Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build United States of America

This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions

Resource Profile: Plan of Treatment Section

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.10 Version: 2.1.0-draft1
Active as of 2023-01-16 Computable Name: PlanofTreatmentSection
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.2.10:2014-06-09

This section, formerly known as “Plan of Care”, contains data that define pending orders, interventions, encounters, services, and procedures for the patient. It is limited to prospective, unfulfilled, or incomplete orders and requests only. These are indicated by the @moodCode of the entries within this section. All active, incomplete, or pending orders, appointments, referrals, procedures, services, or any other pending event of clinical significance to the current care of the patient should be listed.

This section may also contain information about ongoing care of the patient, clinical reminders, patient’s values, beliefs, preferences, care expectations, and overarching care goals.

Clinical reminders are placed here to provide prompts for disease prevention and management, patient safety, and healthcare quality improvements, including widely accepted performance measures.

Values may include the importance of quality of life over longevity. These values are taken into account when prioritizing all problems and their treatments.

Beliefs may include comfort with dying or the refusal of blood transfusions because of the patient’s religious convictions.

Preferences may include liquid medicines over tablets, or treatment via secure email instead of in person.

Care expectations may range from being treated only by female clinicians, to expecting all calls to be returned within 24 hours.

Overarching goals described in this section are not tied to a specific condition, problem, health concern, or intervention. Examples of overarching goals could be to minimize pain or dependence on others, or to walk a daughter down the aisle for her marriage.

The plan may also indicate that patient education will be provided.

Usage:

Formal Views of Profile Content

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

This structure is derived from CDAR2.Section

NameFlagsCard.TypeDescription & Constraintsdoco
.. Section 1..1CDAR2.SectionBase for all types and resources
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.2.10
..... extension 1..1stringRequired Pattern: 2014-06-09
... code 1..1CE
.... code 1..1stringRequired Pattern: 18776-5
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.1
... title 1..1ED
... Slices for entry 0..*ElementSlice: Unordered, Open by profile:observation, profile:encounter, profile:act, profile:procedure, profile:substanceAdministration, profile:supply
.... entry:plannedObs 0..*Element
..... observation 1..1PlannedObservationBase for all types and resources
.... entry:plannedEnc 0..*Element
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entry:plannedAct 0..*Element
..... act 1..1PlannedActBase for all types and resources
.... entry:plannedProc 0..*Element
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entry:plannedMed 0..*Element
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entry:plannedSupply 0..*Element
..... supply 1..1PlannedSupplyBase for all types and resources
.... entry:instruction 0..*Element
..... act 1..1InstructionBase for all types and resources
.... entry:handoffCommParticipants 0..*Element
..... act 1..1HandoffCommunicationParticipantsBase for all types and resources
.... entry:nutrition 0..*Element
..... act 1..1NutritionRecommendationBase for all types and resources
.... entry:plannedImmunization 0..*Element
..... substanceAdministration 1..1PlannedImmunizationActivityBase for all types and resources
.... entry:goal 0..*Element
..... observation 1..1GoalObservationBase for all types and resources

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Section 1..1CDAR2.SectionBase for all types and resources
... classCode 1..1codeBinding: ActClassRecordOrganizer (required)
Fixed Value: DOCSECT
... moodCode 1..1codeBinding: ActMood (required)
Fixed Value: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.2.10
..... extension 1..1stringRequired Pattern: 2014-06-09
.... code 1..1stringRequired Pattern: 18776-5
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.1
... title 1..1ED
... text S1..1xhtml
... Slices for entry C0..*ElementSlice: Unordered, Open by profile:observation, profile:encounter, profile:act, profile:procedure, profile:substanceAdministration, profile:supply
.... entry:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entry:plannedObs C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... observation 1..1PlannedObservationBase for all types and resources
.... entry:plannedEnc C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entry:plannedAct C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1PlannedActBase for all types and resources
.... entry:plannedProc C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entry:plannedMed C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entry:plannedSupply C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... supply 1..1PlannedSupplyBase for all types and resources
.... entry:instruction C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1InstructionBase for all types and resources
.... entry:handoffCommParticipants C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1HandoffCommunicationParticipantsBase for all types and resources
.... entry:nutrition C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1NutritionRecommendationBase for all types and resources
.... entry:plannedImmunization C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... substanceAdministration 1..1PlannedImmunizationActivityBase for all types and resources
.... entry:goal C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... observation 1..1GoalObservationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Section.classCoderequiredFixed Value: DOCSECT
Section.moodCoderequiredFixed Value: EVN
Section.codeextensibleDocumentSectionType

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
only-one-statementerrorSection.entry, Section.entry:plannedObs, Section.entry:plannedEnc, Section.entry:plannedAct, Section.entry:plannedProc, Section.entry:plannedMed, Section.entry:plannedSupply, Section.entry:instruction, Section.entry:handoffCommParticipants, Section.entry:nutrition, Section.entry:plannedImmunization, Section.entry:goalSHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. Section 1..1CDAR2.SectionBase for all types and resources
... ID 0..1string
... nullFlavor 0..1codeBinding: NullFlavor (required)
... classCode 1..1codeBinding: ActClassRecordOrganizer (required)
Fixed Value: DOCSECT
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.2.10
..... extension 1..1stringRequired Pattern: 2014-06-09
... id 0..1II
... code 1..1CEBinding: DocumentSectionType (extensible)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: 18776-5
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.1
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... translation 0..*CD
... title 1..1ED
... text S1..1xhtml
... confidentialityCode 0..1CE
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... author 0..*Author
... informant 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... Slices for entry C0..*ElementSlice: Unordered, Open by profile:observation, profile:encounter, profile:act, profile:procedure, profile:substanceAdministration, profile:supply
.... entry:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entry:plannedObs C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... observation 1..1PlannedObservationBase for all types and resources
.... entry:plannedEnc C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entry:plannedAct C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1PlannedActBase for all types and resources
.... entry:plannedProc C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entry:plannedMed C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entry:plannedSupply C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... supply 1..1PlannedSupplyBase for all types and resources
.... entry:instruction C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1InstructionBase for all types and resources
.... entry:handoffCommParticipants C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1HandoffCommunicationParticipantsBase for all types and resources
.... entry:nutrition C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1NutritionRecommendationBase for all types and resources
.... entry:plannedImmunization C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... substanceAdministration 1..1PlannedImmunizationActivityBase for all types and resources
.... entry:goal C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... observation 1..1GoalObservationBase for all types and resources
... component 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeFixed Value: COMP
.... contextConductionInd 1..1boolean
.... section 1..1Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Section.nullFlavorrequiredNullFlavor
Section.classCoderequiredFixed Value: DOCSECT
Section.moodCoderequiredFixed Value: EVN
Section.templateId:primary.nullFlavorrequiredNullFlavor
Section.codeextensibleDocumentSectionType
Section.code.nullFlavorrequiredNullFlavor
Section.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Section.subject.typeCoderequiredFixed Value: SBJ
Section.subject.contextControlCoderequiredFixed Value: OP
Section.subject.awarenessCodeextensibleTargetAwareness
Section.informant.typeCoderequiredFixed Value: INF
Section.informant.contextControlCoderequiredFixed Value: OP

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
only-one-statementerrorSection.entry, Section.entry:plannedObs, Section.entry:plannedEnc, Section.entry:plannedAct, Section.entry:plannedProc, Section.entry:plannedMed, Section.entry:plannedSupply, Section.entry:instruction, Section.entry:handoffCommParticipants, Section.entry:nutrition, Section.entry:plannedImmunization, Section.entry:goalSHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

This structure is derived from CDAR2.Section

Summary

Mandatory: 8 elements (11 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Section.templateId is sliced based on the values of value:root, value:extension
  • The element Section.entry is sliced based on the values of profile:observation, profile:encounter, profile:act, profile:procedure, profile:substanceAdministration, profile:supply

Differential View

This structure is derived from CDAR2.Section

NameFlagsCard.TypeDescription & Constraintsdoco
.. Section 1..1CDAR2.SectionBase for all types and resources
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.2.10
..... extension 1..1stringRequired Pattern: 2014-06-09
... code 1..1CE
.... code 1..1stringRequired Pattern: 18776-5
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.1
... title 1..1ED
... Slices for entry 0..*ElementSlice: Unordered, Open by profile:observation, profile:encounter, profile:act, profile:procedure, profile:substanceAdministration, profile:supply
.... entry:plannedObs 0..*Element
..... observation 1..1PlannedObservationBase for all types and resources
.... entry:plannedEnc 0..*Element
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entry:plannedAct 0..*Element
..... act 1..1PlannedActBase for all types and resources
.... entry:plannedProc 0..*Element
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entry:plannedMed 0..*Element
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entry:plannedSupply 0..*Element
..... supply 1..1PlannedSupplyBase for all types and resources
.... entry:instruction 0..*Element
..... act 1..1InstructionBase for all types and resources
.... entry:handoffCommParticipants 0..*Element
..... act 1..1HandoffCommunicationParticipantsBase for all types and resources
.... entry:nutrition 0..*Element
..... act 1..1NutritionRecommendationBase for all types and resources
.... entry:plannedImmunization 0..*Element
..... substanceAdministration 1..1PlannedImmunizationActivityBase for all types and resources
.... entry:goal 0..*Element
..... observation 1..1GoalObservationBase for all types and resources

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Section 1..1CDAR2.SectionBase for all types and resources
... classCode 1..1codeBinding: ActClassRecordOrganizer (required)
Fixed Value: DOCSECT
... moodCode 1..1codeBinding: ActMood (required)
Fixed Value: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.2.10
..... extension 1..1stringRequired Pattern: 2014-06-09
.... code 1..1stringRequired Pattern: 18776-5
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.1
... title 1..1ED
... text S1..1xhtml
... Slices for entry C0..*ElementSlice: Unordered, Open by profile:observation, profile:encounter, profile:act, profile:procedure, profile:substanceAdministration, profile:supply
.... entry:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entry:plannedObs C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... observation 1..1PlannedObservationBase for all types and resources
.... entry:plannedEnc C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entry:plannedAct C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1PlannedActBase for all types and resources
.... entry:plannedProc C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entry:plannedMed C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entry:plannedSupply C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... supply 1..1PlannedSupplyBase for all types and resources
.... entry:instruction C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1InstructionBase for all types and resources
.... entry:handoffCommParticipants C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1HandoffCommunicationParticipantsBase for all types and resources
.... entry:nutrition C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1NutritionRecommendationBase for all types and resources
.... entry:plannedImmunization C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... substanceAdministration 1..1PlannedImmunizationActivityBase for all types and resources
.... entry:goal C0..*Element
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... observation 1..1GoalObservationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Section.classCoderequiredFixed Value: DOCSECT
Section.moodCoderequiredFixed Value: EVN
Section.codeextensibleDocumentSectionType

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
only-one-statementerrorSection.entry, Section.entry:plannedObs, Section.entry:plannedEnc, Section.entry:plannedAct, Section.entry:plannedProc, Section.entry:plannedMed, Section.entry:plannedSupply, Section.entry:instruction, Section.entry:handoffCommParticipants, Section.entry:nutrition, Section.entry:plannedImmunization, Section.entry:goalSHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Section 1..1CDAR2.SectionBase for all types and resources
... ID 0..1string
... nullFlavor 0..1codeBinding: NullFlavor (required)
... classCode 1..1codeBinding: ActClassRecordOrganizer (required)
Fixed Value: DOCSECT
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.2.10
..... extension 1..1stringRequired Pattern: 2014-06-09
... id 0..1II
... code 1..1CEBinding: DocumentSectionType (extensible)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: 18776-5
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.1
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... translation 0..*CD
... title 1..1ED
... text S1..1xhtml
... confidentialityCode 0..1CE
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... author 0..*Author
... informant 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... Slices for entry C0..*ElementSlice: Unordered, Open by profile:observation, profile:encounter, profile:act, profile:procedure, profile:substanceAdministration, profile:supply
.... entry:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entry:plannedObs C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... observation 1..1PlannedObservationBase for all types and resources
.... entry:plannedEnc C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entry:plannedAct C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1PlannedActBase for all types and resources
.... entry:plannedProc C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entry:plannedMed C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entry:plannedSupply C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... supply 1..1PlannedSupplyBase for all types and resources
.... entry:instruction C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1InstructionBase for all types and resources
.... entry:handoffCommParticipants C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1HandoffCommunicationParticipantsBase for all types and resources
.... entry:nutrition C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... act 1..1NutritionRecommendationBase for all types and resources
.... entry:plannedImmunization C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... substanceAdministration 1..1PlannedImmunizationActivityBase for all types and resources
.... entry:goal C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
..... observation 1..1GoalObservationBase for all types and resources
... component 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeFixed Value: COMP
.... contextConductionInd 1..1boolean
.... section 1..1Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Section.nullFlavorrequiredNullFlavor
Section.classCoderequiredFixed Value: DOCSECT
Section.moodCoderequiredFixed Value: EVN
Section.templateId:primary.nullFlavorrequiredNullFlavor
Section.codeextensibleDocumentSectionType
Section.code.nullFlavorrequiredNullFlavor
Section.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Section.subject.typeCoderequiredFixed Value: SBJ
Section.subject.contextControlCoderequiredFixed Value: OP
Section.subject.awarenessCodeextensibleTargetAwareness
Section.informant.typeCoderequiredFixed Value: INF
Section.informant.contextControlCoderequiredFixed Value: OP

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
only-one-statementerrorSection.entry, Section.entry:plannedObs, Section.entry:plannedEnc, Section.entry:plannedAct, Section.entry:plannedProc, Section.entry:plannedMed, Section.entry:plannedSupply, Section.entry:instruction, Section.entry:handoffCommParticipants, Section.entry:nutrition, Section.entry:plannedImmunization, Section.entry:goalSHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1

This structure is derived from CDAR2.Section

Summary

Mandatory: 8 elements (11 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Section.templateId is sliced based on the values of value:root, value:extension
  • The element Section.entry is sliced based on the values of profile:observation, profile:encounter, profile:act, profile:procedure, profile:substanceAdministration, profile:supply

 

​Other representations of profile: CSV, Excel, Schematron