STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

M.?? StructureDefinition: C-CDA on FHIR Continuity of Care Document

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/ccda-ccd-composition

This profile was originally based on the Continuity of Care Document (CCD) Release 1.1 which itself was derived from HITSP C32 and CCD Release 1.0. The Continuity of Care (CCD) profile represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to another to support the continuity of care. The primary use case for the CCD is to provide a snapshot in time containing the germane clinical, demographic, and administrative data for a specific patient. The key characteristic of a CCD is that the ServiceEvent is constrained to "PCPR". This means it does not function to report new ServiceEvents associated with performing care. It reports on care that has already been provided. The CCD provides a historical tally of the care over a range of time and is not a record of new services delivered. More specific use cases, such as a Discharge Summary, Transfer Summary, Referral Note, Consultation Note, or Progress Note, are available as alternative profiles.

This profile was published on [no date] with unknown status '" by .

M.??.1 Formal Views of Profile Content

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

This structure is derived from Composition.

Summary

Mandatory: 29 elements (+33 nested mandatory elements)
Fixed Value: 19 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Composition.section is sliced based on the value of Composition.section.code

This structure is derived from Composition.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*DomainResource
... type 1..1CodeableConceptSummary of episode note
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"34133-9"}]}
... event 1..1BackboneElementserviceEvent
.... code 0..*CodeableConceptcode
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.5.6","code":"PCPR","display":"Care Provision"}]}
.... period 1..1Periodperiod
..... start 1..1dateTimestart
..... end 1..1dateTimeend
... section BackboneElementSlice: Unordered, Open, by Composition.section.code
... section 1..1BackboneElementAllergies and Intolerances Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptAllergies and adverse reactions
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48765-2"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-AllergyIntolerance)entry
... section 1..1BackboneElementMedications Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of medication use
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10160-0"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-MedicationStatement)entry
... section 1..1BackboneElementProblem Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptProblem list
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11450-4"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-Condition)entry
... section 0..1BackboneElementProcedures Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of procedures
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47519-4"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-Procedure)entry
... section 1..1BackboneElementResults Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptRelevant diagnostic tests and laboratory data
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"30954-2"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-ResultObs)entry
... section 0..1BackboneElementAdvance Directives Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptAdvance directives
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"42348-3"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementEncounters Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptEncounters
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46240-8"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementFamily History Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of family member diseases
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10157-6"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementFunctional Status Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptFunctional status assessment
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47420-5"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementImmunizations Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of immunization
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11369-6"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementNutrition Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptDiet and nutrition
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"61144-2"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementMental Status Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptMental status
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10190-7"}]}
.... text 1..1Narrativetext
... section 1..1BackboneElementVital Signs Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptVital signs
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"8716-3"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-VitalSigns)entry
... section 1..1BackboneElementSocial History Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptSocial history
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"29762-2"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(ccda-observation)entry
... section 0..1BackboneElementPlan of Treatment Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptPlan of treatment
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"18776-5"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementPayers Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptPayers
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48768-6"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementMedical Equipment Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptMedical equipment
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46264-8"}]}
.... text 1..1Narrativetext

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*DomainResourceA set of resources composed into a single coherent clinical statement with clinical attestation
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..1IdentifierLogical identifier of composition (version-independent)
... date ∑1..1dateTimeComposition editing time
... type ∑1..1CodeableConceptSummary of episode note
Binding: FHIR Document Type Codes (preferred)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"34133-9"}]}
... class ∑0..1CodeableConceptCategorization of Composition
Binding: FHIR Document Class Codes (example)
... title ∑1..1stringHuman Readable name/title
... status ?! ∑1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... confidentiality ?! ∑0..1codeAs defined by affinity domain
Binding: v3 Code System Confidentiality (required)
... subject ∑1..1Reference(Resource)Who and/or what the composition is about
... author ∑1..*Reference(Practitioner | Device | Patient | RelatedPerson)Who and/or what authored the composition
... attester ∑0..*BackboneElementAttests to accuracy of composition
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... mode ∑1..*codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required)
.... time ∑0..1dateTimeWhen composition attested
.... party ∑0..1Reference(Patient | Practitioner | Organization)Who attested the composition
... custodian ∑0..1Reference(Organization)Organization which maintains the composition
... event ∑1..1BackboneElementserviceEvent
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... code ∑0..*CodeableConceptcode
Binding: v3 Code System ActCode (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.5.6","code":"PCPR","display":"Care Provision"}]}
.... period ∑1..1Periodperiod
..... extension 0..*ExtensionAdditional Content defined by implementations
..... start ∑ I1..1dateTimestart
..... end ∑ I1..1dateTimeend
.... detail ∑0..*Reference(Resource)The event(s) being documented
... encounter ∑0..1Reference(Encounter)Context of the Composition
... section IBackboneElementComposition is broken into sections
Slice: Unordered, Open, by Composition.section.code
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
... section I1..1BackboneElementAllergies and Intolerances Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptAllergies and adverse reactions
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48765-2"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-AllergyIntolerance)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I1..1BackboneElementMedications Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of medication use
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10160-0"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-MedicationStatement)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I1..1BackboneElementProblem Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptProblem list
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11450-4"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-Condition)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementProcedures Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of procedures
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47519-4"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-Procedure)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I1..1BackboneElementResults Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptRelevant diagnostic tests and laboratory data
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"30954-2"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-ResultObs)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementAdvance Directives Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptAdvance directives
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"42348-3"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementEncounters Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptEncounters
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46240-8"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementFamily History Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of family member diseases
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10157-6"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementFunctional Status Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptFunctional status assessment
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47420-5"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementImmunizations Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of immunization
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11369-6"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementNutrition Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptDiet and nutrition
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"61144-2"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementMental Status Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptMental status
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10190-7"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I1..1BackboneElementVital Signs Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptVital signs
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"8716-3"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-VitalSigns)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I1..1BackboneElementSocial History Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptSocial history
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"29762-2"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(ccda-observation)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementPlan of Treatment Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptPlan of treatment
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"18776-5"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementPayers Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptPayers
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48768-6"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementMedical Equipment Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptMedical equipment
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46264-8"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section

doco Documentation for this format

todo

This structure is derived from Composition.

Summary

Mandatory: 29 elements (+33 nested mandatory elements)
Fixed Value: 19 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Composition.section is sliced based on the value of Composition.section.code

Differential View

This structure is derived from Composition.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*DomainResource
... type 1..1CodeableConceptSummary of episode note
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"34133-9"}]}
... event 1..1BackboneElementserviceEvent
.... code 0..*CodeableConceptcode
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.5.6","code":"PCPR","display":"Care Provision"}]}
.... period 1..1Periodperiod
..... start 1..1dateTimestart
..... end 1..1dateTimeend
... section BackboneElementSlice: Unordered, Open, by Composition.section.code
... section 1..1BackboneElementAllergies and Intolerances Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptAllergies and adverse reactions
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48765-2"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-AllergyIntolerance)entry
... section 1..1BackboneElementMedications Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of medication use
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10160-0"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-MedicationStatement)entry
... section 1..1BackboneElementProblem Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptProblem list
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11450-4"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-Condition)entry
... section 0..1BackboneElementProcedures Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of procedures
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47519-4"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-Procedure)entry
... section 1..1BackboneElementResults Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptRelevant diagnostic tests and laboratory data
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"30954-2"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-ResultObs)entry
... section 0..1BackboneElementAdvance Directives Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptAdvance directives
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"42348-3"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementEncounters Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptEncounters
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46240-8"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementFamily History Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of family member diseases
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10157-6"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementFunctional Status Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptFunctional status assessment
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47420-5"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementImmunizations Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of immunization
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11369-6"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementNutrition Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptDiet and nutrition
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"61144-2"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementMental Status Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptMental status
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10190-7"}]}
.... text 1..1Narrativetext
... section 1..1BackboneElementVital Signs Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptVital signs
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"8716-3"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(DAF-VitalSigns)entry
... section 1..1BackboneElementSocial History Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptSocial history
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"29762-2"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(ccda-observation)entry
... section 0..1BackboneElementPlan of Treatment Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptPlan of treatment
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"18776-5"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementPayers Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptPayers
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48768-6"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementMedical Equipment Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptMedical equipment
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46264-8"}]}
.... text 1..1Narrativetext

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*DomainResourceA set of resources composed into a single coherent clinical statement with clinical attestation
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..1IdentifierLogical identifier of composition (version-independent)
... date ∑1..1dateTimeComposition editing time
... type ∑1..1CodeableConceptSummary of episode note
Binding: FHIR Document Type Codes (preferred)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"34133-9"}]}
... class ∑0..1CodeableConceptCategorization of Composition
Binding: FHIR Document Class Codes (example)
... title ∑1..1stringHuman Readable name/title
... status ?! ∑1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... confidentiality ?! ∑0..1codeAs defined by affinity domain
Binding: v3 Code System Confidentiality (required)
... subject ∑1..1Reference(Resource)Who and/or what the composition is about
... author ∑1..*Reference(Practitioner | Device | Patient | RelatedPerson)Who and/or what authored the composition
... attester ∑0..*BackboneElementAttests to accuracy of composition
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... mode ∑1..*codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required)
.... time ∑0..1dateTimeWhen composition attested
.... party ∑0..1Reference(Patient | Practitioner | Organization)Who attested the composition
... custodian ∑0..1Reference(Organization)Organization which maintains the composition
... event ∑1..1BackboneElementserviceEvent
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... code ∑0..*CodeableConceptcode
Binding: v3 Code System ActCode (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.5.6","code":"PCPR","display":"Care Provision"}]}
.... period ∑1..1Periodperiod
..... extension 0..*ExtensionAdditional Content defined by implementations
..... start ∑ I1..1dateTimestart
..... end ∑ I1..1dateTimeend
.... detail ∑0..*Reference(Resource)The event(s) being documented
... encounter ∑0..1Reference(Encounter)Context of the Composition
... section IBackboneElementComposition is broken into sections
Slice: Unordered, Open, by Composition.section.code
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
... section I1..1BackboneElementAllergies and Intolerances Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptAllergies and adverse reactions
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48765-2"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-AllergyIntolerance)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I1..1BackboneElementMedications Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of medication use
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10160-0"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-MedicationStatement)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I1..1BackboneElementProblem Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptProblem list
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11450-4"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-Condition)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementProcedures Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of procedures
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47519-4"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-Procedure)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I1..1BackboneElementResults Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptRelevant diagnostic tests and laboratory data
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"30954-2"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-ResultObs)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementAdvance Directives Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptAdvance directives
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"42348-3"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementEncounters Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptEncounters
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46240-8"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementFamily History Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of family member diseases
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10157-6"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementFunctional Status Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptFunctional status assessment
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47420-5"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementImmunizations Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of immunization
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11369-6"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementNutrition Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptDiet and nutrition
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"61144-2"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementMental Status Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptMental status
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10190-7"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I1..1BackboneElementVital Signs Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptVital signs
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"8716-3"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(DAF-VitalSigns)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I1..1BackboneElementSocial History Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptSocial history
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"29762-2"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(ccda-observation)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementPlan of Treatment Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptPlan of treatment
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"18776-5"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementPayers Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptPayers
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48768-6"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section
... section I0..1BackboneElementMedical Equipment Section
cmp-2: A section can only have an emptyReason if it is empty
cmp-1: A section must at least one of text, entries, or sub-sections
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptMedical equipment
Binding: Document Section Codes (example)
Fixed Value: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46264-8"}]}
.... text I1..1Narrativetext
.... mode ?! ∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #section
Nested Section

doco Documentation for this format

XML Template

JSON Template

todo

 

Other representations of profile: Schematron

M.??.2 Terminology Bindings

PathNameConformanceValueSet
Composition.language?extrequiredhttp://tools.ietf.org/html/bcp47
Composition.typeFHIR Document Type CodespreferredFHIR Document Type Codes
Composition.classFHIR Document Class CodesexampleFHIR Document Class Codes
Composition.statusCompositionStatusrequiredCompositionStatus
Composition.confidentialityv3 Code System Confidentialityrequiredv3 Code System Confidentiality
Composition.attester.modeCompositionAttestationModerequiredCompositionAttestationMode
Composition.event.codev3 Code System ActCodeexamplev3 Code System ActCode
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons

M.??.3 Constraints

IdPathDetailsRequirements
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
.