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps)
- Flag: Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/flag-patient-eu-core)
- 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)
- Observation: Pregnancy - Gestational Age (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-gestationalAge-eu-eps)
- Observation Social History - Tobacco Use (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-tobaccouse-uv-ips)
- 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)
- Observation: Country Visited (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/observation-travel-eu-eps)

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | O | 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for extension |  |  |  | Content/Rules for all slices
extension:version |  | 0..1 | (Complex) | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
extension:diagnosticReport |  | 0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 1..1 | Identifier | PS business identifier
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
status | ?!O Σ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
type | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
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 | O Σ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
reference | O Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
date | O Σ | 1..1 | dateTime | PS date
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
author | O Σ | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
title | O Σ | 1..1 | string | Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for attester | O | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
attester:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
time | O | 0..1 | dateTime | When the composition was attested
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
party | O | 0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
attester:legalAuthenticator |  | 0..* | BackboneElement | Attests to accuracy of composition
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition
attester:validator |  | 0..* | BackboneElement | Attests to accuracy of composition
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition
custodian | O Σ | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
event | O Σ | 0..* | BackboneElement | The clinical service(s) being documented
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | O Σ | 0..* | CodeableConcept | Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
period | O Σ | 0..1 | Period | Event period
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for section | O C | 5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:All Slices |  |  |  | Content/Rules for all slices
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code | O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Obligations | Actor
SHALL:handle | Consumer (IPS)
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionProblems | O C | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:$this.resolve()
entry:problem | O C | 0..* | Reference(Condition (EU core)) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionAllergies | O C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:$this.resolve()
entry:allergyOrIntolerance | O C | 0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionMedications | O C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:$this.resolve()
entry:medicationStatementOrRequest | O C | 0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionImmunizations | O C | 0..1 | BackboneElement | EPS Immunizations Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:$this.resolve()
entry:immunization | O C | 0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionResults | O C | 0..1 | BackboneElement | EPS Results Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:$this.resolve()
entry:results-medicalTestResult | O C | 0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
entry:results-diagnosticReport | O C | 0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionProceduresHx | O C | 1..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:$this.resolve()
entry:procedure | O C | 0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionMedicalDevices | O C | 1..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:$this.resolve()
entry:deviceStatement | O C | 0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionAdvanceDirectives | O C | 0..1 | BackboneElement | EPS Advance Directives Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:$this.resolve()
entry:advanceDirectivesConsent | C | 0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive.
section:sectionAlert | O C | 0..1 | BackboneElement | EPS Alerts Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:$this.resolve()
entry:flag | C | 0..* | Reference(Flag: Patient (EU core)) | Alert information
section:sectionFunctionalStatus | O C | 0..1 | BackboneElement | EPS Functional Status Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:$this.resolve()
entry:disability | C | 0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities
entry:functionalAssessment | C | 0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments
section:sectionPregnancyHx | O C | 0..1 | BackboneElement | EPS History of Pregnancy Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyStatus | C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status
entry:pregnancyOutcome | C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies
entry:gestationalAge | C | 0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy
section:sectionPatientStory | O C | 0..1 | BackboneElement | EPS Patient Story Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
entry | C | 0..* | Reference(Resource) | Patient Story resources.
section:sectionPlanOfCare | O C | 0..1 | BackboneElement | EPS Plan of Care Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:$this.resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | Optional slice used to represent care plans
entry:immunizationRecommendation | C | 0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations
section:sectionSocialHistory | O C | 0..1 | BackboneElement | EPS Social History Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve()
entry:smokingTobaccoUse | C | 0..* | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits
entry:alcoholUse | C | 0..* | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption
section:sectionVitalSigns | O C | 0..1 | BackboneElement | EPS Vital Signs Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:$this.resolve()
entry:vitalSign | C | 0..* | Reference(Vital Signs Profile) | Notable vital signs or physical findings.
section:sectionTravelHx | C | 0..1 | BackboneElement | EPS Travel History Section Constraints: cmp-1, cmp-2
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
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 | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:$this.resolve()
entry:travelObservation | C | 0..* | Reference(Observation: Country Visited (EPS)) | A reference to data that supports this section
section:sectionPatientHx | C | 0..1 | BackboneElement | EPS Patient History Section Constraints: cmp-1, cmp-2
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
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 | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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.attester:legalAuthenticator.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.attester:validator.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📦2018-08-12 | FHIR Std.
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:sectionAlert.​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: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.
Composition.section:sectionTravelHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientHx.​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:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | 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:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | 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 | Composition.extension:version, Composition.extension:informationRecipient, Composition.extension:diagnosticReport, Composition.modifierExtension, Composition.attester.modifierExtension, Composition.attester:legalAuthenticator.modifierExtension, Composition.attester:validator.modifierExtension, Composition.event.modifierExtension, Composition.section.extension:section-note, Composition.section.modifierExtension, Composition.section:sectionProblems.extension:section-note, Composition.section:sectionProblems.modifierExtension, Composition.section:sectionAllergies.extension:section-note, Composition.section:sectionAllergies.modifierExtension, Composition.section:sectionMedications.extension:section-note, Composition.section:sectionMedications.modifierExtension, Composition.section:sectionImmunizations.extension:section-note, Composition.section:sectionImmunizations.modifierExtension, Composition.section:sectionResults.extension:section-note, Composition.section:sectionResults.modifierExtension, Composition.section:sectionProceduresHx.extension:section-note, Composition.section:sectionProceduresHx.modifierExtension, Composition.section:sectionMedicalDevices.extension:section-note, Composition.section:sectionMedicalDevices.modifierExtension, Composition.section:sectionAdvanceDirectives.extension:section-note, Composition.section:sectionAdvanceDirectives.modifierExtension, Composition.section:sectionAlert.extension:section-note, Composition.section:sectionAlert.modifierExtension, Composition.section:sectionFunctionalStatus.extension:section-note, Composition.section:sectionFunctionalStatus.modifierExtension, Composition.section:sectionPregnancyHx.extension:section-note, Composition.section:sectionPregnancyHx.modifierExtension, Composition.section:sectionPatientStory.extension:section-note, Composition.section:sectionPatientStory.modifierExtension, Composition.section:sectionPlanOfCare.extension:section-note, Composition.section:sectionPlanOfCare.modifierExtension, Composition.section:sectionSocialHistory.extension:section-note, Composition.section:sectionSocialHistory.modifierExtension, Composition.section:sectionVitalSigns.extension:section-note, Composition.section:sectionVitalSigns.modifierExtension, Composition.section:sectionTravelHx.extension:section-note, Composition.section:sectionTravelHx.modifierExtension, Composition.section:sectionPatientHx.extension:section-note, Composition.section:sectionPatientHx.modifierExtension | 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 CompositionEuCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS)
meta |  |  |  |
profile | O | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
Obligations | Actor
MAY:able-to-populate | Creator (IPS)
text | O | 0..1 | Narrative | Text summary of the resource, for human interpretation
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for extension |  |  |  | Content/Rules for all slices
extension:version |  | 0..1 | R5 Composition.version | Business version
identifier | O | 1..1 | Identifier | PS business identifier
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
status | O | 1..1 | code | PS status
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
type | O | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Required Pattern: At least the following
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
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 | O | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
reference | O | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
date | O | 1..1 | dateTime | PS date
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
author | O | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
title | O | 1..1 | string | Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
attester | O | 0..* | BackboneElement | Attests to accuracy of composition
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
mode | O | 1..1 | code | The type of attestation
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
time | O | 0..1 | dateTime | When the composition was attested
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
party | O | 0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
custodian | O | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
event | O | 0..* | BackboneElement | The clinical service(s) being documented
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code | O | 0..* | CodeableConcept | Event code
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
period | O | 0..1 | Period | Event period
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for section | O | 5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:All Slices |  |  |  | Content/Rules for all slices
title | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code | O | 1..1 | CodeableConceptIPS | Classification of section (recommended)
Obligations | Actor
SHALL:handle | Consumer (IPS)
text | O | 1..1 | Narrative | Text summary of the section, for human interpretation
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section |  | 0..0 |  | Nested Section
section:sectionProblems | O C | 1..1 | BackboneElement | EPS Problems Section Constraints: ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
Slices for entry |  | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by type:$this.resolve()
entry:problem | O | 0..* | Reference(Condition (EU core)) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O | 0..1 | CodeableConcept | Empty reason
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionAllergies | O C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
Slices for entry |  | 0..* | Reference(AllergyIntolerance | DocumentReference) | allergyOrIntolerance Slice: Unordered, Open by type:$this.resolve()
entry:allergyOrIntolerance | O | 0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O | 0..1 | CodeableConcept | Empty reason
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionMedications | O C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
Slices for entry |  | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | medicationStatementOrRequest Slice: Unordered, Open by type:$this.resolve()
entry:medicationStatementOrRequest | O | 0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O | 0..1 | CodeableConcept | Empty reason
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionImmunizations | O | 0..1 | BackboneElement | EPS Immunizations Section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
Slices for entry |  | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:$this.resolve()
entry:immunization | O | 0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionResults | O | 0..1 | BackboneElement | EPS Results Section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
Slices for entry |  | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | EPS Results entry Slice: Unordered, Open by type:$this.resolve()
entry:results-medicalTestResult | O | 0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
entry:results-diagnosticReport | O | 0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionProceduresHx | O | 1..1 | BackboneElement | EPS History of Procedures Section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
Slices for entry |  | 0..* | Reference(Procedure | DocumentReference) | Slice on procedure Slice: Unordered, Open by type:$this.resolve()
entry:procedure | O | 0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionMedicalDevices | O | 1..1 | BackboneElement | EPS Medical Devices Section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
Slices for entry |  | 0..* | Reference(DeviceUseStatement | DocumentReference) | EPS Medical Device entry Slice: Unordered, Open by type:$this.resolve()
entry:deviceStatement | O | 0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionAdvanceDirectives | O | 0..1 | BackboneElement | EPS Advance Directives Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
Slices for entry |  | 0..* | Reference(Consent | DocumentReference) | Advance directives Slice: Unordered, Open by type:$this.resolve()
entry:advanceDirectivesConsent |  | 0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive.
section:sectionAlert | O | 0..1 | BackboneElement | EPS Alerts Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
Slices for entry |  | 0..* | Reference(Flag | DocumentReference) | EPS Alerts entry Slice: Unordered, Open by type:$this.resolve()
entry:flag |  | 0..* | Reference(Flag: Patient (EU core)) | Alert information
section:sectionFunctionalStatus | O | 0..1 | BackboneElement | EPS Functional Status
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
Slices for entry |  | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:$this.resolve()
entry:disability |  | 0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities
entry:functionalAssessment |  | 0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments
section:sectionPregnancyHx | O | 0..1 | BackboneElement | EPS History of Pregnancy Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
Slices for entry |  | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyStatus |  | 0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status
entry:pregnancyOutcome |  | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies
entry:gestationalAge |  | 0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy
section:sectionPatientStory | O | 0..1 | BackboneElement | EPS Patient Story Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
entry |  | 0..* | Reference(Resource) | Patient Story resources.
section:sectionPlanOfCare | O | 0..1 | BackboneElement | EPS Plan of Care Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
Slices for entry |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:$this.resolve()
entry:carePlan |  | 0..* | Reference(CarePlan) | Optional slice used to represent care plans
entry:immunizationRecommendation |  | 0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations
section:sectionSocialHistory | O | 0..1 | BackboneElement | EPS Social History Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
Slices for entry |  | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve()
entry:smokingTobaccoUse |  | 0..* | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits
entry:alcoholUse |  | 0..* | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption
section:sectionVitalSigns | O | 0..1 | BackboneElement | EPS Vital Signs Section
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
Slices for entry |  | 0..* | Reference(Observation | DocumentReference) | Vital Signs Slice: Unordered, Open by type:$this.resolve()
entry:vitalSign |  | 0..* | Reference(Vital Signs Profile) | Notable vital signs or physical findings.
section:sectionTravelHx |  | 0..1 | BackboneElement | EPS Travel History Section
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
Slices for entry |  | 0..* | Reference(Observation | DocumentReference) | Travel history observation Slice: Unordered, Open by type:$this.resolve()
entry:travelObservation |  | 0..* | Reference(Observation: Country Visited (EPS)) | A reference to data that supports this section
section:sectionPatientHx |  | 0..1 | BackboneElement | EPS Patient History Section
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
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..* | CompositionEuCore | Patient Summary composition This profile also imposes the profile Composition (IPS)
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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 | O Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
Obligations | Actor
MAY:able-to-populate | Creator (IPS)
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 composition content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text | O | 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:version |  | 0..1 | (Complex) | Business version URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version"
value[x] |  | 0..1 | string | An explicitly assigned identifer of a variation of the content in the Composition
extension:informationRecipient |  | 0..* | (Complex) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/information-recipient"
value[x] |  | 0..1 | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | Device | Patient (EU core) | RelatedPerson) | Value of extension
extension:diagnosticReport |  | 0..1 | Reference(DiagnosticReport) | Document DiagnosticReport Reference URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 1..1 | Identifier | PS business identifier
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
status | ?!O Σ | 1..1 | code | PS status Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
type | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
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 | Document Category Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | O Σ | 1..1 | Reference(Patient (EPS)) | Who and/or what the composition is about
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
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 | O Σ | 1..1 | dateTime | PS date
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
author | O Σ | 1..* | Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core) | Patient (EPS) | RelatedPerson) | Who and/or what authored the Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
title | O Σ | 1..1 | string | Patient Summary
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Slices for attester | O | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
attester:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | O | 1..1 | code | The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
time | O | 0..1 | dateTime | When the composition was attested
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
party | O | 0..1 | Reference(Patient (EPS) | RelatedPerson | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core)) | Who attested the composition
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
attester:legalAuthenticator |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition
attester:validator |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: professional
time |  | 1..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core)) | Who attested the composition
custodian | O Σ | 0..1 | Reference(Organization (EU core)) | Custodian of the Patient Summary
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | O Σ | 0..* | BackboneElement | The clinical service(s) being documented
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O Σ | 0..* | CodeableConcept | Event code Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
period | O Σ | 0..1 | Period | Event period
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | O C | 5..* | BackboneElement | Sections composing the IPS Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code | O | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Obligations | Actor
SHALL:handle | Consumer (IPS)
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 | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionProblems | O C | 1..1 | BackboneElement | EPS Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 type:$this.resolve()
entry:problem | O C | 0..* | Reference(Condition (EU core)) | A reference to data that supports this section
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionAllergies | O C | 1..1 | BackboneElement | EPS Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | allergyOrIntolerance Slice: Unordered, Open by type:$this.resolve()
entry:allergyOrIntolerance | O C | 0..* | Reference(AllergyIntolerance (EU core)) | Relevant allergies or intolerances for that patient.
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionMedications | O C | 1..1 | BackboneElement | EPS Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | medicationStatementOrRequest Slice: Unordered, Open by type:$this.resolve()
entry:medicationStatementOrRequest | O C | 0..* | Reference(MedicationStatement (EPS)) | Medications relevant for the scope of the patient summary
Obligations | Actor
SHALL:able-to-populate | Creator (IPS)
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | O C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
section:sectionImmunizations | O C | 0..1 | BackboneElement | EPS Immunizations Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunization status and pertinent history. Slice: Unordered, Open by type:$this.resolve()
entry:immunization | O C | 0..* | Reference(Immunization (EU core)) | A reference to data that supports this section
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionResults | O C | 0..1 | BackboneElement | EPS Results Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | EPS Results entry Slice: Unordered, Open by type:$this.resolve()
entry:results-medicalTestResult | O C | 0..* | Reference(Observation: Medical Test Result (EU core)) | Medical test results
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
entry:results-diagnosticReport | O C | 0..* | Reference(DiagnosticReport (EPS)) | EPS DiagnosticReport
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionProceduresHx | O C | 1..1 | BackboneElement | EPS History of Procedures Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | Slice on procedure Slice: Unordered, Open by type:$this.resolve()
entry:procedure | O C | 0..* | Reference(Procedure (EPS)) | Patient past procedures pertinent to the scope of this document.
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionMedicalDevices | O C | 1..1 | BackboneElement | EPS Medical Devices Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | EPS Medical Device entry Slice: Unordered, Open by type:$this.resolve()
entry:deviceStatement | O C | 0..* | Reference(DeviceUseStatement (EPS)) | Patient history of medical device use
Obligations | Actor
SHOULD:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAdvanceDirectives | O C | 0..1 | BackboneElement | EPS Advance Directives Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | Advance directives Slice: Unordered, Open by type:$this.resolve()
entry:advanceDirectivesConsent | C | 0..* | Reference(Consent: Advance Directives (EPS)) | Narrative description of the patient's advance directive.
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionAlert | O C | 0..1 | BackboneElement | EPS Alerts Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | EPS Alerts entry Slice: Unordered, Open by type:$this.resolve()
entry:flag | C | 0..* | Reference(Flag: Patient (EU core)) | Alert information
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionFunctionalStatus | O C | 0..1 | BackboneElement | EPS Functional Status Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by type:$this.resolve()
entry:disability | C | 0..* | Reference(Condition (EU core)) | Optional slice used to represent disabilities
entry:functionalAssessment | C | 0..* | Reference(ClinicalImpression) | Optional slice used to represent functional assessments
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPregnancyHx | O C | 0..1 | BackboneElement | EPS History of Pregnancy Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Resource) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:$this.resolve()
entry:pregnancyStatus | C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | Current pregnancy status
entry:pregnancyOutcome | C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | Information about the outcome of earlier pregnancies
entry:gestationalAge | C | 0..* | Reference(Observation: Pregnancy - Gestational Age (EPS)) | Information about the gestational age of the pregnancy
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPatientStory | O C | 0..1 | BackboneElement | EPS Patient Story Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 81338-6
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPlanOfCare | O C | 0..1 | BackboneElement | EPS Plan of Care Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | Optional entry used to represent structured care plans Slice: Unordered, Open by type:$this.resolve()
entry:carePlan | C | 0..* | Reference(CarePlan) | Optional slice used to represent care plans
entry:immunizationRecommendation | C | 0..* | Reference(ImmunizationRecommendation) | Optional slice used to represent immunization recommendations
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionSocialHistory | O C | 0..1 | BackboneElement | EPS Social History Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:$this.resolve()
entry:smokingTobaccoUse | C | 0..* | Reference(Observation Social History - Tobacco Use (IPS)) | Smoke habits
entry:alcoholUse | C | 0..* | Reference(Observation Social History - Alcohol Use (IPS)) | Alcohol consumption
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionVitalSigns | O C | 0..1 | BackboneElement | EPS Vital Signs Section Constraints: cmp-1, cmp-2
Obligations | Actor
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | Vital Signs Slice: Unordered, Open by type:$this.resolve()
entry:vitalSign | C | 0..* | Reference(Vital Signs Profile) | Notable vital signs or physical findings.
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionTravelHx | C | 0..1 | BackboneElement | EPS Travel History Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | 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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10182-4
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 | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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) | Travel history observation Slice: Unordered, Open by type:$this.resolve()
entry:travelObservation | C | 0..* | Reference(Observation: Country Visited (EPS)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Empty reason Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:sectionPatientHx | C | 0..1 | BackboneElement | EPS Patient History Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:section-note |  | 0..* | 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 | O | 1..1 | string | Label for section (e.g. for ToC)
Obligations | Actor
SHALL:populate | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
code |  | 1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0
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 | O 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 | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | Empty reason 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.attester:legalAuthenticator.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.attester:validator.​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 | 📦2018-08-12 | FHIR Std.
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:sectionAlert.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionAlert.​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: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.
Composition.section:sectionTravelHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionTravelHx.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionTravelHx.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionTravelHx.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientHx.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientHx.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientHx.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sectionPatientHx.​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:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | 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:sectionAlert, Composition.section:sectionFunctionalStatus, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionTravelHx, Composition.section:sectionPatientHx | 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 CompositionEuCore

Summary

Mandatory: 6 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)
- Patient (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps)
- Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
- PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
- Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)
- Condition (EU core) (http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core)
- AllergyIntolerance (EU core) (http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core)
- MedicationStatement (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps)
- Immunization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core)
- Observation: Medical Test Result (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core)
- DiagnosticReport (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/diagnosticReport-eu-eps)
- Procedure (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps)
- DeviceUseStatement (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps)
- Consent: Advance Directives (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps)
- Flag: Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/flag-patient-eu-core)
- 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)
- Observation: Pregnancy - Gestational Age (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-gestationalAge-eu-eps)
- Observation Social History - Tobacco Use (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-tobaccouse-uv-ips)
- 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)
- Observation: Country Visited (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/observation-travel-eu-eps)

Slices

This structure defines the following Slices:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron