PanCareSurPass Project HL7 FHIR Implementation Guide
0.1.0 - trial-use 150

This page is part of the PanCareSurPass Project HL7 FHIR Implementation Guide (v0.1.0: QA Preview) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CompositionSurpassPcsp - Detailed Descriptions

Active as of 2023-01-26

Definitions for the Composition-surpass-eu-pcsp resource profile.

Guidance on how to interpret the contents of this table can be found here.

1. Composition
2. Composition.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
3. Composition.status
4. Composition.type
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="surpass"/>
  </coding>
</valueCodeableConcept>
5. Composition.type.coding
Control0..?
6. Composition.type.coding.display
Control0..?
7. Composition.subject
Control10..1
TypeReference(PatientPcsp|Resource)
8. Composition.date
9. Composition.author
10. Composition.title
11. Composition.attester
12. Composition.section
Control10..*
SlicingThis element introduces a set of slices on Composition.section. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
13. Composition.section:flt
SliceNameflt
Control1..*
14. Composition.section:flt.title
Control1..?
15. Composition.section:flt.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="72135-7"/>
  </coding>
</valueCodeableConcept>
16. Composition.section:flt.text
Control1..?
17. Composition.section:flt.entry
Definition

Entrdescribing the primary cancer and optionally FLT anmetastasis.

Control1..?
TypeReference(Condition|Procedure|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
18. Composition.section:flt.entry:primaryCancer
SliceNameprimaryCancer
Definition

Primary Cancer or relapse during the treatment

Control1..*
TypeReference(ConditionPrimaryCancerPcsp)
19. Composition.section:flt.entry:metastasis
SliceNamemetastasis
Definition

Metastasis

Control0..*
TypeReference(ConditionSecondaryCancerPcsp)
20. Composition.section:flt.entry:flt
SliceNameflt
Definition

FronLine Treatment

Control0..*
TypeReference(ProcedureFltPcsp)
21. Composition.section:flt.emptyReason
Control0..?
22. Composition.section:flt.section
Control1..?
SlicingThis element introduces a set of slices on Composition.section.section. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
23. Composition.section:flt.section:chemotherapy
SliceNamechemotherapy
Control0..1
TypeBackboneElement
24. Composition.section:flt.section:chemotherapy.title
Control1..?
25. Composition.section:flt.section:chemotherapy.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="11486-8"/>
  </coding>
</valueCodeableConcept>
26. Composition.section:flt.section:chemotherapy.text
Control1..?
27. Composition.section:flt.section:chemotherapy.entry
Definition

Chemotherapy

Control1..?
TypeReference(MedicationAdministration|MedicationStatement|Procedure|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
28. Composition.section:flt.section:chemotherapy.entry:medicationAdministration
SliceNamemedicationAdministration
Definition

MedicationAdministration Chemotherapy

Control1..*
TypeReference(MedicationAdministrationPcsp)
29. Composition.section:flt.section:chemotherapy.entry:medicationStatement
SliceNamemedicationStatement
Definition

MedicationStatementChemotherapy

Control0..*
TypeReference(MedicationStatementPcsp)
30. Composition.section:flt.section:chemotherapy.emptyReason
Control0..?
31. Composition.section:flt.section:stemCellTransplantation
SliceNamestemCellTransplantation
Control0..1
TypeBackboneElement
32. Composition.section:flt.section:stemCellTransplantation.title
Control1..?
33. Composition.section:flt.section:stemCellTransplantation.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-sct"/>
  </coding>
</valueCodeableConcept>
34. Composition.section:flt.section:stemCellTransplantation.text
Control1..?
35. Composition.section:flt.section:stemCellTransplantation.entry
Definition

Stem Cell Transplantation

Control1..?
TypeReference(Procedure|Condition|Observation|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
36. Composition.section:flt.section:stemCellTransplantation.entry:sct
SliceNamesct
Control0..*
TypeReference(ProcedureSctPcsp)
37. Composition.section:flt.section:stemCellTransplantation.entry:gvdh-prophylaxis
SliceNamegvdh-prophylaxis
Definition

GVHD prophylaxis

Control0..*
TypeReference(ProcedureSctProphylaxisPcsp)
38. Composition.section:flt.section:stemCellTransplantation.entry:gvdh
SliceNamegvdh
Definition

Grafversus host disease (GvHD)

Control0..*
TypeReference(ConditionGvhdPcsp)
39. Composition.section:flt.section:stemCellTransplantation.entry:blood-abo
SliceNameblood-abo
Definition

Blood type/RH

Control0..*
TypeReference(ObservationBloodAboRh)
40. Composition.section:flt.section:stemCellTransplantation.emptyReason
Control0..?
41. Composition.section:flt.section:radiotherapy
SliceNameradiotherapy
Control0..1
TypeBackboneElement
42. Composition.section:flt.section:radiotherapy.title
Control1..?
43. Composition.section:flt.section:radiotherapy.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-rt"/>
  </coding>
</valueCodeableConcept>
44. Composition.section:flt.section:radiotherapy.text
Control1..?
45. Composition.section:flt.section:radiotherapy.entry
Definition

Radiotherapy

Control1..?
TypeReference(Procedure|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
46. Composition.section:flt.section:radiotherapy.entry:radiotherapy
SliceNameradiotherapy
Control0..*
TypeReference(ProcedureRadiotherapyPcsp)
47. Composition.section:flt.section:radiotherapy.entry:boost
SliceNameboost
Definition

Radiotherapy Boost

Control0..*
TypeReference(ProcedureRadiotherapyBoostPcsp)
48. Composition.section:flt.section:radiotherapy.entry:shield
SliceNameshield
Definition

Radiotherapy Shielding

Control0..*
TypeReference(ProcedureRadiotherapyShieldingPcsp)
49. Composition.section:flt.section:radiotherapy.emptyReason
Control0..?
50. Composition.section:flt.section:majorSurgery
SliceNamemajorSurgery
Control0..1
TypeBackboneElement
51. Composition.section:flt.section:majorSurgery.title
Control1..?
52. Composition.section:flt.section:majorSurgery.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="8690-0"/>
  </coding>
</valueCodeableConcept>
53. Composition.section:flt.section:majorSurgery.text
Control1..?
54. Composition.section:flt.section:majorSurgery.entry
Definition

Major Surgery

Control1..?
TypeReference(Procedure|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
55. Composition.section:flt.section:majorSurgery.entry:procedure
SliceNameprocedure
Definition

Surgical procedure

Control0..*
TypeReference(ProcedureSurgeryPcsp)
56. Composition.section:flt.section:majorSurgery.emptyReason
Control0..?
57. Composition.section:flt.section:otherInfos
SliceNameotherInfos
Control0..1
TypeBackboneElement
58. Composition.section:flt.section:otherInfos.title
Control1..?
59. Composition.section:flt.section:otherInfos.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-otherInfos"/>
  </coding>
</valueCodeableConcept>
60. Composition.section:flt.section:otherInfos.text
Control1..?
61. Composition.section:flt.section:otherInfos.entry
Definition

Other infos

Control0..?
TypeReference(Condition|Procedure|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
62. Composition.section:flt.section:otherInfos.entry:conditionToxicity
SliceNameconditionToxicity
Definition

Condition: Severe Toxicity

Control0..*
TypeReference(ConditionToxicityPcsp)
63. Composition.section:flt.section:otherInfos.entry:conditionOtherInfos
SliceNameconditionOtherInfos
Definition

Other Conditions

Control0..*
TypeReference(ConditionOtherInfosPcsp)
64. Composition.section:flt.section:otherInfos.entry:procedureCVC
SliceNameprocedureCVC
Definition

Procedure: Catheter

Control0..*
TypeReference(ProcedureCVCOtherInfosPcsp)
65. Composition.section:flt.section:otherInfos.entry:procedureTransfusion
SliceNameprocedureTransfusion
Definition

Procedure: Transfusion

Control0..*
TypeReference(ProcedureTransfusionOtherInfosPcsp)
66. Composition.section:flt.section:otherInfos.entry:procedureCryopreservation
SliceNameprocedureCryopreservation
Definition

Procedure: Cryopreservation

Control0..*
TypeReference(ProcedureCryopreservationOtherInfosPcsp)
67. Composition.section:flt.section:otherInfos.entry:procedureOtherTreatment
SliceNameprocedureOtherTreatment
Definition

Procedure: Other Treatments

Control0..*
TypeReference(ProcedureOtherTreatmentPcsp)
68. Composition.section:flt.section:otherInfos.emptyReason
Control0..?
69. Composition.section:flt.section:medicalSuggestion
SliceNamemedicalSuggestion
Control0..1
TypeBackboneElement
70. Composition.section:flt.section:medicalSuggestion.title
Control1..?
71. Composition.section:flt.section:medicalSuggestion.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-suggestion"/>
  </coding>
</valueCodeableConcept>
72. Composition.section:flt.section:medicalSuggestion.text
Control1..?
73. Composition.section:flt.section:medicalSuggestion.emptyReason
Control0..?
74. Composition.section:flt.section:relapseAfterEOT
SliceNamerelapseAfterEOT
Control0..*
TypeBackboneElement
75. Composition.section:flt.section:relapseAfterEOT.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-relapseAfterEOT"/>
  </coding>
</valueCodeableConcept>
76. Composition.section:flt.section:relapseAfterEOT.entry
Definition

Entry describing the primary cancer and optionally FLT and metastasis.

Control0..?
TypeReference(Condition|Procedure|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
77. Composition.section:flt.section:relapseAfterEOT.entry:primaryCancer
SliceNameprimaryCancer
Definition

Relapse or progression after the end of treatment

Control0..*
TypeReference(ConditionPrimaryCancerPcsp)
78. Composition.section:flt.section:relapseAfterEOT.entry:metastasis
SliceNamemetastasis
Definition

Metastasis

Control0..*
TypeReference(ConditionSecondaryCancerPcsp)
79. Composition.section:flt.section:relapseAfterEOT.section
Control0..?
SlicingThis element introduces a set of slices on Composition.section.section.section. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
80. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy
SliceNamechemotherapy
Control0..1
TypeBackboneElement
81. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.title
Control1..?
82. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="11486-8"/>
  </coding>
</valueCodeableConcept>
83. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.text
Control1..?
84. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry
Definition

Chemotherapy

Control1..?
TypeReference(MedicationAdministration|MedicationStatement|Procedure|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
85. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry:medicationAdministration
SliceNamemedicationAdministration
Definition

MedicationAdministration Chemotherapy

Control1..*
TypeReference(MedicationAdministrationPcsp)
86. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry:medicationStatement
SliceNamemedicationStatement
Definition

MedicationStatementChemotherapy

Control0..*
TypeReference(MedicationStatementPcsp)
87. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.emptyReason
Control0..?
88. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation
SliceNamestemCellTransplantation
Control0..1
TypeBackboneElement
89. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.title
Control1..?
90. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-sct"/>
  </coding>
</valueCodeableConcept>
91. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.text
Control1..?
92. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry
Definition

Stem Cell Transplantation

Control1..?
TypeReference(Procedure|Condition|Observation|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
93. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:sct
SliceNamesct
Control0..*
TypeReference(ProcedureSctPcsp)
94. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:gvdh-prophylaxis
SliceNamegvdh-prophylaxis
Definition

GVHD prophylaxis

Control0..*
TypeReference(ProcedureSctProphylaxisPcsp)
95. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:gvdh
SliceNamegvdh
Definition

Grafversus host disease (GvHD)

Control0..*
TypeReference(ConditionGvhdPcsp)
96. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:blood-abo
SliceNameblood-abo
Definition

Blood type/RH

Control0..*
TypeReference(ObservationBloodAboRh)
97. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.emptyReason
Control0..?
98. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy
SliceNameradiotherapy
Control0..1
TypeBackboneElement
99. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.title
Control1..?
100. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-rt"/>
  </coding>
</valueCodeableConcept>
101. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.text
Control1..?
102. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry
Definition

Radiotherapy

Control1..?
TypeReference(Procedure|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
103. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:radiotherapy
SliceNameradiotherapy
Control0..*
TypeReference(ProcedureRadiotherapyPcsp)
104. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:boost
SliceNameboost
Definition

Radiotherapy Boost

Control0..*
TypeReference(ProcedureRadiotherapyBoostPcsp)
105. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:shield
SliceNameshield
Definition

Radiotherapy Shielding

Control0..*
TypeReference(ProcedureRadiotherapyShieldingPcsp)
106. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.emptyReason
Control0..?
107. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery
SliceNamemajorSurgery
Control0..1
TypeBackboneElement
108. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.title
Control1..?
109. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="8690-0"/>
  </coding>
</valueCodeableConcept>
110. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.text
Control1..?
111. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.entry
Definition

Major Surgery

Control1..?
TypeReference(Procedure|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
112. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.entry:procedure
SliceNameprocedure
Definition

Surgical procedure

Control0..*
TypeReference(ProcedureSurgeryPcsp)
113. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.emptyReason
Control0..?
114. Composition.section:flt.section:relapseAfterEOT.section:otherInfos
SliceNameotherInfos
Control0..1
TypeBackboneElement
115. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.title
Control1..?
116. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-otherInfos"/>
  </coding>
</valueCodeableConcept>
117. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.text
Control1..?
118. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry
Definition

Other infos

Control0..?
TypeReference(Condition|Procedure|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
119. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:conditionToxicity
SliceNameconditionToxicity
Definition

Condition: Severe Toxicity

Control0..*
TypeReference(ConditionToxicityPcsp)
120. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:conditionOtherInfos
SliceNameconditionOtherInfos
Definition

Other Conditions

Control0..*
TypeReference(ConditionOtherInfosPcsp)
121. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureCVC
SliceNameprocedureCVC
Definition

Procedure: Catheter

Control0..*
TypeReference(ProcedureCVCOtherInfosPcsp)
122. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureTransfusion
SliceNameprocedureTransfusion
Definition

Procedure: Transfusion

Control0..*
TypeReference(ProcedureTransfusionOtherInfosPcsp)
123. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureCryopreservation
SliceNameprocedureCryopreservation
Definition

Procedure: Cryopreservation

Control0..*
TypeReference(ProcedureCryopreservationOtherInfosPcsp)
124. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureOtherTreatment
SliceNameprocedureOtherTreatment
Definition

Procedure: Other Treatments

Control0..*
TypeReference(ProcedureOtherTreatmentPcsp)
125. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.emptyReason
Control0..?
126. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion
SliceNamemedicalSuggestion
Control0..1
TypeBackboneElement
127. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.title
Control1..?
128. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-suggestion"/>
  </coding>
</valueCodeableConcept>
129. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.text
Control1..?
130. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.emptyReason
Control0..?
131. Composition.section:flt.section:otherConditions
SliceNameotherConditions
Control0..1
TypeBackboneElement
132. Composition.section:flt.section:otherConditions.title
Control1..?
133. Composition.section:flt.section:otherConditions.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-otherConditions"/>
  </coding>
</valueCodeableConcept>
134. Composition.section:flt.section:otherConditions.text
Control1..?
135. Composition.section:flt.section:otherConditions.emptyReason
Control0..?
136. Composition.section:carePlan
SliceNamecarePlan
Control0..1
137. Composition.section:carePlan.title
Control1..?
138. Composition.section:carePlan.code
Control1..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="18776-5"/>
  </coding>
</valueCodeableConcept>
139. Composition.section:carePlan.text
Control1..?
140. Composition.section:carePlan.entry
Definition

Care Plan

Control1..?
TypeReference(CarePlan|DocumentReference)
SlicingThis element introduces a set of slices on Composition.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
141. Composition.section:carePlan.entry:carePlan
SliceNamecarePlan
Control1..*
TypeReference(CarePlanPcsp)
142. Composition.section:carePlan.emptyReason
Control0..?

Guidance on how to interpret the contents of this table can be found here.

1. Composition
Definition

A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

Control0..*
Summaryfalse
Comments

While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

InvariantsDefined on this element
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (: text.`div`.exists())
2. Composition.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Control0..1
Typeuri
Is Modifiertrue
Summarytrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
3. Composition.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
4. Composition.identifier
Definition

A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
Summarytrue
Comments

Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
5. Composition.status
Definition

The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

Control1..1
BindingThe codes SHALL be taken from CompositionStatus

The workflow/clinical status of the composition.

Typecode
Is Modifiertrue
Summarytrue
Requirements

Need to be able to mark interim, amended, or withdrawn compositions or documents.

Comments

If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
6. Composition.type
Definition

Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

Control1..1
BindingThe codes SHOULD be taken from FHIRDocumentTypeCodes

Type of a composition.

TypeCodeableConcept
Summarytrue
Requirements

Key metadata element describing the composition, used in searching/filtering.

Comments

For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="surpass"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
7. Composition.subject
Definition

Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

Control10..1
TypeReference(PatientPcsp|Resource)
Summarytrue
Requirements

Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

Comments

For clinical documents, this is usually the patient.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
8. Composition.date
Definition

The composition editing time, when the composition was last logically changed by the author.

Control1..1
TypedateTime
Summarytrue
Requirements

dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

Comments

The Last Modified Date on the composition may be after the date of the document was attested without being changed.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
9. Composition.author
Definition

Identifies who is responsible for the information in the composition, not necessarily who typed it in.

Control1..*
TypeReference(Practitioner|PractitionerRole|Device|Patient|RelatedPerson|Organization)
Summarytrue
Requirements

Identifies who is responsible for the content.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
10. Composition.title
Definition

Official human-readable label for the composition.

Control1..1
Typestring
Summarytrue
Comments

For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. Composition.attester
Definition

A participant who has attested to the accuracy of the composition/document.

Control0..*
TypeBackboneElement
Summaryfalse
Requirements

Identifies responsibility for the accuracy of the composition content.

Comments

Only list each attester once.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
12. Composition.attester.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
13. Composition.attester.mode
Definition

The type of attestation the authenticator offers.

Control1..1
BindingThe codes SHALL be taken from CompositionAttestationMode

The way in which a person authenticated a composition.

Typecode
Summaryfalse
Requirements

Indicates the level of authority of the attestation.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. Composition.section
Definition

The root of the sections that make up the composition.

Control10..*
TypeBackboneElement
Summaryfalse
InvariantsDefined on this element
cmp-1: A section must contain at least one of text, entries, or sub-sections (: text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (: emptyReason.empty() or entry.empty())
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
15. Composition.section.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
16. Composition.section:flt
SliceNameflt
Definition

The root of the sections that make up the composition.

Control10..*
TypeBackboneElement
Summaryfalse
InvariantsDefined on this element
cmp-1: A section must contain at least one of text, entries, or sub-sections (: text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (: emptyReason.empty() or entry.empty())
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
17. Composition.section:flt.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
18. Composition.section:flt.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
19. Composition.section:flt.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="72135-7"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
20. Composition.section:flt.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
21. Composition.section:flt.entry
Definition

Entrdescribing the primary cancer and optionally FLT anmetastasis.

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(Condition|Procedure|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
22. Composition.section:flt.entry:primaryCancer
SliceNameprimaryCancer
Definition

Primary Cancer or relapse during the treatment

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionPrimaryCancerPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
23. Composition.section:flt.entry:metastasis
SliceNamemetastasis
Definition

Metastasis

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionSecondaryCancerPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
24. Composition.section:flt.entry:flt
SliceNameflt
Definition

FronLine Treatment

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureFltPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
25. Composition.section:flt.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
26. Composition.section:flt.section
Definition

A nested sub-section within this section.

Control10..* This element is affected by the following invariants: cmp-1
TypeSee ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
27. Composition.section:flt.section:chemotherapy
SliceNamechemotherapy
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
28. Composition.section:flt.section:chemotherapy.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
29. Composition.section:flt.section:chemotherapy.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
30. Composition.section:flt.section:chemotherapy.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="11486-8"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
31. Composition.section:flt.section:chemotherapy.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
32. Composition.section:flt.section:chemotherapy.entry
Definition

Chemotherapy

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(MedicationAdministration|MedicationStatement|Procedure|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
33. Composition.section:flt.section:chemotherapy.entry:medicationAdministration
SliceNamemedicationAdministration
Definition

MedicationAdministration Chemotherapy

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(MedicationAdministrationPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
34. Composition.section:flt.section:chemotherapy.entry:medicationStatement
SliceNamemedicationStatement
Definition

MedicationStatementChemotherapy

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(MedicationStatementPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
35. Composition.section:flt.section:chemotherapy.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
36. Composition.section:flt.section:stemCellTransplantation
SliceNamestemCellTransplantation
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
37. Composition.section:flt.section:stemCellTransplantation.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
38. Composition.section:flt.section:stemCellTransplantation.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
39. Composition.section:flt.section:stemCellTransplantation.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-sct"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
40. Composition.section:flt.section:stemCellTransplantation.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
41. Composition.section:flt.section:stemCellTransplantation.entry
Definition

Stem Cell Transplantation

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(Procedure|Condition|Observation|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
42. Composition.section:flt.section:stemCellTransplantation.entry:sct
SliceNamesct
Definition

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureSctPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
43. Composition.section:flt.section:stemCellTransplantation.entry:gvdh-prophylaxis
SliceNamegvdh-prophylaxis
Definition

GVHD prophylaxis

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureSctProphylaxisPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
44. Composition.section:flt.section:stemCellTransplantation.entry:gvdh
SliceNamegvdh
Definition

Grafversus host disease (GvHD)

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionGvhdPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
45. Composition.section:flt.section:stemCellTransplantation.entry:blood-abo
SliceNameblood-abo
Definition

Blood type/RH

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ObservationBloodAboRh|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
46. Composition.section:flt.section:stemCellTransplantation.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
47. Composition.section:flt.section:radiotherapy
SliceNameradiotherapy
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
48. Composition.section:flt.section:radiotherapy.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
49. Composition.section:flt.section:radiotherapy.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
50. Composition.section:flt.section:radiotherapy.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-rt"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
51. Composition.section:flt.section:radiotherapy.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
52. Composition.section:flt.section:radiotherapy.entry
Definition

Radiotherapy

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(Procedure|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
53. Composition.section:flt.section:radiotherapy.entry:radiotherapy
SliceNameradiotherapy
Definition

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureRadiotherapyPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
54. Composition.section:flt.section:radiotherapy.entry:boost
SliceNameboost
Definition

Radiotherapy Boost

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureRadiotherapyBoostPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
55. Composition.section:flt.section:radiotherapy.entry:shield
SliceNameshield
Definition

Radiotherapy Shielding

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureRadiotherapyShieldingPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
56. Composition.section:flt.section:radiotherapy.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
57. Composition.section:flt.section:majorSurgery
SliceNamemajorSurgery
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
58. Composition.section:flt.section:majorSurgery.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
59. Composition.section:flt.section:majorSurgery.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
60. Composition.section:flt.section:majorSurgery.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="8690-0"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
61. Composition.section:flt.section:majorSurgery.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
62. Composition.section:flt.section:majorSurgery.entry
Definition

Major Surgery

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(Procedure|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
63. Composition.section:flt.section:majorSurgery.entry:procedure
SliceNameprocedure
Definition

Surgical procedure

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureSurgeryPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
64. Composition.section:flt.section:majorSurgery.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
65. Composition.section:flt.section:otherInfos
SliceNameotherInfos
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
66. Composition.section:flt.section:otherInfos.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
67. Composition.section:flt.section:otherInfos.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
68. Composition.section:flt.section:otherInfos.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-otherInfos"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
69. Composition.section:flt.section:otherInfos.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
70. Composition.section:flt.section:otherInfos.entry
Definition

Other infos

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(Condition|Procedure|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
71. Composition.section:flt.section:otherInfos.entry:conditionToxicity
SliceNameconditionToxicity
Definition

Condition: Severe Toxicity

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionToxicityPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
72. Composition.section:flt.section:otherInfos.entry:conditionOtherInfos
SliceNameconditionOtherInfos
Definition

Other Conditions

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionOtherInfosPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
73. Composition.section:flt.section:otherInfos.entry:procedureCVC
SliceNameprocedureCVC
Definition

Procedure: Catheter

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureCVCOtherInfosPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
74. Composition.section:flt.section:otherInfos.entry:procedureTransfusion
SliceNameprocedureTransfusion
Definition

Procedure: Transfusion

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureTransfusionOtherInfosPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
75. Composition.section:flt.section:otherInfos.entry:procedureCryopreservation
SliceNameprocedureCryopreservation
Definition

Procedure: Cryopreservation

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureCryopreservationOtherInfosPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
76. Composition.section:flt.section:otherInfos.entry:procedureOtherTreatment
SliceNameprocedureOtherTreatment
Definition

Procedure: Other Treatments

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureOtherTreatmentPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
77. Composition.section:flt.section:otherInfos.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
78. Composition.section:flt.section:medicalSuggestion
SliceNamemedicalSuggestion
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
79. Composition.section:flt.section:medicalSuggestion.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
80. Composition.section:flt.section:medicalSuggestion.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
81. Composition.section:flt.section:medicalSuggestion.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-suggestion"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
82. Composition.section:flt.section:medicalSuggestion.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
83. Composition.section:flt.section:medicalSuggestion.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
84. Composition.section:flt.section:relapseAfterEOT
SliceNamerelapseAfterEOT
Definition

A nested sub-section within this section.

Control0..* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
85. Composition.section:flt.section:relapseAfterEOT.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
86. Composition.section:flt.section:relapseAfterEOT.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-relapseAfterEOT"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
87. Composition.section:flt.section:relapseAfterEOT.entry
Definition

Entry describing the primary cancer and optionally FLT and metastasis.

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(Condition|Procedure|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
88. Composition.section:flt.section:relapseAfterEOT.entry:primaryCancer
SliceNameprimaryCancer
Definition

Relapse or progression after the end of treatment

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionPrimaryCancerPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
89. Composition.section:flt.section:relapseAfterEOT.entry:metastasis
SliceNamemetastasis
Definition

Metastasis

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionSecondaryCancerPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
90. Composition.section:flt.section:relapseAfterEOT.section
Definition

A nested sub-section within this section.

Control0..* This element is affected by the following invariants: cmp-1
TypeSee ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.section. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
91. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy
SliceNamechemotherapy
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
92. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
93. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
94. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="11486-8"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
95. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
96. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry
Definition

Chemotherapy

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(MedicationAdministration|MedicationStatement|Procedure|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
97. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry:medicationAdministration
SliceNamemedicationAdministration
Definition

MedicationAdministration Chemotherapy

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(MedicationAdministrationPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
98. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.entry:medicationStatement
SliceNamemedicationStatement
Definition

MedicationStatementChemotherapy

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(MedicationStatementPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
99. Composition.section:flt.section:relapseAfterEOT.section:chemotherapy.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
100. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation
SliceNamestemCellTransplantation
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
101. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
102. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
103. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-sct"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
104. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
105. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry
Definition

Stem Cell Transplantation

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(Procedure|Condition|Observation|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
106. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:sct
SliceNamesct
Definition

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureSctPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
107. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:gvdh-prophylaxis
SliceNamegvdh-prophylaxis
Definition

GVHD prophylaxis

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureSctProphylaxisPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
108. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:gvdh
SliceNamegvdh
Definition

Grafversus host disease (GvHD)

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionGvhdPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
109. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.entry:blood-abo
SliceNameblood-abo
Definition

Blood type/RH

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ObservationBloodAboRh|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
110. Composition.section:flt.section:relapseAfterEOT.section:stemCellTransplantation.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
111. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy
SliceNameradiotherapy
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
112. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
113. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
114. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-rt"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
115. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
116. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry
Definition

Radiotherapy

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(Procedure|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
117. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:radiotherapy
SliceNameradiotherapy
Definition

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureRadiotherapyPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
118. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:boost
SliceNameboost
Definition

Radiotherapy Boost

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureRadiotherapyBoostPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
119. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.entry:shield
SliceNameshield
Definition

Radiotherapy Shielding

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureRadiotherapyShieldingPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
120. Composition.section:flt.section:relapseAfterEOT.section:radiotherapy.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
121. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery
SliceNamemajorSurgery
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
122. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
123. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
124. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="8690-0"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
125. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
126. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.entry
Definition

Major Surgery

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(Procedure|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
127. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.entry:procedure
SliceNameprocedure
Definition

Surgical procedure

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureSurgeryPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
128. Composition.section:flt.section:relapseAfterEOT.section:majorSurgery.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
129. Composition.section:flt.section:relapseAfterEOT.section:otherInfos
SliceNameotherInfos
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
130. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
131. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
132. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-otherInfos"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
133. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
134. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry
Definition

Other infos

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(Condition|Procedure|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
135. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:conditionToxicity
SliceNameconditionToxicity
Definition

Condition: Severe Toxicity

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionToxicityPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
136. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:conditionOtherInfos
SliceNameconditionOtherInfos
Definition

Other Conditions

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionOtherInfosPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
137. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureCVC
SliceNameprocedureCVC
Definition

Procedure: Catheter

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureCVCOtherInfosPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
138. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureTransfusion
SliceNameprocedureTransfusion
Definition

Procedure: Transfusion

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureTransfusionOtherInfosPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
139. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureCryopreservation
SliceNameprocedureCryopreservation
Definition

Procedure: Cryopreservation

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureCryopreservationOtherInfosPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
140. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.entry:procedureOtherTreatment
SliceNameprocedureOtherTreatment
Definition

Procedure: Other Treatments

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureOtherTreatmentPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
141. Composition.section:flt.section:relapseAfterEOT.section:otherInfos.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
142. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion
SliceNamemedicalSuggestion
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
143. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
144. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
145. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-suggestion"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
146. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
147. Composition.section:flt.section:relapseAfterEOT.section:medicalSuggestion.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
148. Composition.section:flt.section:otherConditions
SliceNameotherConditions
Definition

A nested sub-section within this section.

Control0..1* This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
149. Composition.section:flt.section:otherConditions.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
150. Composition.section:flt.section:otherConditions.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
151. Composition.section:flt.section:otherConditions.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-otherConditions"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
152. Composition.section:flt.section:otherConditions.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
153. Composition.section:flt.section:otherConditions.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
154. Composition.section:carePlan
SliceNamecarePlan
Definition

The root of the sections that make up the composition.

Control0..1*
TypeBackboneElement
Summaryfalse
InvariantsDefined on this element
cmp-1: A section must contain at least one of text, entries, or sub-sections (: text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (: emptyReason.empty() or entry.empty())
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
155. Composition.section:carePlan.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
156. Composition.section:carePlan.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control10..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
157. Composition.section:carePlan.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control10..1
BindingFor example codes, see DocumentSectionCodes

Classification of a section of a composition/document.

TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="18776-5"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
158. Composition.section:carePlan.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control10..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
159. Composition.section:carePlan.entry
Definition

Care Plan

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(CarePlan|DocumentReference|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
160. Composition.section:carePlan.entry:carePlan
SliceNamecarePlan
Definition

A reference to the actual resource from which the narrative in the section is derived.

Control10..* This element is affected by the following invariants: cmp-2
TypeReference(CarePlanPcsp|Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
161. Composition.section:carePlan.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons

If a section is empty, why it is empty.

TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here.

1. Composition
Definition

A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

Control0..*
Summaryfalse
Comments

While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

2. Composition.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..1
Typeid
Summarytrue
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

3. Composition.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Control0..1
TypeMeta
Summarytrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
4. Composition.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Control0..1
Typeuri
Is Modifiertrue
Summarytrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
5. Composition.language
Definition

The base language in which the resource is written.

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages A human language
Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Summaryfalse
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
6. Composition.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1
TypeNarrative
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
7. Composition.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

8. Composition.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
9. Composition.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
10. Composition.identifier
Definition

A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
Summarytrue
Comments

Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. Composition.status
Definition

The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

Control1..1
BindingThe codes SHALL be taken from CompositionStatus The workflow/clinical status of the composition
Typecode
Is Modifiertrue
Summarytrue
Requirements

Need to be able to mark interim, amended, or withdrawn compositions or documents.

Comments

If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
12. Composition.type
Definition

Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

Control1..1
BindingThe codes SHOULD be taken from FHIRDocumentTypeCodes Type of a composition
TypeCodeableConcept
Summarytrue
Requirements

Key metadata element describing the composition, used in searching/filtering.

Comments

For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="surpass"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
13. Composition.type.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
14. Composition.type.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Composition.type.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
15. Composition.type.coding
Definition

A reference to a code defined by a terminology system.

Control0..*
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
16. Composition.type.coding.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
17. Composition.type.coding.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Composition.type.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
18. Composition.type.coding.system
Definition

The identification of the code system that defines the meaning of the symbol in the code.

Control0..1
Typeuri
Summarytrue
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
19. Composition.type.coding.version
Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

NoteThis is a business versionId, not a resource version id (see discussion)
Control0..1
Typestring
Summarytrue
Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
20. Composition.type.coding.code
Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Control0..1
Typecode
Summarytrue
Requirements

Need to refer to a particular code in the system.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
21. Composition.type.coding.display
Definition

A representation of the meaning of the code in the system, following the rules of the system.

Control0..1
Typestring
Summarytrue
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
22. Composition.type.coding.userSelected
Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Control0..1
Typeboolean
Summarytrue
Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
23. Composition.type.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control0..1
Typestring
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
24. Composition.category
Definition

A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

Control0..*
BindingFor example codes, see DocumentClassValueSet High-level kind of a clinical document at a macro level
TypeCodeableConcept
Summarytrue
Requirements

Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

Comments

This is a metadata field from XDS/MHD.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
25. Composition.subject
Definition

Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

Control1..1
TypeReference(PatientPcsp)
Summarytrue
Requirements

Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

Comments

For clinical documents, this is usually the patient.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
26. Composition.encounter
Definition

Describes the clinical encounter or type of care this documentation is associated with.

Control0..1
TypeReference(Encounter)
Summarytrue
Requirements

Provides context for the composition and supports searching.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
27. Composition.date
Definition

The composition editing time, when the composition was last logically changed by the author.

Control1..1
TypedateTime
Summarytrue
Requirements

dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

Comments

The Last Modified Date on the composition may be after the date of the document was attested without being changed.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
28. Composition.author
Definition

Identifies who is responsible for the information in the composition, not necessarily who typed it in.

Control1..*
TypeReference(Practitioner|PractitionerRole|Device|Patient|RelatedPerson|Organization)
Summarytrue
Requirements

Identifies who is responsible for the content.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
29. Composition.title
Definition

Official human-readable label for the composition.

Control1..1
Typestring
Summarytrue
Comments

For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
30. Composition.confidentiality
Definition

The code specifying the level of confidentiality of the Composition.

Control0..1
BindingThe codes SHALL be taken from v3.ConfidentialityClassification (2014-03-26) Codes specifying the level of confidentiality of the composition
Typecode
Summarytrue
Comments

The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
31. Composition.attester
Definition

A participant who has attested to the accuracy of the composition/document.

Control0..*
TypeBackboneElement
Summaryfalse
Requirements

Identifies responsibility for the accuracy of the composition content.

Comments

Only list each attester once.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
32. Composition.attester.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
33. Composition.attester.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
34. Composition.attester.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
35. Composition.attester.mode
Definition

The type of attestation the authenticator offers.

Control1..1
BindingThe codes SHALL be taken from CompositionAttestationMode The way in which a person authenticated a composition
Typecode
Summaryfalse
Requirements

Indicates the level of authority of the attestation.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
36. Composition.attester.time
Definition

When the composition was attested by the party.

Control0..1
TypedateTime
Summaryfalse
Requirements

Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
37. Composition.attester.party
Definition

Who attested the composition in the specified way.

Control0..1
TypeReference(Patient|RelatedPerson|Practitioner|PractitionerRole|Organization)
Summaryfalse
Requirements

Identifies who has taken on the responsibility for accuracy of the composition content.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
38. Composition.custodian
Definition

Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

Control0..1
TypeReference(Organization)
Summarytrue
Requirements

Identifies where to go to find the current version, where to report issues, etc.

Comments

This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
39. Composition.relatesTo
Definition

Relationships that this composition has with other compositions or documents that already exist.

Control0..*
TypeBackboneElement
Summaryfalse
Comments

A document is a version specific composition.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
40. Composition.relatesTo.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
41. Composition.relatesTo.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
42. Composition.relatesTo.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
43. Composition.relatesTo.code
Definition

The type of relationship that this composition has with anther composition or document.

Control1..1
BindingThe codes SHALL be taken from DocumentRelationshipType The type of relationship between documents
Typecode
Summaryfalse
Comments

If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
44. Composition.relatesTo.target[x]
Definition

The target composition/document of this relationship.

Control1..1
TypeChoice of: Identifier, Reference(Composition)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Summaryfalse
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
45. Composition.event
Definition

The clinical service, such as a colonoscopy or an appendectomy, being documented.

Control0..*
TypeBackboneElement
Summarytrue
Requirements

Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

Comments

The event needs to be consistent with the type element, though can provide further information if desired.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
46. Composition.event.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
47. Composition.event.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
48. Composition.event.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
49. Composition.event.code
Definition

This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

Control0..*
BindingFor example codes, see v3 Code System ActCode This list of codes represents the main clinical acts being documented
TypeCodeableConcept
Summarytrue
Comments

An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
50. Composition.event.period
Definition

The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

Control0..1
TypePeriod
Summarytrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
51. Composition.event.detail
Definition

The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

Control0..*
TypeReference(Resource)
Summarytrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
52. Composition.section
Definition

The root of the sections that make up the composition.

Control1..*
TypeBackboneElement
Summaryfalse
InvariantsDefined on this element
cmp-1: A section must contain at least one of text, entries, or sub-sections (: text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (: emptyReason.empty() or entry.empty())
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
53. Composition.section.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
54. Composition.section.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
55. Composition.section.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
56. Composition.section.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control0..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
57. Composition.section.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control0..1
BindingFor example codes, see DocumentSectionCodes Classification of a section of a composition/document
TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
58. Composition.section.author
Definition

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Control0..*
TypeReference(Practitioner|PractitionerRole|Device|Patient|RelatedPerson|Organization)
Summaryfalse
Requirements

Identifies who is responsible for the content.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
59. Composition.section.focus
Definition

The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

Control0..1
TypeReference(Resource)
Summaryfalse
Comments

Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
60. Composition.section.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control0..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
61. Composition.section.mode
Definition

How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

Control0..1
BindingThe codes SHALL be taken from ListMode The processing mode that applies to this section
Typecode
Summaryfalse
Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
62. Composition.section.orderedBy
Definition

Specifies the order applied to the items in the section entries.

Control0..1
BindingThe codes SHOULD be taken from ListOrderCodes What order applies to the items in the entry
TypeCodeableConcept
Summaryfalse
Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Comments

Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
63. Composition.section.entry
Definition

A reference to the actual resource from which the narrative in the section is derived.

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(Resource)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
64. Composition.section.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons If a section is empty, why it is empty
TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
65. Composition.section.section
Definition

A nested sub-section within this section.

Control0..* This element is affected by the following invariants: cmp-1
TypeSee ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
66. Composition.section:flt
SliceNameflt
Definition

The root of the sections that make up the composition.

Control1..*
TypeBackboneElement
Summaryfalse
InvariantsDefined on this element
cmp-1: A section must contain at least one of text, entries, or sub-sections (: text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (: emptyReason.empty() or entry.empty())
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
67. Composition.section:flt.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
68. Composition.section:flt.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
69. Composition.section:flt.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
70. Composition.section:flt.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control1..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
71. Composition.section:flt.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control1..1
BindingFor example codes, see DocumentSectionCodes Classification of a section of a composition/document
TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="72135-7"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
72. Composition.section:flt.author
Definition

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Control0..*
TypeReference(Practitioner|PractitionerRole|Device|Patient|RelatedPerson|Organization)
Summaryfalse
Requirements

Identifies who is responsible for the content.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
73. Composition.section:flt.focus
Definition

The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

Control0..1
TypeReference(Resource)
Summaryfalse
Comments

Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
74. Composition.section:flt.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control1..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
75. Composition.section:flt.mode
Definition

How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

Control0..1
BindingThe codes SHALL be taken from ListMode The processing mode that applies to this section
Typecode
Summaryfalse
Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
76. Composition.section:flt.orderedBy
Definition

Specifies the order applied to the items in the section entries.

Control0..1
BindingThe codes SHOULD be taken from ListOrderCodes What order applies to the items in the entry
TypeCodeableConcept
Summaryfalse
Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Comments

Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
77. Composition.section:flt.entry
Definition

Entrdescribing the primary cancer and optionally FLT anmetastasis.

Control1..* This element is affected by the following invariants: cmp-2
TypeReference(Condition|Procedure|DocumentReference)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
78. Composition.section:flt.entry:primaryCancer
SliceNameprimaryCancer
Definition

Primary Cancer or relapse during the treatment

Control1..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionPrimaryCancerPcsp)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
79. Composition.section:flt.entry:metastasis
SliceNamemetastasis
Definition

Metastasis

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ConditionSecondaryCancerPcsp)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
80. Composition.section:flt.entry:flt
SliceNameflt
Definition

FronLine Treatment

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(ProcedureFltPcsp)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
81. Composition.section:flt.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons If a section is empty, why it is empty
TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
82. Composition.section:flt.section
Definition

A nested sub-section within this section.

Control1..* This element is affected by the following invariants: cmp-1
TypeSee ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
83. Composition.section:flt.section:chemotherapy
SliceNamechemotherapy
Definition

A nested sub-section within this section.

Control0..1 This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
84. Composition.section:flt.section:chemotherapy.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
85. Composition.section:flt.section:chemotherapy.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
86. Composition.section:flt.section:chemotherapy.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
87. Composition.section:flt.section:chemotherapy.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control1..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
88. Composition.section:flt.section:chemotherapy.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control1..1
BindingFor example codes, see DocumentSectionCodes Classification of a section of a composition/document
TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://loinc.org"/>
    <code value="11486-8"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
89. Composition.section:flt.section:chemotherapy.author
Definition

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Control0..*
TypeReference(Practitioner|PractitionerRole|Device|Patient|RelatedPerson|Organization)
Summaryfalse
Requirements

Identifies who is responsible for the content.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
90. Composition.section:flt.section:chemotherapy.focus
Definition

The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

Control0..1
TypeReference(Resource)
Summaryfalse
Comments

Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
91. Composition.section:flt.section:chemotherapy.text
Definition

A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

Control1..1 This element is affected by the following invariants: cmp-1
TypeNarrative
Summaryfalse
Comments

Document profiles may define what content should be represented in the narrative to ensure clinical safety.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
92. Composition.section:flt.section:chemotherapy.mode
Definition

How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

Control0..1
BindingThe codes SHALL be taken from ListMode The processing mode that applies to this section
Typecode
Summaryfalse
Requirements

Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

Comments

This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
93. Composition.section:flt.section:chemotherapy.orderedBy
Definition

Specifies the order applied to the items in the section entries.

Control0..1
BindingThe codes SHOULD be taken from ListOrderCodes What order applies to the items in the entry
TypeCodeableConcept
Summaryfalse
Requirements

Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

Comments

Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
94. Composition.section:flt.section:chemotherapy.entry
Definition

Chemotherapy

Control1..* This element is affected by the following invariants: cmp-2
TypeReference(MedicationAdministration|MedicationStatement|Procedure|DocumentReference)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Composition.section.section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ resolve()
  • type @ resolve(),
95. Composition.section:flt.section:chemotherapy.entry:medicationAdministration
SliceNamemedicationAdministration
Definition

MedicationAdministration Chemotherapy

Control1..* This element is affected by the following invariants: cmp-2
TypeReference(MedicationAdministrationPcsp)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
96. Composition.section:flt.section:chemotherapy.entry:medicationStatement
SliceNamemedicationStatement
Definition

MedicationStatementChemotherapy

Control0..* This element is affected by the following invariants: cmp-2
TypeReference(MedicationStatementPcsp)
Summaryfalse
Comments

If there are no entries in the list, an emptyReason SHOULD be provided.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
97. Composition.section:flt.section:chemotherapy.emptyReason
Definition

If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

Control0..1 This element is affected by the following invariants: cmp-2
BindingThe codes SHOULD be taken from ListEmptyReasons If a section is empty, why it is empty
TypeCodeableConcept
Summaryfalse
Requirements

Allows capturing things like "none exist" or "not asked" which can be important for most lists.

Comments

The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
98. Composition.section:flt.section:chemotherapy.section
Definition

A nested sub-section within this section.

Control0..* This element is affected by the following invariants: cmp-1
TypeSee ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
99. Composition.section:flt.section:stemCellTransplantation
SliceNamestemCellTransplantation
Definition

A nested sub-section within this section.

Control0..1 This element is affected by the following invariants: cmp-1
TypeBackboneElement
Summaryfalse
Comments

Nested sections are primarily used to help human readers navigate to particular portions of the document.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
100. Composition.section:flt.section:stemCellTransplantation.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
101. Composition.section:flt.section:stemCellTransplantation.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
102. Composition.section:flt.section:stemCellTransplantation.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
103. Composition.section:flt.section:stemCellTransplantation.title
Definition

The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

Control1..1
Typestring
Summaryfalse
Requirements

Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

Alternate Namesheader, label, caption
Comments

The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
104. Composition.section:flt.section:stemCellTransplantation.code
Definition

A code identifying the kind of content contained within the section. This must be consistent with the section title.

Control1..1
BindingFor example codes, see DocumentSectionCodes Classification of a section of a composition/document
TypeCodeableConcept
Summaryfalse
Requirements

Provides computable standardized labels to topics within the document.

Comments

The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
    <code value="section-sct"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
105. Composition.section:flt.section:stemCellTransplantation.author
Definition

Identifies who is responsible for the information in this section, not necessarily who typed it in.

Control0..*
TypeReference(Practitioner|PractitionerRole|Device|Patient|RelatedPerson|Organization)
Summaryfalse
Requirements

Identifies who is responsible for the content.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
106. Composition.section:flt.section:stemCellTransplantation.focus
Definition

The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

Control0..1
TypeReference(Resource)
Summaryfalse
Comments

Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
107. Composition.section:flt.section:stemCellTransplantation.text