Bidirectional Services eReferral (BSeR)
2.0.0-ballot - STU2
Bidirectional Services eReferral (BSeR)
2.0.0-ballot - STU2
This page is part of the Bidirectional Services eReferrals (BSeR) (v2.0.0-ballot: STU 2) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRequestComposition | Version: 2.0.0-ballot | |||
| Active as of 2023-07-31 | Computable Name: BSeRReferralRequestComposition | |||
This Composition profile represents the clical supporting information included in the referral request document.
It contains a section for other supporting information including employment status and education level which can be included for any referral type. It also contains optional sections for each type of referral containing clinical supporting information and only one of these optional sections is expected.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
  subject | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | |
| author | 1..1 | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition | |
  Slices for section | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code | |
   section:All Slices | Content/Rules for all slices | |||
  code | 1..1 | CodeableConcept | Classification of section (recommended) | |
 section:otherSupportingInformation | 0..1 | BackboneElement | Employment Status and Education Level | |
 code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
  coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OSI | |
 display | 1..1 | string | Representation defined by the system Fixed Value: Other Supporting Information | |
 Slices for entry | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:employmentStatusOrEducationLevel | 1..* | Reference(US Core Observation Social History Profile | Employment Status) | A reference to data that supports this section | |
| section:obesityReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ORSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Obesity Referral Supporting Information | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
 entry:allergyIntolerance | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section | |
| entry:bloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:bodyHeight | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:bodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| entry:bmi | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | |
| section:arthritisReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ARSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Arthritis Referral Supporting Information | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:allergyIntolerance | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section | |
| entry:medicationRequest | 0..* | Reference(US Core MedicationRequest Profile) | A reference to data that supports this section | |
| entry:bloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:bodyHeight | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:bodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| entry:bmi | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | |
| section:hypertensionReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Hypertension Referral Supporting Information | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:diagnosis | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | A reference to data that supports this section | |
| entry:bloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:bodyHeight | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:bodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| entry:bmi | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | |
| section:earlyChildhoodNutritionReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIB | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Baby | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:earlyChildhoodNutritionObservation | 0..* | Reference(BSeR Referral Observation) | A reference to data that supports this section | |
| entry:babyBloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:babyBodyHeightLying | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:babyBodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| Slices for section | 0..1 | Nested Section Slice: Unordered, Open by value:code | ||
 section:motherInformation | 0..1 | BackboneElement | Nested Section | |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIM | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Mother | |
 focus | 0..1 | Reference(US Core Patient Profile) | The mother of the baby is the focus of this section | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:motherBloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:motherBodyHeight | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:motherBodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| entry:motherBmi | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | |
| section:diabetesPreventionReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DPRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:hA1c | 0..* | Reference(US Core Laboratory Result Observation Profile) | A reference to data that supports this section | |
| entry:bloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:bodyHeight | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:bodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| entry:bmi | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | |
| section:tobaccoUseCessationReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TUCRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:nrtAuthorizationStatus | 0..* | Reference(US Core Procedure Profile) | A reference to data that supports this section | |
| entry:smokingStatus | 0..* | Reference(US Core Smoking Status Observation Profile) | A reference to data that supports this section | |
| entry:telcomCommunicationPreferences | 0..* | Reference(BSeR Telcom Communication Preferences) | A reference to data that supports this section | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
 type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. |
| subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about |
| date | Σ | 1..1 | dateTime | Composition editing time |
| author | Σ | 1..1 | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition |
| title | Σ | 1..1 | string | Human Readable name/title |
| Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code |
| section:All Slices | Content/Rules for all slices | |||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |
| section:otherSupportingInformation | C | 0..1 | BackboneElement | Employment Status and Education Level |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Other Supporting Information | |
| Slices for entry | C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:employmentStatusOrEducationLevel | C | 1..* | Reference(US Core Observation Social History Profile | Employment Status) | A reference to data that supports this section |
| section:obesityReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ORSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Obesity Referral Supporting Information | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:allergyIntolerance | C | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section |
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section |
| section:arthritisReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ARSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Arthritis Referral Supporting Information | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:allergyIntolerance | C | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section |
| entry:medicationRequest | C | 0..* | Reference(US Core MedicationRequest Profile) | A reference to data that supports this section |
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section |
| section:hypertensionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Hypertension Referral Supporting Information | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:diagnosis | C | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | A reference to data that supports this section |
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section |
| section:earlyChildhoodNutritionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIB | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Baby | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:earlyChildhoodNutritionObservation | C | 0..* | Reference(BSeR Referral Observation) | A reference to data that supports this section |
| entry:babyBloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:babyBodyHeightLying | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:babyBodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| Slices for section | C | 0..1 | See section (Composition) | Nested Section Slice: Unordered, Open by value:code |
| section:motherInformation | C | 0..1 | BackboneElement | Nested Section |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIM | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Mother | |
| focus | 0..1 | Reference(US Core Patient Profile) | The mother of the baby is the focus of this section | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:motherBloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:motherBodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:motherBodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| entry:motherBmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section |
| section:diabetesPreventionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DPRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:hA1c | C | 0..* | Reference(US Core Laboratory Result Observation Profile) | A reference to data that supports this section |
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section |
| section:tobaccoUseCessationReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TUCRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:nrtAuthorizationStatus | C | 0..* | Reference(US Core Procedure Profile) | A reference to data that supports this section |
| entry:smokingStatus | C | 0..* | Reference(US Core Smoking Status Observation Profile) | A reference to data that supports this section |
| entry:telcomCommunicationPreferences | C | 0..* | Reference(BSeR Telcom Communication Preferences) | A reference to data that supports this section |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Composition.status | required | CompositionStatus |
| Composition.type | preferred | FHIRDocumentTypeCodes |
| Composition.section.code | example | DocumentSectionCodes |
| Composition.section:otherSupportingInformation.code | example | Pattern: OSI("Other Supporting Information") |
| Composition.section:obesityReferralSupportingInformation.code | example | Pattern: ORSI("Obesity Referral Supporting Information") |
| Composition.section:arthritisReferralSupportingInformation.code | example | Pattern: ARSI("Arthritis Referral Supporting Information") |
| Composition.section:hypertensionReferralSupportingInformation.code | example | Pattern: HRSI("Hypertension Referral Supporting Information") |
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.code | example | Pattern: ECNRSIB("Early Childhood Nutrition Referral Supporting Information Baby") |
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.section:motherInformation.code | example | Pattern: ECNRSIM("Early Childhood Nutrition Referral Supporting Information Mother") |
| Composition.section:diabetesPreventionReferralSupportingInformation.code | example | Pattern: DPRSI("Diabetes Prevention Referral Supporting Information") |
| Composition.section:tobaccoUseCessationReferralSupportingInformation.code | example | Pattern: TUCRSI("Tobacco Use Cessation Referral Supporting Information") |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | ||||
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
| date | Σ | 1..1 | dateTime | Composition editing time | ||||
| author | Σ | 1..1 | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition | ||||
| title | Σ | 1..1 | string | Human Readable name/title | ||||
| confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
 attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
 target[x] | 1..1 | Target of the relationship | ||||||
| targetIdentifier | Identifier | |||||||
| targetReference | Reference(Composition) | |||||||
| event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period | Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code | ||||
| section:All Slices | Content/Rules for all slices | |||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry | C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:otherSupportingInformation | C | 0..1 | BackboneElement | Employment Status and Education Level | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Other Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:employmentStatusOrEducationLevel | C | 1..* | Reference(US Core Observation Social History Profile | Employment Status) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
 section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:obesityReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ORSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Obesity Referral Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:allergyIntolerance | C | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section | ||||
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:arthritisReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ARSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Arthritis Referral Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:allergyIntolerance | C | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section | ||||
| entry:medicationRequest | C | 0..* | Reference(US Core MedicationRequest Profile) | A reference to data that supports this section | ||||
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:hypertensionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HRSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Hypertension Referral Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:diagnosis | C | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | A reference to data that supports this section | ||||
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:earlyChildhoodNutritionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIB | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Baby | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:earlyChildhoodNutritionObservation | C | 0..* | Reference(BSeR Referral Observation) | A reference to data that supports this section | ||||
| entry:babyBloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:babyBodyHeightLying | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:babyBodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| Slices for section | C | 0..1 | See section (Composition) | Nested Section Slice: Unordered, Open by value:code | ||||
| section:motherInformation | C | 0..1 | BackboneElement | Nested Section | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIM | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Mother | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(US Core Patient Profile) | The mother of the baby is the focus of this section | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:motherBloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:motherBodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:motherBodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| entry:motherBmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:diabetesPreventionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DPRSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:hA1c | C | 0..* | Reference(US Core Laboratory Result Observation Profile) | A reference to data that supports this section | ||||
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:tobaccoUseCessationReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TUCRSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:nrtAuthorizationStatus | C | 0..* | Reference(US Core Procedure Profile) | A reference to data that supports this section | ||||
| entry:smokingStatus | C | 0..* | Reference(US Core Smoking Status Observation Profile) | A reference to data that supports this section | ||||
| entry:telcomCommunicationPreferences | C | 0..* | Reference(BSeR Telcom Communication Preferences) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Composition.language | preferred | CommonLanguages
| ||||
| Composition.status | required | CompositionStatus | ||||
| Composition.type | preferred | FHIRDocumentTypeCodes | ||||
| Composition.category | example | DocumentClassValueSet | ||||
| Composition.confidentiality | required | v3.ConfidentialityClassification | ||||
| Composition.attester.mode | required | CompositionAttestationMode | ||||
| Composition.relatesTo.code | required | DocumentRelationshipType | ||||
| Composition.event.code | example | ActCode | ||||
| Composition.section.code | example | DocumentSectionCodes | ||||
| Composition.section.mode | required | ListMode | ||||
| Composition.section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:otherSupportingInformation.code | example | Pattern: OSI("Other Supporting Information") | ||||
| Composition.section:otherSupportingInformation.mode | required | ListMode | ||||
| Composition.section:otherSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:otherSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:obesityReferralSupportingInformation.code | example | Pattern: ORSI("Obesity Referral Supporting Information") | ||||
| Composition.section:obesityReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:obesityReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:obesityReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:arthritisReferralSupportingInformation.code | example | Pattern: ARSI("Arthritis Referral Supporting Information") | ||||
| Composition.section:arthritisReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:arthritisReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:arthritisReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hypertensionReferralSupportingInformation.code | example | Pattern: HRSI("Hypertension Referral Supporting Information") | ||||
| Composition.section:hypertensionReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:hypertensionReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hypertensionReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.code | example | Pattern: ECNRSIB("Early Childhood Nutrition Referral Supporting Information Baby") | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.section:motherInformation.code | example | Pattern: ECNRSIM("Early Childhood Nutrition Referral Supporting Information Mother") | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.section:motherInformation.mode | required | ListMode | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.section:motherInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.section:motherInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:diabetesPreventionReferralSupportingInformation.code | example | Pattern: DPRSI("Diabetes Prevention Referral Supporting Information") | ||||
| Composition.section:diabetesPreventionReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:diabetesPreventionReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:diabetesPreventionReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:tobaccoUseCessationReferralSupportingInformation.code | example | Pattern: TUCRSI("Tobacco Use Cessation Referral Supporting Information") | ||||
| Composition.section:tobaccoUseCessationReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:tobaccoUseCessationReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:tobaccoUseCessationReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons |
This structure is derived from Composition
Summary
Mandatory: 3 elements (3 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| subject | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | |
| author | 1..1 | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition | |
| Slices for section | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code | |
| section:All Slices | Content/Rules for all slices | |||
| code | 1..1 | CodeableConcept | Classification of section (recommended) | |
| section:otherSupportingInformation | 0..1 | BackboneElement | Employment Status and Education Level | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Other Supporting Information | |
| Slices for entry | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:employmentStatusOrEducationLevel | 1..* | Reference(US Core Observation Social History Profile | Employment Status) | A reference to data that supports this section | |
| section:obesityReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ORSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Obesity Referral Supporting Information | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:allergyIntolerance | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section | |
| entry:bloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:bodyHeight | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:bodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| entry:bmi | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | |
| section:arthritisReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ARSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Arthritis Referral Supporting Information | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:allergyIntolerance | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section | |
| entry:medicationRequest | 0..* | Reference(US Core MedicationRequest Profile) | A reference to data that supports this section | |
| entry:bloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:bodyHeight | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:bodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| entry:bmi | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | |
| section:hypertensionReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Hypertension Referral Supporting Information | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:diagnosis | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | A reference to data that supports this section | |
| entry:bloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:bodyHeight | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:bodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| entry:bmi | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | |
| section:earlyChildhoodNutritionReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIB | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Baby | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:earlyChildhoodNutritionObservation | 0..* | Reference(BSeR Referral Observation) | A reference to data that supports this section | |
| entry:babyBloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:babyBodyHeightLying | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:babyBodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| Slices for section | 0..1 | Nested Section Slice: Unordered, Open by value:code | ||
| section:motherInformation | 0..1 | BackboneElement | Nested Section | |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIM | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Mother | |
| focus | 0..1 | Reference(US Core Patient Profile) | The mother of the baby is the focus of this section | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:motherBloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:motherBodyHeight | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:motherBodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| entry:motherBmi | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | |
| section:diabetesPreventionReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DPRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:hA1c | 0..* | Reference(US Core Laboratory Result Observation Profile) | A reference to data that supports this section | |
| entry:bloodPressure | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | |
| entry:bodyHeight | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | |
| entry:bodyWeight | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | |
| entry:bmi | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | |
| section:tobaccoUseCessationReferralSupportingInformation | 0..1 | BackboneElement | Composition is broken into sections | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TUCRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:nrtAuthorizationStatus | 0..* | Reference(US Core Procedure Profile) | A reference to data that supports this section | |
| entry:smokingStatus | 0..* | Reference(US Core Smoking Status Observation Profile) | A reference to data that supports this section | |
| entry:telcomCommunicationPreferences | 0..* | Reference(BSeR Telcom Communication Preferences) | A reference to data that supports this section | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
| type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. |
| subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about |
| date | Σ | 1..1 | dateTime | Composition editing time |
| author | Σ | 1..1 | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition |
| title | Σ | 1..1 | string | Human Readable name/title |
| Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code |
| section:All Slices | Content/Rules for all slices | |||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |
| section:otherSupportingInformation | C | 0..1 | BackboneElement | Employment Status and Education Level |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Other Supporting Information | |
| Slices for entry | C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:employmentStatusOrEducationLevel | C | 1..* | Reference(US Core Observation Social History Profile | Employment Status) | A reference to data that supports this section |
| section:obesityReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ORSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Obesity Referral Supporting Information | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:allergyIntolerance | C | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section |
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section |
| section:arthritisReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ARSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Arthritis Referral Supporting Information | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:allergyIntolerance | C | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section |
| entry:medicationRequest | C | 0..* | Reference(US Core MedicationRequest Profile) | A reference to data that supports this section |
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section |
| section:hypertensionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Hypertension Referral Supporting Information | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:diagnosis | C | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | A reference to data that supports this section |
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section |
| section:earlyChildhoodNutritionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIB | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Baby | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:earlyChildhoodNutritionObservation | C | 0..* | Reference(BSeR Referral Observation) | A reference to data that supports this section |
| entry:babyBloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:babyBodyHeightLying | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:babyBodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| Slices for section | C | 0..1 | See section (Composition) | Nested Section Slice: Unordered, Open by value:code |
| section:motherInformation | C | 0..1 | BackboneElement | Nested Section |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIM | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Mother | |
| focus | 0..1 | Reference(US Core Patient Profile) | The mother of the baby is the focus of this section | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:motherBloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:motherBodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:motherBodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| entry:motherBmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section |
| section:diabetesPreventionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DPRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:hA1c | C | 0..* | Reference(US Core Laboratory Result Observation Profile) | A reference to data that supports this section |
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section |
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section |
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section |
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section |
| section:tobaccoUseCessationReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TUCRSI | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:nrtAuthorizationStatus | C | 0..* | Reference(US Core Procedure Profile) | A reference to data that supports this section |
| entry:smokingStatus | C | 0..* | Reference(US Core Smoking Status Observation Profile) | A reference to data that supports this section |
| entry:telcomCommunicationPreferences | C | 0..* | Reference(BSeR Telcom Communication Preferences) | A reference to data that supports this section |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Composition.status | required | CompositionStatus |
| Composition.type | preferred | FHIRDocumentTypeCodes |
| Composition.section.code | example | DocumentSectionCodes |
| Composition.section:otherSupportingInformation.code | example | Pattern: OSI("Other Supporting Information") |
| Composition.section:obesityReferralSupportingInformation.code | example | Pattern: ORSI("Obesity Referral Supporting Information") |
| Composition.section:arthritisReferralSupportingInformation.code | example | Pattern: ARSI("Arthritis Referral Supporting Information") |
| Composition.section:hypertensionReferralSupportingInformation.code | example | Pattern: HRSI("Hypertension Referral Supporting Information") |
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.code | example | Pattern: ECNRSIB("Early Childhood Nutrition Referral Supporting Information Baby") |
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.section:motherInformation.code | example | Pattern: ECNRSIM("Early Childhood Nutrition Referral Supporting Information Mother") |
| Composition.section:diabetesPreventionReferralSupportingInformation.code | example | Pattern: DPRSI("Diabetes Prevention Referral Supporting Information") |
| Composition.section:tobaccoUseCessationReferralSupportingInformation.code | example | Pattern: TUCRSI("Tobacco Use Cessation Referral Supporting Information") |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | ||||
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the composition is about | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
| date | Σ | 1..1 | dateTime | Composition editing time | ||||
| author | Σ | 1..1 | Reference(US Core PractitionerRole Profile) | Who and/or what authored the composition | ||||
| title | Σ | 1..1 | string | Human Readable name/title | ||||
| confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
| attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
| target[x] | 1..1 | Target of the relationship | ||||||
| targetIdentifier | Identifier | |||||||
| targetReference | Reference(Composition) | |||||||
| event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period | Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code | ||||
| section:All Slices | Content/Rules for all slices | |||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry | C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:otherSupportingInformation | C | 0..1 | BackboneElement | Employment Status and Education Level | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: OSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Other Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 1..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:employmentStatusOrEducationLevel | C | 1..* | Reference(US Core Observation Social History Profile | Employment Status) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:obesityReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ORSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Obesity Referral Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:allergyIntolerance | C | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section | ||||
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:arthritisReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ARSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Arthritis Referral Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:allergyIntolerance | C | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section | ||||
| entry:medicationRequest | C | 0..* | Reference(US Core MedicationRequest Profile) | A reference to data that supports this section | ||||
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:hypertensionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: HRSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Hypertension Referral Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:diagnosis | C | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | A reference to data that supports this section | ||||
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:earlyChildhoodNutritionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIB | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Baby | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:earlyChildhoodNutritionObservation | C | 0..* | Reference(BSeR Referral Observation) | A reference to data that supports this section | ||||
| entry:babyBloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:babyBodyHeightLying | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:babyBodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| Slices for section | C | 0..1 | See section (Composition) | Nested Section Slice: Unordered, Open by value:code | ||||
| section:motherInformation | C | 0..1 | BackboneElement | Nested Section | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ECNRSIM | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Early Childhood Nutrition Referral Supporting Information Mother | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(US Core Patient Profile) | The mother of the baby is the focus of this section | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:motherBloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:motherBodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:motherBodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| entry:motherBmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:diabetesPreventionReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DPRSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Diabetes Prevention Referral Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:hA1c | C | 0..* | Reference(US Core Laboratory Result Observation Profile) | A reference to data that supports this section | ||||
| entry:bloodPressure | C | 0..* | Reference(US Core Blood Pressure Profile) | A reference to data that supports this section | ||||
| entry:bodyHeight | C | 0..* | Reference(US Core Body Height Profile) | A reference to data that supports this section | ||||
| entry:bodyWeight | C | 0..* | Reference(US Core Body Weight Profile) | A reference to data that supports this section | ||||
| entry:bmi | C | 0..* | Reference(US Core BMI Profile) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| section:tobaccoUseCessationReferralSupportingInformation | C | 0..1 | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/bser/CodeSystem/bser | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: TUCRSI | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Tobacco Use Cessation Referral Supporting Information | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
| entry:nrtAuthorizationStatus | C | 0..* | Reference(US Core Procedure Profile) | A reference to data that supports this section | ||||
| entry:smokingStatus | C | 0..* | Reference(US Core Smoking Status Observation Profile) | A reference to data that supports this section | ||||
| entry:telcomCommunicationPreferences | C | 0..* | Reference(BSeR Telcom Communication Preferences) | A reference to data that supports this section | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Composition.language | preferred | CommonLanguages
| ||||
| Composition.status | required | CompositionStatus | ||||
| Composition.type | preferred | FHIRDocumentTypeCodes | ||||
| Composition.category | example | DocumentClassValueSet | ||||
| Composition.confidentiality | required | v3.ConfidentialityClassification | ||||
| Composition.attester.mode | required | CompositionAttestationMode | ||||
| Composition.relatesTo.code | required | DocumentRelationshipType | ||||
| Composition.event.code | example | ActCode | ||||
| Composition.section.code | example | DocumentSectionCodes | ||||
| Composition.section.mode | required | ListMode | ||||
| Composition.section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:otherSupportingInformation.code | example | Pattern: OSI("Other Supporting Information") | ||||
| Composition.section:otherSupportingInformation.mode | required | ListMode | ||||
| Composition.section:otherSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:otherSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:obesityReferralSupportingInformation.code | example | Pattern: ORSI("Obesity Referral Supporting Information") | ||||
| Composition.section:obesityReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:obesityReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:obesityReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:arthritisReferralSupportingInformation.code | example | Pattern: ARSI("Arthritis Referral Supporting Information") | ||||
| Composition.section:arthritisReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:arthritisReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:arthritisReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hypertensionReferralSupportingInformation.code | example | Pattern: HRSI("Hypertension Referral Supporting Information") | ||||
| Composition.section:hypertensionReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:hypertensionReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hypertensionReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.code | example | Pattern: ECNRSIB("Early Childhood Nutrition Referral Supporting Information Baby") | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.section:motherInformation.code | example | Pattern: ECNRSIM("Early Childhood Nutrition Referral Supporting Information Mother") | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.section:motherInformation.mode | required | ListMode | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.section:motherInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:earlyChildhoodNutritionReferralSupportingInformation.section:motherInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:diabetesPreventionReferralSupportingInformation.code | example | Pattern: DPRSI("Diabetes Prevention Referral Supporting Information") | ||||
| Composition.section:diabetesPreventionReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:diabetesPreventionReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:diabetesPreventionReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:tobaccoUseCessationReferralSupportingInformation.code | example | Pattern: TUCRSI("Tobacco Use Cessation Referral Supporting Information") | ||||
| Composition.section:tobaccoUseCessationReferralSupportingInformation.mode | required | ListMode | ||||
| Composition.section:tobaccoUseCessationReferralSupportingInformation.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:tobaccoUseCessationReferralSupportingInformation.emptyReason | preferred | ListEmptyReasons |
This structure is derived from Composition
Summary
Mandatory: 3 elements (3 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ HL7 Public Health Working Group. Package hl7.fhir.us.bser#2.0.0-ballot based on FHIR 4.0.1. Generated 2023-07-31
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