C-CDA on FHIR
1.2.0-ballot - CI Build
C-CDA on FHIR
1.2.0-ballot - CI Build
This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0-ballot: STU 1 Ballot 4) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/ccda/StructureDefinition/Discharge-Summary | Version: 1.2.0-ballot | |||
| Active as of 2023-03-27 | Computable Name: DischargeSummary | |||
The Discharge Summary is a document which synopsizes a patient’s admission to a hospital, LTPAC provider, or other setting. It provides information for the continuation of care following discharge. The Joint Commission requires the following information to be included in the Discharge Summary (http://www.jointcommission.org/):
The reason for hospitalization (the admission)
The procedures performed, as applicable
The care, treatment, and services provided
The patients condition and disposition at discharge
Information provided to the patient and family
Provisions for follow-up care
The best practice for a Discharge Summary is to include the discharge disposition in the display of the header.
2023 Publication of C-CDA ↔ FHIR US Core MappingThe current release of this IG adds mapping content based on a separate project from earlier publications. These mappings are intended as informative and we welcome feedback on the content added under the "Mapping" tab.
Feedback on previous publications of this implementation guide (2016-2020) outside of C-CDA ↔ FHIR mapping WILL NOT be addressed as part of ballot reconciliation although may be logged for future consideration.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USRealmHeader
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition | 0..* | USRealmHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |
  type | S | 1..1 | CodeableConcept | Discharge Summary Binding: DischargeSummaryDocumentTypeCode (required) |
  Slices for section | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code | |
   section:allergies_and_intolerances_section | S | 1..1 | BackboneElement | Allergies and Intolerances Section |
  title | S | 1..1 | string | title |
 code | S | 1..1 | CodeableConcept | Allergies and adverse reactions Required Pattern: At least the following |
  coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| text | S | 1..1 | Narrative | text |
 Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
 entry:allergy_entry | S | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section |
| section:hospital_course_section | S | 1..1 | BackboneElement | Hospital Course Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8648-8 | |
 text | S | 1..1 | Narrative | This section contains only human readable content |
| section:discharge_diagnosis_section | S | 1..1 | BackboneElement | Discharge Diagnosis Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital discharge diagnosis Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11535-2 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:discharge_diagnosis_entry | S | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section |
| section:plan_of_treatment_section | S | 0..1 | BackboneElement | Plan of Treatment Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Plan of treatment Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:sliceEntry | 0..* | Reference(US Core Goal Profile | US Core MedicationRequest Profile | US Core Encounter Profile | Communication | Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
| section:discharge_medications_section | S | 0..1 | BackboneElement | Discharge Medications Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital discharge medications Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10183-2 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:discharge_medications_entry | S | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile) | A reference to data that supports this section |
| section:admission_diagnosis_section | S | 0..1 | BackboneElement | Admission Diagnosis Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital admission diagnosis Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46241-6 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:admission_diagnosis_entry | S | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section |
| section:admission_medications_section | S | 0..1 | BackboneElement | Admission Medications Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Medications on admission Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42346-7 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:admission_medications_entry | S | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile) | A reference to data that supports this section |
| section:chief_complaint_and_reason_for_visit_section | S | 0..1 | BackboneElement | Chief Complaint and Reason for Visit Section. This section records the patient's chief complaint (the patientâs own description) and/or the reason for the patient's visit (the providerâs description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes. |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46239-0 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:chief_complaint_section | S | 0..1 | BackboneElement | Chief Complaint Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:family_history_section | S | 0..1 | BackboneElement | Family History Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:family_history_entry | S | 0..* | Reference(FamilyMemberHistory) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. |
| section:functional_status_section | S | 0..1 | BackboneElement | Functional Status Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Functional status Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:functional_status_entry | S | 0..* | Reference(US Core Condition Profile | Observation | ClinicalImpression) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. |
| section:history_of_present_illness_section | S | 0..1 | BackboneElement | History of Present Illness Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:hospital_consultations_section | S | 0..1 | BackboneElement | Hospital Consultations Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital consultations Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18841-7 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:hospital_discharge_instructions_section | S | 0..1 | BackboneElement | Hospital Discharge Instructions Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital discharge instructions Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8653-8 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:hospital_discharge_physical_section | S | 0..1 | BackboneElement | Hospital Discharge Physical Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital discharge physical Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10184-0 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:hospital_discharge_studies_section | S | 0..1 | BackboneElement | Hospital Discharge Studies Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital discharge studies summary Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11493-4 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:immunizations_section | S | 0..1 | BackboneElement | Immunizations Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Immunizations Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:immunizations_entry | S | 0..* | Reference(US Core Immunization Profile) | A reference to data that supports this section |
| section:nutrition_section | S | 0..1 | BackboneElement | Nutrition Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Diet and nutrition Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61144-2 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:nutrition_entry | S | 0..* | Reference(Observation) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. |
| section:past_medical_history_section | S | 0..1 | BackboneElement | Past Medical History Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:past_medical_history_entry | S | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section |
| section:problem_section | S | 0..1 | BackboneElement | Problem Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Problem list Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:problem_entry | S | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section |
| section:procedures_section | S | 0..1 | BackboneElement | Procedures Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | History of procedures Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:procedure_entry | S | 0..* | Reference(US Core Procedure Profile) | A reference to data that supports this section |
| section:reason_for_visit_section | S | 0..1 | BackboneElement | Reason for Visit Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29299-5 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:review_of_systems_section | S | 0..1 | BackboneElement | Review of Systems Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Review of systems Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10187-3 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:social_history_section | S | 0..1 | BackboneElement | Social History Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Social history Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:smoking_status_entry | S | 0..* | Reference(US Core Smoking Status Observation Profile) | Smoking status |
| section:vital_signs_section | S | 0..1 | BackboneElement | Vital Signs Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Vital signs Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:vital_signs_entry | S | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section |
| section:goals_section | S | 0..1 | BackboneElement | Goals Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Goals Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61146-7 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:goals_entry | S | 0..* | Reference(US Core Goal Profile) | entry |
 section:health_concerns_section | S | 0..1 | BackboneElement | Health Concerns Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Health concerns section code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:health_concerns_entry | S | 0..* | Reference(US Core AllergyIntolerance Profile | US Core Condition Profile | US Core Laboratory Result Observation Profile | US Core Smoking Status Observation Profile | Vital Signs Profile | ClinicalImpression | Observation | RiskAssessment | List | DocumentReference) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Composition.type | required | DischargeSummaryDocumentTypeCode |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | USRealmHeader | 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 | ||||
| language | S | 1..1 | code | language Binding: CommonLanguages (preferred): A human language.
| ||||
| versionNumber | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
| version_number_extension | S | 0..1 | integer | Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber | ||||
| data_enterer_extension | S | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension | ||||
| informant_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | informant URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformantExtension | ||||
| information_recipient_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile) | informationRecipient URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformationRecipientExtension | ||||
| participant_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | participant URL: http://hl7.org/fhir/us/ccda/StructureDefinition/ParticipantExtension | ||||
| performer_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | performer URL: http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension | ||||
| authorization_extension | S | 0..* | Reference(Consent) | authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension | ||||
| order_extension | S | 0..* | Reference(ServiceRequest) | authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension | ||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
 identifier | SΣ | 1..1 | Identifier | identifier | ||||
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type | SΣ | 1..1 | CodeableConcept | Discharge Summary Binding: DischargeSummaryDocumentTypeCode (required) | ||||
 subject | SΣ | 0..1 | Reference(US Core Patient Profile | Group) | Who and/or what the composition is about | ||||
| encounter | SΣ | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition | ||||
| date | SΣ | 1..1 | dateTime | date | ||||
| author | SΣ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) | Who and/or what authored the composition | ||||
| title | SΣ | 1..1 | string | Document Title | ||||
 Slices for attester | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode | |||||
 attester:All Slices | Content/Rules for all slices | |||||||
 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. | |||||
| attester:legal_attester | S | 0..1 | BackboneElement | attester | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal | ||||
| party | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | party | ||||
| attester:professional_attester | S | 0..* | BackboneElement | attester | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: professional | ||||
| party | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | party | ||||
| attester:personal_attester | S | 0..* | BackboneElement | attester | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: personal | ||||
| party | S | 1..1 | Reference(US Core Patient Profile | RelatedPerson) | party | ||||
| custodian | SΣ | 1..1 | Reference(US Core Organization Profile) | custodian | ||||
| Slices for section | C | 0..* | 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 | ||||
| section:allergies_and_intolerances_section | SC | 1..1 | BackboneElement | Allergies and Intolerances Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Allergies and adverse reactions 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:allergy_entry | SC | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section | ||||
| section:hospital_course_section | SC | 1..1 | BackboneElement | Hospital Course Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8648-8 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:discharge_diagnosis_section | SC | 1..1 | BackboneElement | Discharge Diagnosis Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge diagnosis 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11535-2 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:discharge_diagnosis_entry | SC | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section | ||||
| section:plan_of_treatment_section | SC | 0..1 | BackboneElement | Plan of Treatment Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Plan of treatment 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:sliceEntry | C | 0..* | Reference(US Core Goal Profile | US Core MedicationRequest Profile | US Core Encounter Profile | Communication | Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| section:discharge_medications_section | SC | 0..1 | BackboneElement | Discharge Medications Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge medications 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10183-2 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:discharge_medications_entry | SC | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile) | A reference to data that supports this section | ||||
| section:admission_diagnosis_section | SC | 0..1 | BackboneElement | Admission Diagnosis Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital admission diagnosis 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46241-6 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:admission_diagnosis_entry | SC | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section | ||||
| section:admission_medications_section | SC | 0..1 | BackboneElement | Admission Medications Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Medications on admission 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42346-7 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:admission_medications_entry | SC | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile) | A reference to data that supports this section | ||||
| section:chief_complaint_and_reason_for_visit_section | SC | 0..1 | BackboneElement | Chief Complaint and Reason for Visit Section. This section records the patient's chief complaint (the patientâs own description) and/or the reason for the patient's visit (the providerâs description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes. | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46239-0 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:chief_complaint_section | SC | 0..1 | BackboneElement | Chief Complaint Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:family_history_section | SC | 0..1 | BackboneElement | Family History Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:family_history_entry | SC | 0..* | Reference(FamilyMemberHistory) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| section:functional_status_section | SC | 0..1 | BackboneElement | Functional Status Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Functional status 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:functional_status_entry | SC | 0..* | Reference(US Core Condition Profile | Observation | ClinicalImpression) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| section:history_of_present_illness_section | SC | 0..1 | BackboneElement | History of Present Illness Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:hospital_consultations_section | SC | 0..1 | BackboneElement | Hospital Consultations Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital consultations 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18841-7 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:hospital_discharge_instructions_section | SC | 0..1 | BackboneElement | Hospital Discharge Instructions Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge instructions 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8653-8 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:hospital_discharge_physical_section | SC | 0..1 | BackboneElement | Hospital Discharge Physical Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge physical 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10184-0 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:hospital_discharge_studies_section | SC | 0..1 | BackboneElement | Hospital Discharge Studies Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge studies summary 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11493-4 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:immunizations_section | SC | 0..1 | BackboneElement | Immunizations Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Immunizations 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:immunizations_entry | SC | 0..* | Reference(US Core Immunization Profile) | A reference to data that supports this section | ||||
| section:nutrition_section | SC | 0..1 | BackboneElement | Nutrition Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Diet and nutrition 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61144-2 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:nutrition_entry | SC | 0..* | Reference(Observation) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| section:past_medical_history_section | SC | 0..1 | BackboneElement | Past Medical History Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:past_medical_history_entry | SC | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section | ||||
| section:problem_section | SC | 0..1 | BackboneElement | Problem Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Problem list 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:problem_entry | SC | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section | ||||
| section:procedures_section | SC | 0..1 | BackboneElement | Procedures Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | History of procedures 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:procedure_entry | SC | 0..* | Reference(US Core Procedure Profile) | A reference to data that supports this section | ||||
| section:reason_for_visit_section | SC | 0..1 | BackboneElement | Reason for Visit Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29299-5 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:review_of_systems_section | SC | 0..1 | BackboneElement | Review of Systems Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Review of systems 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10187-3 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:social_history_section | SC | 0..1 | BackboneElement | Social History Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Social history 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:smoking_status_entry | SC | 0..* | Reference(US Core Smoking Status Observation Profile) | Smoking status | ||||
| section:vital_signs_section | SC | 0..1 | BackboneElement | Vital Signs Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Vital signs 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:vital_signs_entry | SC | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section | ||||
| section:goals_section | SC | 0..1 | BackboneElement | Goals Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Goals 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61146-7 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:goals_entry | SC | 0..* | Reference(US Core Goal Profile) | entry | ||||
| section:health_concerns_section | SC | 0..1 | BackboneElement | Health Concerns Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Health concerns section code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:health_concerns_entry | SC | 0..* | Reference(US Core AllergyIntolerance Profile | US Core Condition Profile | US Core Laboratory Result Observation Profile | US Core Smoking Status Observation Profile | Vital Signs Profile | ClinicalImpression | Observation | RiskAssessment | List | DocumentReference) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Composition.language | preferred | CommonLanguages
| ||||
| Composition.status | required | CompositionStatus | ||||
| Composition.type | required | DischargeSummaryDocumentTypeCode | ||||
| Composition.attester.mode | required | CompositionAttestationMode | ||||
| Composition.attester:legal_attester.mode | required | Fixed Value: legal | ||||
| Composition.attester:professional_attester.mode | required | Fixed Value: professional | ||||
| Composition.attester:personal_attester.mode | required | Fixed Value: personal | ||||
| Composition.section:allergies_and_intolerances_section.code | example | Pattern: LOINC code 48765-2 | ||||
| Composition.section:hospital_course_section.code | example | Pattern: LOINC code 8648-8 | ||||
| Composition.section:discharge_diagnosis_section.code | example | Pattern: LOINC code 11535-2 | ||||
| Composition.section:plan_of_treatment_section.code | example | Pattern: LOINC code 18776-5 | ||||
| Composition.section:discharge_medications_section.code | example | Pattern: LOINC code 10183-2 | ||||
| Composition.section:admission_diagnosis_section.code | example | Pattern: LOINC code 46241-6 | ||||
| Composition.section:admission_medications_section.code | example | Pattern: LOINC code 42346-7 | ||||
| Composition.section:chief_complaint_and_reason_for_visit_section.code | example | Pattern: LOINC code 46239-0 | ||||
| Composition.section:chief_complaint_section.code | example | Pattern: LOINC code 10154-3 | ||||
| Composition.section:family_history_section.code | example | Pattern: LOINC code 10157-6 | ||||
| Composition.section:functional_status_section.code | example | Pattern: LOINC code 47420-5 | ||||
| Composition.section:history_of_present_illness_section.code | example | Pattern: LOINC code 10164-2 | ||||
| Composition.section:hospital_consultations_section.code | example | Pattern: LOINC code 18841-7 | ||||
| Composition.section:hospital_discharge_instructions_section.code | example | Pattern: LOINC code 8653-8 | ||||
| Composition.section:hospital_discharge_physical_section.code | example | Pattern: LOINC code 10184-0 | ||||
| Composition.section:hospital_discharge_studies_section.code | example | Pattern: LOINC code 11493-4 | ||||
| Composition.section:immunizations_section.code | example | Pattern: LOINC code 11369-6 | ||||
| Composition.section:nutrition_section.code | example | Pattern: LOINC code 61144-2 | ||||
| Composition.section:past_medical_history_section.code | example | Pattern: LOINC code 11348-0 | ||||
| Composition.section:problem_section.code | example | Pattern: LOINC code 11450-4 | ||||
| Composition.section:procedures_section.code | example | Pattern: LOINC code 47519-4 | ||||
| Composition.section:reason_for_visit_section.code | example | Pattern: LOINC code 29299-5 | ||||
| Composition.section:review_of_systems_section.code | example | Pattern: LOINC code 10187-3 | ||||
| Composition.section:social_history_section.code | example | Pattern: LOINC code 29762-2 | ||||
| Composition.section:vital_signs_section.code | example | Pattern: LOINC code 8716-3 | ||||
| Composition.section:goals_section.code | example | Pattern: LOINC code 61146-7 | ||||
| Composition.section:health_concerns_section.code | example | Pattern: LOINC code 75310-3 |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:chief_complaint_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:immunizations_section, Composition.section:nutrition_section, Composition.section:past_medical_history_section, Composition.section:problem_section, Composition.section:procedures_section, Composition.section:reason_for_visit_section, Composition.section:review_of_systems_section, Composition.section:social_history_section, Composition.section:vital_signs_section, Composition.section:goals_section, Composition.section:health_concerns_section | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:chief_complaint_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:immunizations_section, Composition.section:nutrition_section, Composition.section:past_medical_history_section, Composition.section:problem_section, Composition.section:procedures_section, Composition.section:reason_for_visit_section, Composition.section:review_of_systems_section, Composition.section:social_history_section, Composition.section:vital_signs_section, Composition.section:goals_section, Composition.section:health_concerns_section | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | USRealmHeader | 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 | S | 1..1 | code | language Binding: CommonLanguages (preferred): A human language.
| ||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| versionNumber | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
| version_number_extension | S | 0..1 | integer | Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber | ||||
| data_enterer_extension | S | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension | ||||
| informant_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | informant URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformantExtension | ||||
| information_recipient_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile) | informationRecipient URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformationRecipientExtension | ||||
| participant_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | participant URL: http://hl7.org/fhir/us/ccda/StructureDefinition/ParticipantExtension | ||||
| performer_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | performer URL: http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension | ||||
| authorization_extension | S | 0..* | Reference(Consent) | authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension | ||||
| order_extension | S | 0..* | Reference(ServiceRequest) | authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | SΣ | 1..1 | Identifier | identifier | ||||
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type | SΣ | 1..1 | CodeableConcept | Discharge Summary Binding: DischargeSummaryDocumentTypeCode (required) | ||||
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject | SΣ | 0..1 | Reference(US Core Patient Profile | Group) | Who and/or what the composition is about | ||||
| encounter | SΣ | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition | ||||
| date | SΣ | 1..1 | dateTime | date | ||||
| author | SΣ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) | Who and/or what authored the composition | ||||
| title | SΣ | 1..1 | string | Document Title | ||||
| Slices for attester | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode | |||||
| attester:All Slices | Content/Rules for all slices | |||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | 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 | |||||
| attester:legal_attester | S | 0..1 | BackboneElement | attester | ||||
| 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 | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal | ||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | party | ||||
| attester:professional_attester | S | 0..* | BackboneElement | attester | ||||
| 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 | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: professional | ||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | party | ||||
| attester:personal_attester | S | 0..* | BackboneElement | attester | ||||
| 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 | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: personal | ||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | S | 1..1 | Reference(US Core Patient Profile | RelatedPerson) | party | ||||
| custodian | SΣ | 1..1 | Reference(US Core Organization Profile) | custodian | ||||
| 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 | 0..* | 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 | 0..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:allergies_and_intolerances_section | SC | 1..1 | BackboneElement | Allergies and Intolerances 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Allergies and adverse reactions Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:allergy_entry | SC | 0..* | Reference(US Core AllergyIntolerance 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:hospital_course_section | SC | 1..1 | BackboneElement | Hospital Course 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8648-8 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:discharge_diagnosis_section | SC | 1..1 | BackboneElement | Discharge Diagnosis 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge diagnosis Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11535-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:discharge_diagnosis_entry | SC | 0..* | Reference(US Core Condition 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:plan_of_treatment_section | SC | 0..1 | BackboneElement | Plan of Treatment 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Plan of treatment Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:sliceEntry | C | 0..* | Reference(US Core Goal Profile | US Core MedicationRequest Profile | US Core Encounter Profile | Communication | Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| 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:discharge_medications_section | SC | 0..1 | BackboneElement | Discharge Medications 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge medications Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10183-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:discharge_medications_entry | SC | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest 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:admission_diagnosis_section | SC | 0..1 | BackboneElement | Admission Diagnosis 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital admission diagnosis Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46241-6 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:admission_diagnosis_entry | SC | 0..* | Reference(US Core Condition 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:admission_medications_section | SC | 0..1 | BackboneElement | Admission Medications 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Medications on admission Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42346-7 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:admission_medications_entry | SC | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest 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:chief_complaint_and_reason_for_visit_section | SC | 0..1 | BackboneElement | Chief Complaint and Reason for Visit Section. This section records the patient's chief complaint (the patientâs own description) and/or the reason for the patient's visit (the providerâs description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes. | ||||
| 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46239-0 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:chief_complaint_section | SC | 0..1 | BackboneElement | Chief Complaint 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:family_history_section | SC | 0..1 | BackboneElement | Family History 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:family_history_entry | SC | 0..* | Reference(FamilyMemberHistory) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| 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:functional_status_section | SC | 0..1 | BackboneElement | Functional Status 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Functional status Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:functional_status_entry | SC | 0..* | Reference(US Core Condition Profile | Observation | ClinicalImpression) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| 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:history_of_present_illness_section | SC | 0..1 | BackboneElement | History of Present Illness 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:hospital_consultations_section | SC | 0..1 | BackboneElement | Hospital Consultations 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital consultations Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18841-7 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:hospital_discharge_instructions_section | SC | 0..1 | BackboneElement | Hospital Discharge Instructions 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge instructions Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8653-8 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:hospital_discharge_physical_section | SC | 0..1 | BackboneElement | Hospital Discharge Physical 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge physical Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10184-0 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:hospital_discharge_studies_section | SC | 0..1 | BackboneElement | Hospital Discharge Studies 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge studies summary Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11493-4 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:immunizations_section | SC | 0..1 | BackboneElement | Immunizations 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Immunizations Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:immunizations_entry | SC | 0..* | Reference(US Core Immunization 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:nutrition_section | SC | 0..1 | BackboneElement | Nutrition 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Diet and nutrition Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61144-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:nutrition_entry | SC | 0..* | Reference(Observation) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| 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:past_medical_history_section | SC | 0..1 | BackboneElement | Past Medical History 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:past_medical_history_entry | SC | 0..* | Reference(US Core Condition 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:problem_section | SC | 0..1 | BackboneElement | Problem 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Problem list Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:problem_entry | SC | 0..* | Reference(US Core Condition 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:procedures_section | SC | 0..1 | BackboneElement | Procedures 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | History of procedures Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:procedure_entry | SC | 0..* | Reference(US Core Procedure 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:reason_for_visit_section | SC | 0..1 | BackboneElement | Reason for Visit 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29299-5 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:review_of_systems_section | SC | 0..1 | BackboneElement | Review of Systems 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Review of systems Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10187-3 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:social_history_section | SC | 0..1 | BackboneElement | Social History 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Social history Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:smoking_status_entry | SC | 0..* | Reference(US Core Smoking Status Observation Profile) | Smoking status | ||||
| 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:vital_signs_section | SC | 0..1 | BackboneElement | Vital Signs 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Vital signs Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:vital_signs_entry | SC | 0..* | Reference(Vital Signs 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:goals_section | SC | 0..1 | BackboneElement | Goals 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Goals Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61146-7 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:goals_entry | SC | 0..* | Reference(US Core Goal Profile) | entry | ||||
| 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:health_concerns_section | SC | 0..1 | BackboneElement | Health Concerns 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Health concerns section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:health_concerns_entry | SC | 0..* | Reference(US Core AllergyIntolerance Profile | US Core Condition Profile | US Core Laboratory Result Observation Profile | US Core Smoking Status Observation Profile | Vital Signs Profile | ClinicalImpression | Observation | RiskAssessment | List | DocumentReference) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| 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 | required | DischargeSummaryDocumentTypeCode | ||||
| Composition.category | example | DocumentClassValueSet | ||||
| Composition.attester.mode | required | CompositionAttestationMode | ||||
| Composition.attester:legal_attester.mode | required | Fixed Value: legal | ||||
| Composition.attester:professional_attester.mode | required | Fixed Value: professional | ||||
| Composition.attester:personal_attester.mode | required | Fixed Value: personal | ||||
| 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:allergies_and_intolerances_section.code | example | Pattern: LOINC code 48765-2 | ||||
| Composition.section:allergies_and_intolerances_section.mode | required | ListMode | ||||
| Composition.section:allergies_and_intolerances_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:allergies_and_intolerances_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hospital_course_section.code | example | Pattern: LOINC code 8648-8 | ||||
| Composition.section:hospital_course_section.mode | required | ListMode | ||||
| Composition.section:hospital_course_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hospital_course_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:discharge_diagnosis_section.code | example | Pattern: LOINC code 11535-2 | ||||
| Composition.section:discharge_diagnosis_section.mode | required | ListMode | ||||
| Composition.section:discharge_diagnosis_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:discharge_diagnosis_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:plan_of_treatment_section.code | example | Pattern: LOINC code 18776-5 | ||||
| Composition.section:plan_of_treatment_section.mode | required | ListMode | ||||
| Composition.section:plan_of_treatment_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:plan_of_treatment_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:discharge_medications_section.code | example | Pattern: LOINC code 10183-2 | ||||
| Composition.section:discharge_medications_section.mode | required | ListMode | ||||
| Composition.section:discharge_medications_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:discharge_medications_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:admission_diagnosis_section.code | example | Pattern: LOINC code 46241-6 | ||||
| Composition.section:admission_diagnosis_section.mode | required | ListMode | ||||
| Composition.section:admission_diagnosis_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:admission_diagnosis_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:admission_medications_section.code | example | Pattern: LOINC code 42346-7 | ||||
| Composition.section:admission_medications_section.mode | required | ListMode | ||||
| Composition.section:admission_medications_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:admission_medications_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:chief_complaint_and_reason_for_visit_section.code | example | Pattern: LOINC code 46239-0 | ||||
| Composition.section:chief_complaint_and_reason_for_visit_section.mode | required | ListMode | ||||
| Composition.section:chief_complaint_and_reason_for_visit_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:chief_complaint_and_reason_for_visit_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:chief_complaint_section.code | example | Pattern: LOINC code 10154-3 | ||||
| Composition.section:chief_complaint_section.mode | required | ListMode | ||||
| Composition.section:chief_complaint_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:chief_complaint_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:family_history_section.code | example | Pattern: LOINC code 10157-6 | ||||
| Composition.section:family_history_section.mode | required | ListMode | ||||
| Composition.section:family_history_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:family_history_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:functional_status_section.code | example | Pattern: LOINC code 47420-5 | ||||
| Composition.section:functional_status_section.mode | required | ListMode | ||||
| Composition.section:functional_status_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:functional_status_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:history_of_present_illness_section.code | example | Pattern: LOINC code 10164-2 | ||||
| Composition.section:history_of_present_illness_section.mode | required | ListMode | ||||
| Composition.section:history_of_present_illness_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:history_of_present_illness_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hospital_consultations_section.code | example | Pattern: LOINC code 18841-7 | ||||
| Composition.section:hospital_consultations_section.mode | required | ListMode | ||||
| Composition.section:hospital_consultations_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hospital_consultations_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hospital_discharge_instructions_section.code | example | Pattern: LOINC code 8653-8 | ||||
| Composition.section:hospital_discharge_instructions_section.mode | required | ListMode | ||||
| Composition.section:hospital_discharge_instructions_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hospital_discharge_instructions_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hospital_discharge_physical_section.code | example | Pattern: LOINC code 10184-0 | ||||
| Composition.section:hospital_discharge_physical_section.mode | required | ListMode | ||||
| Composition.section:hospital_discharge_physical_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hospital_discharge_physical_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hospital_discharge_studies_section.code | example | Pattern: LOINC code 11493-4 | ||||
| Composition.section:hospital_discharge_studies_section.mode | required | ListMode | ||||
| Composition.section:hospital_discharge_studies_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hospital_discharge_studies_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:immunizations_section.code | example | Pattern: LOINC code 11369-6 | ||||
| Composition.section:immunizations_section.mode | required | ListMode | ||||
| Composition.section:immunizations_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:immunizations_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:nutrition_section.code | example | Pattern: LOINC code 61144-2 | ||||
| Composition.section:nutrition_section.mode | required | ListMode | ||||
| Composition.section:nutrition_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:nutrition_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:past_medical_history_section.code | example | Pattern: LOINC code 11348-0 | ||||
| Composition.section:past_medical_history_section.mode | required | ListMode | ||||
| Composition.section:past_medical_history_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:past_medical_history_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:problem_section.code | example | Pattern: LOINC code 11450-4 | ||||
| Composition.section:problem_section.mode | required | ListMode | ||||
| Composition.section:problem_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:problem_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:procedures_section.code | example | Pattern: LOINC code 47519-4 | ||||
| Composition.section:procedures_section.mode | required | ListMode | ||||
| Composition.section:procedures_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:procedures_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:reason_for_visit_section.code | example | Pattern: LOINC code 29299-5 | ||||
| Composition.section:reason_for_visit_section.mode | required | ListMode | ||||
| Composition.section:reason_for_visit_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:reason_for_visit_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:review_of_systems_section.code | example | Pattern: LOINC code 10187-3 | ||||
| Composition.section:review_of_systems_section.mode | required | ListMode | ||||
| Composition.section:review_of_systems_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:review_of_systems_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:social_history_section.code | example | Pattern: LOINC code 29762-2 | ||||
| Composition.section:social_history_section.mode | required | ListMode | ||||
| Composition.section:social_history_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:social_history_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:vital_signs_section.code | example | Pattern: LOINC code 8716-3 | ||||
| Composition.section:vital_signs_section.mode | required | ListMode | ||||
| Composition.section:vital_signs_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:vital_signs_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:goals_section.code | example | Pattern: LOINC code 61146-7 | ||||
| Composition.section:goals_section.mode | required | ListMode | ||||
| Composition.section:goals_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:goals_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:health_concerns_section.code | example | Pattern: LOINC code 75310-3 | ||||
| Composition.section:health_concerns_section.mode | required | ListMode | ||||
| Composition.section:health_concerns_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:health_concerns_section.emptyReason | preferred | ListEmptyReasons |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:chief_complaint_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:immunizations_section, Composition.section:nutrition_section, Composition.section:past_medical_history_section, Composition.section:problem_section, Composition.section:procedures_section, Composition.section:reason_for_visit_section, Composition.section:review_of_systems_section, Composition.section:social_history_section, Composition.section:vital_signs_section, Composition.section:goals_section, Composition.section:health_concerns_section | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:chief_complaint_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:immunizations_section, Composition.section:nutrition_section, Composition.section:past_medical_history_section, Composition.section:problem_section, Composition.section:procedures_section, Composition.section:reason_for_visit_section, Composition.section:review_of_systems_section, Composition.section:social_history_section, Composition.section:vital_signs_section, Composition.section:goals_section, Composition.section:health_concerns_section | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USRealmHeader
Summary
Mandatory: 12 elements (72 nested mandatory elements)
Must-Support: 125 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USRealmHeader
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | USRealmHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| type | S | 1..1 | CodeableConcept | Discharge Summary Binding: DischargeSummaryDocumentTypeCode (required) |
| Slices for section | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code | |
| section:allergies_and_intolerances_section | S | 1..1 | BackboneElement | Allergies and Intolerances Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Allergies and adverse reactions Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:allergy_entry | S | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section |
| section:hospital_course_section | S | 1..1 | BackboneElement | Hospital Course Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8648-8 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:discharge_diagnosis_section | S | 1..1 | BackboneElement | Discharge Diagnosis Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital discharge diagnosis Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11535-2 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:discharge_diagnosis_entry | S | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section |
| section:plan_of_treatment_section | S | 0..1 | BackboneElement | Plan of Treatment Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Plan of treatment Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:sliceEntry | 0..* | Reference(US Core Goal Profile | US Core MedicationRequest Profile | US Core Encounter Profile | Communication | Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
| section:discharge_medications_section | S | 0..1 | BackboneElement | Discharge Medications Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital discharge medications Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10183-2 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:discharge_medications_entry | S | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile) | A reference to data that supports this section |
| section:admission_diagnosis_section | S | 0..1 | BackboneElement | Admission Diagnosis Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital admission diagnosis Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46241-6 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:admission_diagnosis_entry | S | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section |
| section:admission_medications_section | S | 0..1 | BackboneElement | Admission Medications Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Medications on admission Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42346-7 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:admission_medications_entry | S | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile) | A reference to data that supports this section |
| section:chief_complaint_and_reason_for_visit_section | S | 0..1 | BackboneElement | Chief Complaint and Reason for Visit Section. This section records the patient's chief complaint (the patientâs own description) and/or the reason for the patient's visit (the providerâs description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes. |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46239-0 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:chief_complaint_section | S | 0..1 | BackboneElement | Chief Complaint Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:family_history_section | S | 0..1 | BackboneElement | Family History Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:family_history_entry | S | 0..* | Reference(FamilyMemberHistory) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. |
| section:functional_status_section | S | 0..1 | BackboneElement | Functional Status Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Functional status Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:functional_status_entry | S | 0..* | Reference(US Core Condition Profile | Observation | ClinicalImpression) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. |
| section:history_of_present_illness_section | S | 0..1 | BackboneElement | History of Present Illness Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:hospital_consultations_section | S | 0..1 | BackboneElement | Hospital Consultations Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital consultations Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18841-7 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:hospital_discharge_instructions_section | S | 0..1 | BackboneElement | Hospital Discharge Instructions Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital discharge instructions Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8653-8 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:hospital_discharge_physical_section | S | 0..1 | BackboneElement | Hospital Discharge Physical Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital discharge physical Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10184-0 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:hospital_discharge_studies_section | S | 0..1 | BackboneElement | Hospital Discharge Studies Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Hospital discharge studies summary Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11493-4 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:immunizations_section | S | 0..1 | BackboneElement | Immunizations Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Immunizations Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:immunizations_entry | S | 0..* | Reference(US Core Immunization Profile) | A reference to data that supports this section |
| section:nutrition_section | S | 0..1 | BackboneElement | Nutrition Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Diet and nutrition Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61144-2 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:nutrition_entry | S | 0..* | Reference(Observation) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. |
| section:past_medical_history_section | S | 0..1 | BackboneElement | Past Medical History Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:past_medical_history_entry | S | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section |
| section:problem_section | S | 0..1 | BackboneElement | Problem Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Problem list Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:problem_entry | S | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section |
| section:procedures_section | S | 0..1 | BackboneElement | Procedures Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | History of procedures Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:procedure_entry | S | 0..* | Reference(US Core Procedure Profile) | A reference to data that supports this section |
| section:reason_for_visit_section | S | 0..1 | BackboneElement | Reason for Visit Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29299-5 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:review_of_systems_section | S | 0..1 | BackboneElement | Review of Systems Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Review of systems Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10187-3 | |
| text | S | 1..1 | Narrative | This section contains only human readable content |
| section:social_history_section | S | 0..1 | BackboneElement | Social History Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Social history Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:smoking_status_entry | S | 0..* | Reference(US Core Smoking Status Observation Profile) | Smoking status |
| section:vital_signs_section | S | 0..1 | BackboneElement | Vital Signs Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Vital signs Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:vital_signs_entry | S | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section |
| section:goals_section | S | 0..1 | BackboneElement | Goals Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Goals Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61146-7 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:goals_entry | S | 0..* | Reference(US Core Goal Profile) | entry |
| section:health_concerns_section | S | 0..1 | BackboneElement | Health Concerns Section |
| title | S | 1..1 | string | title |
| code | S | 1..1 | CodeableConcept | Health concerns section code Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |
| text | S | 1..1 | Narrative | text |
| Slices for entry | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | |
| entry:health_concerns_entry | S | 0..* | Reference(US Core AllergyIntolerance Profile | US Core Condition Profile | US Core Laboratory Result Observation Profile | US Core Smoking Status Observation Profile | Vital Signs Profile | ClinicalImpression | Observation | RiskAssessment | List | DocumentReference) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Composition.type | required | DischargeSummaryDocumentTypeCode |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | USRealmHeader | 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 | ||||
| language | S | 1..1 | code | language Binding: CommonLanguages (preferred): A human language.
| ||||
| versionNumber | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
| version_number_extension | S | 0..1 | integer | Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber | ||||
| data_enterer_extension | S | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension | ||||
| informant_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | informant URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformantExtension | ||||
| information_recipient_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile) | informationRecipient URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformationRecipientExtension | ||||
| participant_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | participant URL: http://hl7.org/fhir/us/ccda/StructureDefinition/ParticipantExtension | ||||
| performer_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | performer URL: http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension | ||||
| authorization_extension | S | 0..* | Reference(Consent) | authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension | ||||
| order_extension | S | 0..* | Reference(ServiceRequest) | authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | SΣ | 1..1 | Identifier | identifier | ||||
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type | SΣ | 1..1 | CodeableConcept | Discharge Summary Binding: DischargeSummaryDocumentTypeCode (required) | ||||
| subject | SΣ | 0..1 | Reference(US Core Patient Profile | Group) | Who and/or what the composition is about | ||||
| encounter | SΣ | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition | ||||
| date | SΣ | 1..1 | dateTime | date | ||||
| author | SΣ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) | Who and/or what authored the composition | ||||
| title | SΣ | 1..1 | string | Document Title | ||||
| Slices for attester | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode | |||||
| attester:All Slices | Content/Rules for all slices | |||||||
| 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. | |||||
| attester:legal_attester | S | 0..1 | BackboneElement | attester | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal | ||||
| party | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | party | ||||
| attester:professional_attester | S | 0..* | BackboneElement | attester | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: professional | ||||
| party | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | party | ||||
| attester:personal_attester | S | 0..* | BackboneElement | attester | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: personal | ||||
| party | S | 1..1 | Reference(US Core Patient Profile | RelatedPerson) | party | ||||
| custodian | SΣ | 1..1 | Reference(US Core Organization Profile) | custodian | ||||
| Slices for section | C | 0..* | 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 | ||||
| section:allergies_and_intolerances_section | SC | 1..1 | BackboneElement | Allergies and Intolerances Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Allergies and adverse reactions 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:allergy_entry | SC | 0..* | Reference(US Core AllergyIntolerance Profile) | A reference to data that supports this section | ||||
| section:hospital_course_section | SC | 1..1 | BackboneElement | Hospital Course Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8648-8 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:discharge_diagnosis_section | SC | 1..1 | BackboneElement | Discharge Diagnosis Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge diagnosis 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11535-2 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:discharge_diagnosis_entry | SC | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section | ||||
| section:plan_of_treatment_section | SC | 0..1 | BackboneElement | Plan of Treatment Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Plan of treatment 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:sliceEntry | C | 0..* | Reference(US Core Goal Profile | US Core MedicationRequest Profile | US Core Encounter Profile | Communication | Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| section:discharge_medications_section | SC | 0..1 | BackboneElement | Discharge Medications Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge medications 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10183-2 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:discharge_medications_entry | SC | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile) | A reference to data that supports this section | ||||
| section:admission_diagnosis_section | SC | 0..1 | BackboneElement | Admission Diagnosis Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital admission diagnosis 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46241-6 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:admission_diagnosis_entry | SC | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section | ||||
| section:admission_medications_section | SC | 0..1 | BackboneElement | Admission Medications Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Medications on admission 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42346-7 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:admission_medications_entry | SC | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile) | A reference to data that supports this section | ||||
| section:chief_complaint_and_reason_for_visit_section | SC | 0..1 | BackboneElement | Chief Complaint and Reason for Visit Section. This section records the patient's chief complaint (the patientâs own description) and/or the reason for the patient's visit (the providerâs description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes. | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46239-0 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:chief_complaint_section | SC | 0..1 | BackboneElement | Chief Complaint Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:family_history_section | SC | 0..1 | BackboneElement | Family History Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:family_history_entry | SC | 0..* | Reference(FamilyMemberHistory) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| section:functional_status_section | SC | 0..1 | BackboneElement | Functional Status Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Functional status 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:functional_status_entry | SC | 0..* | Reference(US Core Condition Profile | Observation | ClinicalImpression) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| section:history_of_present_illness_section | SC | 0..1 | BackboneElement | History of Present Illness Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:hospital_consultations_section | SC | 0..1 | BackboneElement | Hospital Consultations Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital consultations 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18841-7 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:hospital_discharge_instructions_section | SC | 0..1 | BackboneElement | Hospital Discharge Instructions Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge instructions 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8653-8 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:hospital_discharge_physical_section | SC | 0..1 | BackboneElement | Hospital Discharge Physical Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge physical 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10184-0 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:hospital_discharge_studies_section | SC | 0..1 | BackboneElement | Hospital Discharge Studies Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge studies summary 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11493-4 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:immunizations_section | SC | 0..1 | BackboneElement | Immunizations Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Immunizations 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:immunizations_entry | SC | 0..* | Reference(US Core Immunization Profile) | A reference to data that supports this section | ||||
| section:nutrition_section | SC | 0..1 | BackboneElement | Nutrition Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Diet and nutrition 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61144-2 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:nutrition_entry | SC | 0..* | Reference(Observation) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| section:past_medical_history_section | SC | 0..1 | BackboneElement | Past Medical History Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:past_medical_history_entry | SC | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section | ||||
| section:problem_section | SC | 0..1 | BackboneElement | Problem Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Problem list 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:problem_entry | SC | 0..* | Reference(US Core Condition Profile) | A reference to data that supports this section | ||||
| section:procedures_section | SC | 0..1 | BackboneElement | Procedures Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | History of procedures 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:procedure_entry | SC | 0..* | Reference(US Core Procedure Profile) | A reference to data that supports this section | ||||
| section:reason_for_visit_section | SC | 0..1 | BackboneElement | Reason for Visit Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29299-5 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:review_of_systems_section | SC | 0..1 | BackboneElement | Review of Systems Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Review of systems 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10187-3 | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| section:social_history_section | SC | 0..1 | BackboneElement | Social History Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Social history 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:smoking_status_entry | SC | 0..* | Reference(US Core Smoking Status Observation Profile) | Smoking status | ||||
| section:vital_signs_section | SC | 0..1 | BackboneElement | Vital Signs Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Vital signs 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:vital_signs_entry | SC | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section | ||||
| section:goals_section | SC | 0..1 | BackboneElement | Goals Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Goals 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61146-7 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:goals_entry | SC | 0..* | Reference(US Core Goal Profile) | entry | ||||
| section:health_concerns_section | SC | 0..1 | BackboneElement | Health Concerns Section | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Health concerns section code 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://loinc.org | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |||||
| text | SC | 1..1 | Narrative | text | ||||
| Slices for entry | C | 0..* | Reference(Resource) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:health_concerns_entry | SC | 0..* | Reference(US Core AllergyIntolerance Profile | US Core Condition Profile | US Core Laboratory Result Observation Profile | US Core Smoking Status Observation Profile | Vital Signs Profile | ClinicalImpression | Observation | RiskAssessment | List | DocumentReference) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Composition.language | preferred | CommonLanguages
| ||||
| Composition.status | required | CompositionStatus | ||||
| Composition.type | required | DischargeSummaryDocumentTypeCode | ||||
| Composition.attester.mode | required | CompositionAttestationMode | ||||
| Composition.attester:legal_attester.mode | required | Fixed Value: legal | ||||
| Composition.attester:professional_attester.mode | required | Fixed Value: professional | ||||
| Composition.attester:personal_attester.mode | required | Fixed Value: personal | ||||
| Composition.section:allergies_and_intolerances_section.code | example | Pattern: LOINC code 48765-2 | ||||
| Composition.section:hospital_course_section.code | example | Pattern: LOINC code 8648-8 | ||||
| Composition.section:discharge_diagnosis_section.code | example | Pattern: LOINC code 11535-2 | ||||
| Composition.section:plan_of_treatment_section.code | example | Pattern: LOINC code 18776-5 | ||||
| Composition.section:discharge_medications_section.code | example | Pattern: LOINC code 10183-2 | ||||
| Composition.section:admission_diagnosis_section.code | example | Pattern: LOINC code 46241-6 | ||||
| Composition.section:admission_medications_section.code | example | Pattern: LOINC code 42346-7 | ||||
| Composition.section:chief_complaint_and_reason_for_visit_section.code | example | Pattern: LOINC code 46239-0 | ||||
| Composition.section:chief_complaint_section.code | example | Pattern: LOINC code 10154-3 | ||||
| Composition.section:family_history_section.code | example | Pattern: LOINC code 10157-6 | ||||
| Composition.section:functional_status_section.code | example | Pattern: LOINC code 47420-5 | ||||
| Composition.section:history_of_present_illness_section.code | example | Pattern: LOINC code 10164-2 | ||||
| Composition.section:hospital_consultations_section.code | example | Pattern: LOINC code 18841-7 | ||||
| Composition.section:hospital_discharge_instructions_section.code | example | Pattern: LOINC code 8653-8 | ||||
| Composition.section:hospital_discharge_physical_section.code | example | Pattern: LOINC code 10184-0 | ||||
| Composition.section:hospital_discharge_studies_section.code | example | Pattern: LOINC code 11493-4 | ||||
| Composition.section:immunizations_section.code | example | Pattern: LOINC code 11369-6 | ||||
| Composition.section:nutrition_section.code | example | Pattern: LOINC code 61144-2 | ||||
| Composition.section:past_medical_history_section.code | example | Pattern: LOINC code 11348-0 | ||||
| Composition.section:problem_section.code | example | Pattern: LOINC code 11450-4 | ||||
| Composition.section:procedures_section.code | example | Pattern: LOINC code 47519-4 | ||||
| Composition.section:reason_for_visit_section.code | example | Pattern: LOINC code 29299-5 | ||||
| Composition.section:review_of_systems_section.code | example | Pattern: LOINC code 10187-3 | ||||
| Composition.section:social_history_section.code | example | Pattern: LOINC code 29762-2 | ||||
| Composition.section:vital_signs_section.code | example | Pattern: LOINC code 8716-3 | ||||
| Composition.section:goals_section.code | example | Pattern: LOINC code 61146-7 | ||||
| Composition.section:health_concerns_section.code | example | Pattern: LOINC code 75310-3 |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:chief_complaint_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:immunizations_section, Composition.section:nutrition_section, Composition.section:past_medical_history_section, Composition.section:problem_section, Composition.section:procedures_section, Composition.section:reason_for_visit_section, Composition.section:review_of_systems_section, Composition.section:social_history_section, Composition.section:vital_signs_section, Composition.section:goals_section, Composition.section:health_concerns_section | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:chief_complaint_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:immunizations_section, Composition.section:nutrition_section, Composition.section:past_medical_history_section, Composition.section:problem_section, Composition.section:procedures_section, Composition.section:reason_for_visit_section, Composition.section:review_of_systems_section, Composition.section:social_history_section, Composition.section:vital_signs_section, Composition.section:goals_section, Composition.section:health_concerns_section | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | USRealmHeader | 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 | S | 1..1 | code | language Binding: CommonLanguages (preferred): A human language.
| ||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| versionNumber | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber | |||||
| version_number_extension | S | 0..1 | integer | Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber | ||||
| data_enterer_extension | S | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension | ||||
| informant_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | informant URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformantExtension | ||||
| information_recipient_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile) | informationRecipient URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformationRecipientExtension | ||||
| participant_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) | participant URL: http://hl7.org/fhir/us/ccda/StructureDefinition/ParticipantExtension | ||||
| performer_extension | S | 0..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | performer URL: http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension | ||||
| authorization_extension | S | 0..* | Reference(Consent) | authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension | ||||
| order_extension | S | 0..* | Reference(ServiceRequest) | authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | SΣ | 1..1 | Identifier | identifier | ||||
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type | SΣ | 1..1 | CodeableConcept | Discharge Summary Binding: DischargeSummaryDocumentTypeCode (required) | ||||
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject | SΣ | 0..1 | Reference(US Core Patient Profile | Group) | Who and/or what the composition is about | ||||
| encounter | SΣ | 0..1 | Reference(US Core Encounter Profile) | Context of the Composition | ||||
| date | SΣ | 1..1 | dateTime | date | ||||
| author | SΣ | 1..* | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) | Who and/or what authored the composition | ||||
| title | SΣ | 1..1 | string | Document Title | ||||
| Slices for attester | 0..* | BackboneElement | Attests to accuracy of composition Slice: Unordered, Open by value:mode | |||||
| attester:All Slices | Content/Rules for all slices | |||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | 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 | |||||
| attester:legal_attester | S | 0..1 | BackboneElement | attester | ||||
| 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 | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal | ||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | party | ||||
| attester:professional_attester | S | 0..* | BackboneElement | attester | ||||
| 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 | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: professional | ||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | party | ||||
| attester:personal_attester | S | 0..* | BackboneElement | attester | ||||
| 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 | S | 1..1 | code | mode Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: personal | ||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | S | 1..1 | Reference(US Core Patient Profile | RelatedPerson) | party | ||||
| custodian | SΣ | 1..1 | Reference(US Core Organization Profile) | custodian | ||||
| 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 | 0..* | 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 | 0..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:allergies_and_intolerances_section | SC | 1..1 | BackboneElement | Allergies and Intolerances 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Allergies and adverse reactions Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:allergy_entry | SC | 0..* | Reference(US Core AllergyIntolerance 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:hospital_course_section | SC | 1..1 | BackboneElement | Hospital Course 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8648-8 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:discharge_diagnosis_section | SC | 1..1 | BackboneElement | Discharge Diagnosis 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge diagnosis Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11535-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:discharge_diagnosis_entry | SC | 0..* | Reference(US Core Condition 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:plan_of_treatment_section | SC | 0..1 | BackboneElement | Plan of Treatment 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Plan of treatment Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:sliceEntry | C | 0..* | Reference(US Core Goal Profile | US Core MedicationRequest Profile | US Core Encounter Profile | Communication | Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| 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:discharge_medications_section | SC | 0..1 | BackboneElement | Discharge Medications 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge medications Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10183-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:discharge_medications_entry | SC | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest 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:admission_diagnosis_section | SC | 0..1 | BackboneElement | Admission Diagnosis 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital admission diagnosis Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46241-6 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:admission_diagnosis_entry | SC | 0..* | Reference(US Core Condition 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:admission_medications_section | SC | 0..1 | BackboneElement | Admission Medications 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Medications on admission Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42346-7 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:admission_medications_entry | SC | 0..* | Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest 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:chief_complaint_and_reason_for_visit_section | SC | 0..1 | BackboneElement | Chief Complaint and Reason for Visit Section. This section records the patient's chief complaint (the patientâs own description) and/or the reason for the patient's visit (the providerâs description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes. | ||||
| 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46239-0 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:chief_complaint_section | SC | 0..1 | BackboneElement | Chief Complaint 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:family_history_section | SC | 0..1 | BackboneElement | Family History 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:family_history_entry | SC | 0..* | Reference(FamilyMemberHistory) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| 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:functional_status_section | SC | 0..1 | BackboneElement | Functional Status 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Functional status Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:functional_status_entry | SC | 0..* | Reference(US Core Condition Profile | Observation | ClinicalImpression) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| 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:history_of_present_illness_section | SC | 0..1 | BackboneElement | History of Present Illness 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:hospital_consultations_section | SC | 0..1 | BackboneElement | Hospital Consultations 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital consultations Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18841-7 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:hospital_discharge_instructions_section | SC | 0..1 | BackboneElement | Hospital Discharge Instructions 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge instructions Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8653-8 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:hospital_discharge_physical_section | SC | 0..1 | BackboneElement | Hospital Discharge Physical 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge physical Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10184-0 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:hospital_discharge_studies_section | SC | 0..1 | BackboneElement | Hospital Discharge Studies 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Hospital discharge studies summary Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11493-4 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:immunizations_section | SC | 0..1 | BackboneElement | Immunizations 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Immunizations Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:immunizations_entry | SC | 0..* | Reference(US Core Immunization 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:nutrition_section | SC | 0..1 | BackboneElement | Nutrition 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Diet and nutrition Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61144-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:nutrition_entry | SC | 0..* | Reference(Observation) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| 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:past_medical_history_section | SC | 0..1 | BackboneElement | Past Medical History 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:past_medical_history_entry | SC | 0..* | Reference(US Core Condition 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:problem_section | SC | 0..1 | BackboneElement | Problem 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Problem list Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:problem_entry | SC | 0..* | Reference(US Core Condition 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:procedures_section | SC | 0..1 | BackboneElement | Procedures 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | History of procedures Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:procedure_entry | SC | 0..* | Reference(US Core Procedure 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:reason_for_visit_section | SC | 0..1 | BackboneElement | Reason for Visit 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29299-5 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:review_of_systems_section | SC | 0..1 | BackboneElement | Review of Systems 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Review of systems Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10187-3 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | This section contains only human readable content | ||||
| 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:social_history_section | SC | 0..1 | BackboneElement | Social History 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Social history Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:smoking_status_entry | SC | 0..* | Reference(US Core Smoking Status Observation Profile) | Smoking status | ||||
| 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:vital_signs_section | SC | 0..1 | BackboneElement | Vital Signs 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Vital signs Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:vital_signs_entry | SC | 0..* | Reference(Vital Signs 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:goals_section | SC | 0..1 | BackboneElement | Goals 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Goals Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 61146-7 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:goals_entry | SC | 0..* | Reference(US Core Goal Profile) | entry | ||||
| 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:health_concerns_section | SC | 0..1 | BackboneElement | Health Concerns 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 | S | 1..1 | string | title | ||||
| code | S | 1..1 | CodeableConcept | Health concerns section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | SC | 1..1 | Narrative | text | ||||
| 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) | entry Slice: Unordered, Open by profile:resolve() | ||||
| entry:health_concerns_entry | SC | 0..* | Reference(US Core AllergyIntolerance Profile | US Core Condition Profile | US Core Laboratory Result Observation Profile | US Core Smoking Status Observation Profile | Vital Signs Profile | ClinicalImpression | Observation | RiskAssessment | List | DocumentReference) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||||
| 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 | required | DischargeSummaryDocumentTypeCode | ||||
| Composition.category | example | DocumentClassValueSet | ||||
| Composition.attester.mode | required | CompositionAttestationMode | ||||
| Composition.attester:legal_attester.mode | required | Fixed Value: legal | ||||
| Composition.attester:professional_attester.mode | required | Fixed Value: professional | ||||
| Composition.attester:personal_attester.mode | required | Fixed Value: personal | ||||
| 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:allergies_and_intolerances_section.code | example | Pattern: LOINC code 48765-2 | ||||
| Composition.section:allergies_and_intolerances_section.mode | required | ListMode | ||||
| Composition.section:allergies_and_intolerances_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:allergies_and_intolerances_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hospital_course_section.code | example | Pattern: LOINC code 8648-8 | ||||
| Composition.section:hospital_course_section.mode | required | ListMode | ||||
| Composition.section:hospital_course_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hospital_course_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:discharge_diagnosis_section.code | example | Pattern: LOINC code 11535-2 | ||||
| Composition.section:discharge_diagnosis_section.mode | required | ListMode | ||||
| Composition.section:discharge_diagnosis_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:discharge_diagnosis_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:plan_of_treatment_section.code | example | Pattern: LOINC code 18776-5 | ||||
| Composition.section:plan_of_treatment_section.mode | required | ListMode | ||||
| Composition.section:plan_of_treatment_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:plan_of_treatment_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:discharge_medications_section.code | example | Pattern: LOINC code 10183-2 | ||||
| Composition.section:discharge_medications_section.mode | required | ListMode | ||||
| Composition.section:discharge_medications_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:discharge_medications_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:admission_diagnosis_section.code | example | Pattern: LOINC code 46241-6 | ||||
| Composition.section:admission_diagnosis_section.mode | required | ListMode | ||||
| Composition.section:admission_diagnosis_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:admission_diagnosis_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:admission_medications_section.code | example | Pattern: LOINC code 42346-7 | ||||
| Composition.section:admission_medications_section.mode | required | ListMode | ||||
| Composition.section:admission_medications_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:admission_medications_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:chief_complaint_and_reason_for_visit_section.code | example | Pattern: LOINC code 46239-0 | ||||
| Composition.section:chief_complaint_and_reason_for_visit_section.mode | required | ListMode | ||||
| Composition.section:chief_complaint_and_reason_for_visit_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:chief_complaint_and_reason_for_visit_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:chief_complaint_section.code | example | Pattern: LOINC code 10154-3 | ||||
| Composition.section:chief_complaint_section.mode | required | ListMode | ||||
| Composition.section:chief_complaint_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:chief_complaint_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:family_history_section.code | example | Pattern: LOINC code 10157-6 | ||||
| Composition.section:family_history_section.mode | required | ListMode | ||||
| Composition.section:family_history_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:family_history_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:functional_status_section.code | example | Pattern: LOINC code 47420-5 | ||||
| Composition.section:functional_status_section.mode | required | ListMode | ||||
| Composition.section:functional_status_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:functional_status_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:history_of_present_illness_section.code | example | Pattern: LOINC code 10164-2 | ||||
| Composition.section:history_of_present_illness_section.mode | required | ListMode | ||||
| Composition.section:history_of_present_illness_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:history_of_present_illness_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hospital_consultations_section.code | example | Pattern: LOINC code 18841-7 | ||||
| Composition.section:hospital_consultations_section.mode | required | ListMode | ||||
| Composition.section:hospital_consultations_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hospital_consultations_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hospital_discharge_instructions_section.code | example | Pattern: LOINC code 8653-8 | ||||
| Composition.section:hospital_discharge_instructions_section.mode | required | ListMode | ||||
| Composition.section:hospital_discharge_instructions_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hospital_discharge_instructions_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hospital_discharge_physical_section.code | example | Pattern: LOINC code 10184-0 | ||||
| Composition.section:hospital_discharge_physical_section.mode | required | ListMode | ||||
| Composition.section:hospital_discharge_physical_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hospital_discharge_physical_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:hospital_discharge_studies_section.code | example | Pattern: LOINC code 11493-4 | ||||
| Composition.section:hospital_discharge_studies_section.mode | required | ListMode | ||||
| Composition.section:hospital_discharge_studies_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:hospital_discharge_studies_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:immunizations_section.code | example | Pattern: LOINC code 11369-6 | ||||
| Composition.section:immunizations_section.mode | required | ListMode | ||||
| Composition.section:immunizations_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:immunizations_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:nutrition_section.code | example | Pattern: LOINC code 61144-2 | ||||
| Composition.section:nutrition_section.mode | required | ListMode | ||||
| Composition.section:nutrition_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:nutrition_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:past_medical_history_section.code | example | Pattern: LOINC code 11348-0 | ||||
| Composition.section:past_medical_history_section.mode | required | ListMode | ||||
| Composition.section:past_medical_history_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:past_medical_history_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:problem_section.code | example | Pattern: LOINC code 11450-4 | ||||
| Composition.section:problem_section.mode | required | ListMode | ||||
| Composition.section:problem_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:problem_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:procedures_section.code | example | Pattern: LOINC code 47519-4 | ||||
| Composition.section:procedures_section.mode | required | ListMode | ||||
| Composition.section:procedures_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:procedures_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:reason_for_visit_section.code | example | Pattern: LOINC code 29299-5 | ||||
| Composition.section:reason_for_visit_section.mode | required | ListMode | ||||
| Composition.section:reason_for_visit_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:reason_for_visit_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:review_of_systems_section.code | example | Pattern: LOINC code 10187-3 | ||||
| Composition.section:review_of_systems_section.mode | required | ListMode | ||||
| Composition.section:review_of_systems_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:review_of_systems_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:social_history_section.code | example | Pattern: LOINC code 29762-2 | ||||
| Composition.section:social_history_section.mode | required | ListMode | ||||
| Composition.section:social_history_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:social_history_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:vital_signs_section.code | example | Pattern: LOINC code 8716-3 | ||||
| Composition.section:vital_signs_section.mode | required | ListMode | ||||
| Composition.section:vital_signs_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:vital_signs_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:goals_section.code | example | Pattern: LOINC code 61146-7 | ||||
| Composition.section:goals_section.mode | required | ListMode | ||||
| Composition.section:goals_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:goals_section.emptyReason | preferred | ListEmptyReasons | ||||
| Composition.section:health_concerns_section.code | example | Pattern: LOINC code 75310-3 | ||||
| Composition.section:health_concerns_section.mode | required | ListMode | ||||
| Composition.section:health_concerns_section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section:health_concerns_section.emptyReason | preferred | ListEmptyReasons |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:chief_complaint_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:immunizations_section, Composition.section:nutrition_section, Composition.section:past_medical_history_section, Composition.section:problem_section, Composition.section:procedures_section, Composition.section:reason_for_visit_section, Composition.section:review_of_systems_section, Composition.section:social_history_section, Composition.section:vital_signs_section, Composition.section:goals_section, Composition.section:health_concerns_section | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:chief_complaint_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:immunizations_section, Composition.section:nutrition_section, Composition.section:past_medical_history_section, Composition.section:problem_section, Composition.section:procedures_section, Composition.section:reason_for_visit_section, Composition.section:review_of_systems_section, Composition.section:social_history_section, Composition.section:vital_signs_section, Composition.section:goals_section, Composition.section:health_concerns_section | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USRealmHeader
Summary
Mandatory: 12 elements (72 nested mandatory elements)
Must-Support: 125 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 Structured Documents Working Group. Package hl7.fhir.us.ccda#1.2.0-ballot based on FHIR 4.0.1. Generated 2023-03-27
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