HL7.FHIR.US.CCDA\Continuity of Care Document

This page is part of the C-CDA on FHIR Implementation Guide (v1.1.0: STU 1.1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Continuity of Care Document

Defining URL:

http://hl7.org/fhir/us/ccda/StructureDefinition/Continuity-of-Care-Document

Version:

1.1.0

Name:

ContinuityOfCareDocument

Title:

Continuity of Care Document

Status:

Active as of 2020-10-21T22:01:58+00:00

Definition:

This profile was originally based on the Continuity of Care Document (CCD) Release 1.1 which itself was derived from HITSP C32 and CCD Release 1.0.

The Continuity of Care Document (CCD) profile represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to another to support the continuity of care.

The primary use case for the CCD is to provide a snapshot in time containing the germane clinical, demographic, and administrative data for a specific patient. The key characteristic of a CCD is that the Composition.event.code is constrained to "PCPR". This means it does not function to report new services associated with performing care. It reports on care that has already been provided. The CCD provides a historical tally of the care over a range of time and is not a record of new services delivered.

More specific use cases, such as a Discharge Summary, Transfer Summary, Referral Note, Consultation Note, or Progress Note, are available as alternative profiles.

Publisher:

HL7 Structured Documents Working Group

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/ccda/StructureDefinition/Continuity-of-Care-Document

Formal Views of Profile Content

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

Text Summary
Differential Table
Snapshot Table
Snapshot Table (Must Support)
All

This structure is derived from USRealmHeader

Summary

Mandatory: 28 elements (39 nested mandatory elements)
Must-Support: 99 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

The element Composition.section is sliced based on the value of value:code
The element Composition.section.entry is sliced based on the value of profile:resolve()

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	Summary of episode note 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: 34133-9
event	S	1..1	BackboneElement	serviceEvent
code		0..*	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://terminology.hl7.org/CodeSystem/v3-ActClass
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PCPR
period		1..1	Period	period
start		1..1	dateTime	start
end		1..1	dateTime	end
section		0..*	(Slice Definition)	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
entry	S	0..*	(Slice Definition)	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:medications_section	S	1..1	BackboneElement	Medications Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	History of medication use 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: 10160-0
text	S	1..1	Narrative	text
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:medication_entry	S	0..*	Reference(MedicationStatement \| US Core Medication Profile \| US Core MedicationRequest Profile)	A reference to data that supports this section
section:problem_section	S	1..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
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:problems_entry	S	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
section:results_section	S	1..1	BackboneElement	Results Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Relevant diagnostic tests and laboratory data 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: 30954-2
text	S	1..1	Narrative	text
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:sliceEntry	S	0..*	Reference(US Core Laboratory Result Observation Profile)	A reference to data that supports this section
section:social_history_section	S	1..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
entry		0..*	(Slice Definition)	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	1..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
entry		0..*	(Slice Definition)	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: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
entry		0..*	(Slice Definition)	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: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
entry		0..*	(Slice Definition)	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:family_history_section	S	0..1	BackboneElement	Family History Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	History of family member diseases 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
entry		0..*	(Slice Definition)	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:advance_directives_section	S	0..1	BackboneElement	Advance Directives Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Advance directives 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: 42348-3
text	S	1..1	Narrative	text
entry		0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:advance_directive_entry	S	0..*	Reference(Consent)	A reference to data that supports this section
section:encounters_section	S	0..1	BackboneElement	Encounters Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Encounters 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: 46240-8
text	S	1..1	Narrative	text
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:encounter_entry	S	0..*	Reference(US Core Encounter Profile)	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 assessment 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
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:functional_status_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:immunizations_section	S	0..1	BackboneElement	Immunizations Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	History of immunization 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
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:immunization_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
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:nutrition_entry	S	0..*	Reference(NutritionOrder \| ClinicalImpression \| Observation)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
section:mental_status_section	S	0..1	BackboneElement	Mental Status Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Mental 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: 10190-7
text	S	1..1	Narrative	text
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:mental_status_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:medical_equipment_section	S	0..1	BackboneElement	Medical Equipment Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Medical equipment 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: 46264-8
text	S	1..1	Narrative	text
entry	S	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:medical_equipment_entry	S	0..*	Reference(Device \| US Core Procedure Profile)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
section:payers_section	S	0..1	BackboneElement	Payers Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Payers 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: 48768-6
text	S	1..1	Narrative	text
entry	S	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:coverage_entry	S	0..*	Reference(Coverage)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
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
entry		0..*	(Slice Definition)	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
entry		0..*	(Slice Definition)	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

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	string	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) Max Binding: AllLanguages
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
composition-clinicaldocument-versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
VersionNumber	S	0..1	integer	Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber
DataEntererExtension	S	0..1	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension
InformantExtension	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
InformationRecipientExtension	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
ParticipantExtension	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
PerformerExtension	S	0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	performer URL: http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension
AuthorizationExtension	S	0..*	Reference(Consent)	authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension
OrderExtension	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)
type	SΣ	1..1	CodeableConcept	Summary of episode note Binding: FHIRDocumentTypeCodes (preferred) 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: 34133-9
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
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example)
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
attester		0..*	(Slice Definition)	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)
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) 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) 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) 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)
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	SΣ	1..1	BackboneElement	serviceEvent
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 Binding: v3 Code System ActCode (example) 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://terminology.hl7.org/CodeSystem/v3-ActClass
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PCPR
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
period	Σ	1..1	Period	period
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣI	1..1	dateTime	start
end	ΣI	1..1	dateTime	end
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	I	0..*	(Slice Definition)	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)
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	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:allergies_and_intolerances_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:allergy_entry	SI	0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:medications_section	SI	1..1	BackboneElement	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	History of medication use Binding: DocumentSectionCodes (example) 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: 10160-0
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:medication_entry	SI	0..*	Reference(MedicationStatement \| US Core Medication Profile \| US Core MedicationRequest Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:problem_section	SI	1..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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:problems_entry	SI	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:results_section	SI	1..1	BackboneElement	Results 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	Relevant diagnostic tests and laboratory data Binding: DocumentSectionCodes (example) 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: 30954-2
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:sliceEntry	SI	0..*	Reference(US Core Laboratory Result Observation Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:social_history_section	SI	1..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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:smoking_status_entry	SI	0..*	Reference(US Core Smoking Status Observation Profile)	Smoking status
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:vital_signs_section	SI	1..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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:vital_signs_entry	SI	0..*	Reference(Vital Signs Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:plan_of_treatment_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:sliceEntry	I	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	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:procedures_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:procedure_entry	SI	0..*	Reference(US Core Procedure Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:family_history_section	SI	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	History of family member diseases Binding: DocumentSectionCodes (example) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:family_history_entry	SI	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	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:advance_directives_section	SI	0..1	BackboneElement	Advance Directives 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	Advance directives Binding: DocumentSectionCodes (example) 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: 42348-3
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:advance_directive_entry	SI	0..*	Reference(Consent)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:encounters_section	SI	0..1	BackboneElement	Encounters 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	Encounters Binding: DocumentSectionCodes (example) 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: 46240-8
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:encounter_entry	SI	0..*	Reference(US Core Encounter Profile)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:functional_status_section	SI	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 assessment Binding: DocumentSectionCodes (example) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:functional_status_entry	SI	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	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:immunizations_section	SI	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	History of immunization Binding: DocumentSectionCodes (example) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:immunization_entry	SI	0..*	Reference(US Core Immunization Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:nutrition_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:nutrition_entry	SI	0..*	Reference(NutritionOrder \| ClinicalImpression \| Observation)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:mental_status_section	SI	0..1	BackboneElement	Mental 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	Mental status Binding: DocumentSectionCodes (example) 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: 10190-7
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:mental_status_entry	SI	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	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:medical_equipment_section	SI	0..1	BackboneElement	Medical Equipment 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	Medical equipment Binding: DocumentSectionCodes (example) 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: 46264-8
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:medical_equipment_entry	SI	0..*	Reference(Device \| US Core Procedure Profile)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:payers_section	SI	0..1	BackboneElement	Payers 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	Payers Binding: DocumentSectionCodes (example) 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: 48768-6
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:coverage_entry	SI	0..*	Reference(Coverage)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:goals_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:goals_entry	SI	0..*	Reference(US Core Goal Profile)	entry
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:health_concerns_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:health_concerns_entry	SI	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	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	USRealmHeader	A set of resources composed into a single coherent clinical statement with clinical attestation
language		1..1	code	language Binding: CommonLanguages (preferred) Max Binding: AllLanguages
VersionNumber		0..1	integer	Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber
DataEntererExtension		0..1	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension
InformantExtension		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
InformationRecipientExtension		0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile \| US Core Patient Profile)	informationRecipient URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformationRecipientExtension
ParticipantExtension		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
PerformerExtension		0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	performer URL: http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension
AuthorizationExtension		0..*	Reference(Consent)	authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension
OrderExtension		0..*	Reference(ServiceRequest)	authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension
identifier	Σ	1..1	Identifier	identifier
type	Σ	1..1	CodeableConcept	Summary of episode note Binding: FHIRDocumentTypeCodes (preferred) 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: 34133-9
subject	Σ	0..1	Reference(US Core Patient Profile \| Group)	Who and/or what the composition is about
encounter	Σ	0..1	Reference(US Core Encounter Profile)	Context of the Composition
date	Σ	1..1	dateTime	date
author	Σ	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	Σ	1..1	string	Document Title
attester:legal_attester		0..1	BackboneElement	attester
mode		1..1	code	mode Binding: CompositionAttestationMode (required) Fixed Value: legal
party		1..1	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	party
attester:professional_attester		0..*	BackboneElement	attester
mode		1..1	code	mode Binding: CompositionAttestationMode (required) Fixed Value: professional
party		1..1	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	party
attester:personal_attester		0..*	BackboneElement	attester
mode		1..1	code	mode Binding: CompositionAttestationMode (required) Fixed Value: personal
party		1..1	Reference(US Core Patient Profile \| RelatedPerson)	party
custodian	Σ	1..1	Reference(US Core Organization Profile)	custodian
event	Σ	1..1	BackboneElement	serviceEvent
section:allergies_and_intolerances_section	I	1..1	BackboneElement	Allergies and Intolerances Section
title		1..1	string	title
code		1..1	CodeableConcept	Allergies and adverse reactions Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:allergy_entry	I	0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
section:medications_section	I	1..1	BackboneElement	Medications Section
title		1..1	string	title
code		1..1	CodeableConcept	History of medication use Binding: DocumentSectionCodes (example) 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: 10160-0
text	I	1..1	Narrative	text
entry:medication_entry	I	0..*	Reference(MedicationStatement \| US Core Medication Profile \| US Core MedicationRequest Profile)	A reference to data that supports this section
section:problem_section	I	1..1	BackboneElement	Problem Section
title		1..1	string	title
code		1..1	CodeableConcept	Problem list Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
entry:problems_entry	I	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
section:results_section	I	1..1	BackboneElement	Results Section
title		1..1	string	title
code		1..1	CodeableConcept	Relevant diagnostic tests and laboratory data Binding: DocumentSectionCodes (example) 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: 30954-2
text	I	1..1	Narrative	text
entry:sliceEntry	I	0..*	Reference(US Core Laboratory Result Observation Profile)	A reference to data that supports this section
section:social_history_section	I	1..1	BackboneElement	Social History Section
title		1..1	string	title
code		1..1	CodeableConcept	Social history Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
entry:smoking_status_entry	I	0..*	Reference(US Core Smoking Status Observation Profile)	Smoking status
section:vital_signs_section	I	1..1	BackboneElement	Vital Signs Section
title		1..1	string	title
code		1..1	CodeableConcept	Vital signs Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
entry:vital_signs_entry	I	0..*	Reference(Vital Signs Profile)	A reference to data that supports this section
section:plan_of_treatment_section	I	0..1	BackboneElement	Plan of Treatment Section
title		1..1	string	title
code		1..1	CodeableConcept	Plan of treatment Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
section:procedures_section	I	0..1	BackboneElement	Procedures Section
title		1..1	string	title
code		1..1	CodeableConcept	History of procedures Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
entry:procedure_entry	I	0..*	Reference(US Core Procedure Profile)	A reference to data that supports this section
section:family_history_section	I	0..1	BackboneElement	Family History Section
title		1..1	string	title
code		1..1	CodeableConcept	History of family member diseases Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
entry:family_history_entry	I	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:advance_directives_section	I	0..1	BackboneElement	Advance Directives Section
title		1..1	string	title
code		1..1	CodeableConcept	Advance directives Binding: DocumentSectionCodes (example) 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: 42348-3
text	I	1..1	Narrative	text
entry:advance_directive_entry	I	0..*	Reference(Consent)	A reference to data that supports this section
section:encounters_section	I	0..1	BackboneElement	Encounters Section
title		1..1	string	title
code		1..1	CodeableConcept	Encounters Binding: DocumentSectionCodes (example) 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: 46240-8
text	I	1..1	Narrative	text
entry:encounter_entry	I	0..*	Reference(US Core Encounter Profile)	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	I	0..1	BackboneElement	Functional Status Section
title		1..1	string	title
code		1..1	CodeableConcept	Functional status assessment Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
entry:functional_status_entry	I	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:immunizations_section	I	0..1	BackboneElement	Immunizations Section
title		1..1	string	title
code		1..1	CodeableConcept	History of immunization Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
entry:immunization_entry	I	0..*	Reference(US Core Immunization Profile)	A reference to data that supports this section
section:nutrition_section	I	0..1	BackboneElement	Nutrition Section
title		1..1	string	title
code		1..1	CodeableConcept	Diet and nutrition Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
entry:nutrition_entry	I	0..*	Reference(NutritionOrder \| ClinicalImpression \| Observation)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
section:mental_status_section	I	0..1	BackboneElement	Mental Status Section
title		1..1	string	title
code		1..1	CodeableConcept	Mental status Binding: DocumentSectionCodes (example) 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: 10190-7
text	I	1..1	Narrative	text
entry:mental_status_entry	I	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:medical_equipment_section	I	0..1	BackboneElement	Medical Equipment Section
title		1..1	string	title
code		1..1	CodeableConcept	Medical equipment Binding: DocumentSectionCodes (example) 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: 46264-8
text	I	1..1	Narrative	text
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:medical_equipment_entry	I	0..*	Reference(Device \| US Core Procedure Profile)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
section:payers_section	I	0..1	BackboneElement	Payers Section
title		1..1	string	title
code		1..1	CodeableConcept	Payers Binding: DocumentSectionCodes (example) 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: 48768-6
text	I	1..1	Narrative	text
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:coverage_entry	I	0..*	Reference(Coverage)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
section:goals_section	I	0..1	BackboneElement	Goals Section
title		1..1	string	title
code		1..1	CodeableConcept	Goals Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
entry:goals_entry	I	0..*	Reference(US Core Goal Profile)	entry
section:health_concerns_section	I	0..1	BackboneElement	Health Concerns Section
title		1..1	string	title
code		1..1	CodeableConcept	Health concerns section code Binding: DocumentSectionCodes (example) 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	I	1..1	Narrative	text
entry:health_concerns_entry	I	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

This structure is derived from USRealmHeader

Summary

Mandatory: 28 elements (39 nested mandatory elements)
Must-Support: 99 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

The element Composition.section is sliced based on the value of value:code
The element Composition.section.entry is sliced based on the value of profile:resolve()

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	Summary of episode note 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: 34133-9
event	S	1..1	BackboneElement	serviceEvent
code		0..*	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://terminology.hl7.org/CodeSystem/v3-ActClass
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PCPR
period		1..1	Period	period
start		1..1	dateTime	start
end		1..1	dateTime	end
section		0..*	(Slice Definition)	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
entry	S	0..*	(Slice Definition)	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:medications_section	S	1..1	BackboneElement	Medications Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	History of medication use 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: 10160-0
text	S	1..1	Narrative	text
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:medication_entry	S	0..*	Reference(MedicationStatement \| US Core Medication Profile \| US Core MedicationRequest Profile)	A reference to data that supports this section
section:problem_section	S	1..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
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:problems_entry	S	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
section:results_section	S	1..1	BackboneElement	Results Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Relevant diagnostic tests and laboratory data 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: 30954-2
text	S	1..1	Narrative	text
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:sliceEntry	S	0..*	Reference(US Core Laboratory Result Observation Profile)	A reference to data that supports this section
section:social_history_section	S	1..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
entry		0..*	(Slice Definition)	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	1..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
entry		0..*	(Slice Definition)	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: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
entry		0..*	(Slice Definition)	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: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
entry		0..*	(Slice Definition)	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:family_history_section	S	0..1	BackboneElement	Family History Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	History of family member diseases 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
entry		0..*	(Slice Definition)	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:advance_directives_section	S	0..1	BackboneElement	Advance Directives Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Advance directives 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: 42348-3
text	S	1..1	Narrative	text
entry		0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:advance_directive_entry	S	0..*	Reference(Consent)	A reference to data that supports this section
section:encounters_section	S	0..1	BackboneElement	Encounters Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Encounters 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: 46240-8
text	S	1..1	Narrative	text
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:encounter_entry	S	0..*	Reference(US Core Encounter Profile)	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 assessment 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
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:functional_status_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:immunizations_section	S	0..1	BackboneElement	Immunizations Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	History of immunization 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
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:immunization_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
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:nutrition_entry	S	0..*	Reference(NutritionOrder \| ClinicalImpression \| Observation)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
section:mental_status_section	S	0..1	BackboneElement	Mental Status Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Mental 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: 10190-7
text	S	1..1	Narrative	text
entry		0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:mental_status_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:medical_equipment_section	S	0..1	BackboneElement	Medical Equipment Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Medical equipment 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: 46264-8
text	S	1..1	Narrative	text
entry	S	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:medical_equipment_entry	S	0..*	Reference(Device \| US Core Procedure Profile)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
section:payers_section	S	0..1	BackboneElement	Payers Section
title	S	1..1	string	title
code	S	1..1	CodeableConcept	Payers 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: 48768-6
text	S	1..1	Narrative	text
entry	S	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:coverage_entry	S	0..*	Reference(Coverage)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
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
entry		0..*	(Slice Definition)	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
entry		0..*	(Slice Definition)	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

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	string	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) Max Binding: AllLanguages
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
composition-clinicaldocument-versionNumber		0..*	string	Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
VersionNumber	S	0..1	integer	Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber
DataEntererExtension	S	0..1	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	Extension URL: http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension
InformantExtension	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
InformationRecipientExtension	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
ParticipantExtension	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
PerformerExtension	S	0..*	Reference(US Core Practitioner Profile \| US Core PractitionerRole Profile)	performer URL: http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension
AuthorizationExtension	S	0..*	Reference(Consent)	authorization URL: http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension
OrderExtension	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)
type	SΣ	1..1	CodeableConcept	Summary of episode note Binding: FHIRDocumentTypeCodes (preferred) 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: 34133-9
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
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example)
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
attester		0..*	(Slice Definition)	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)
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) 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) 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) 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)
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	SΣ	1..1	BackboneElement	serviceEvent
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 Binding: v3 Code System ActCode (example) 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://terminology.hl7.org/CodeSystem/v3-ActClass
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PCPR
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
period	Σ	1..1	Period	period
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣI	1..1	dateTime	start
end	ΣI	1..1	dateTime	end
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
section	I	0..*	(Slice Definition)	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)
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	I	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:allergies_and_intolerances_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:allergy_entry	SI	0..*	Reference(US Core AllergyIntolerance Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:medications_section	SI	1..1	BackboneElement	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	History of medication use Binding: DocumentSectionCodes (example) 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: 10160-0
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:medication_entry	SI	0..*	Reference(MedicationStatement \| US Core Medication Profile \| US Core MedicationRequest Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:problem_section	SI	1..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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:problems_entry	SI	0..*	Reference(US Core Condition Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:results_section	SI	1..1	BackboneElement	Results 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	Relevant diagnostic tests and laboratory data Binding: DocumentSectionCodes (example) 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: 30954-2
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:sliceEntry	SI	0..*	Reference(US Core Laboratory Result Observation Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:social_history_section	SI	1..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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:smoking_status_entry	SI	0..*	Reference(US Core Smoking Status Observation Profile)	Smoking status
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:vital_signs_section	SI	1..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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:vital_signs_entry	SI	0..*	Reference(Vital Signs Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:plan_of_treatment_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:sliceEntry	I	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	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:procedures_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:procedure_entry	SI	0..*	Reference(US Core Procedure Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:family_history_section	SI	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	History of family member diseases Binding: DocumentSectionCodes (example) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:family_history_entry	SI	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	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:advance_directives_section	SI	0..1	BackboneElement	Advance Directives 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	Advance directives Binding: DocumentSectionCodes (example) 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: 42348-3
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:advance_directive_entry	SI	0..*	Reference(Consent)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:encounters_section	SI	0..1	BackboneElement	Encounters 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	Encounters Binding: DocumentSectionCodes (example) 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: 46240-8
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:encounter_entry	SI	0..*	Reference(US Core Encounter Profile)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:functional_status_section	SI	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 assessment Binding: DocumentSectionCodes (example) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:functional_status_entry	SI	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	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:immunizations_section	SI	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	History of immunization Binding: DocumentSectionCodes (example) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:immunization_entry	SI	0..*	Reference(US Core Immunization Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:nutrition_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:nutrition_entry	SI	0..*	Reference(NutritionOrder \| ClinicalImpression \| Observation)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:mental_status_section	SI	0..1	BackboneElement	Mental 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	Mental status Binding: DocumentSectionCodes (example) 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: 10190-7
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:mental_status_entry	SI	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	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:medical_equipment_section	SI	0..1	BackboneElement	Medical Equipment 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	Medical equipment Binding: DocumentSectionCodes (example) 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: 46264-8
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:medical_equipment_entry	SI	0..*	Reference(Device \| US Core Procedure Profile)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:payers_section	SI	0..1	BackboneElement	Payers 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	Payers Binding: DocumentSectionCodes (example) 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: 48768-6
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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:coverage_entry	SI	0..*	Reference(Coverage)	This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:goals_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:goals_entry	SI	0..*	Reference(US Core Goal Profile)	entry
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
section:health_concerns_section	SI	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) 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	SI	1..1	Narrative	text
mode		0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	entry Slice: Unordered, Open by profile:resolve()
entry:health_concerns_entry	SI	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	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*	See section	Nested Section
Documentation for this format

Other representations of profile: Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Composition.language	preferred	CommonLanguages Max Binding: AllLanguages
Composition.status	required	CompositionStatus
Composition.type	preferred	Pattern: LOINC code 34133-9
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	Pattern: PCPR
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:medications_section.code	example	Pattern: LOINC code 10160-0
Composition.section:medications_section.mode	required	ListMode
Composition.section:medications_section.orderedBy	preferred	ListOrderCodes
Composition.section:medications_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:results_section.code	example	Pattern: LOINC code 30954-2
Composition.section:results_section.mode	required	ListMode
Composition.section:results_section.orderedBy	preferred	ListOrderCodes
Composition.section:results_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: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: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: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:advance_directives_section.code	example	Pattern: LOINC code 42348-3
Composition.section:advance_directives_section.mode	required	ListMode
Composition.section:advance_directives_section.orderedBy	preferred	ListOrderCodes
Composition.section:advance_directives_section.emptyReason	preferred	ListEmptyReasons
Composition.section:encounters_section.code	example	Pattern: LOINC code 46240-8
Composition.section:encounters_section.mode	required	ListMode
Composition.section:encounters_section.orderedBy	preferred	ListOrderCodes
Composition.section:encounters_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: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:mental_status_section.code	example	Pattern: LOINC code 10190-7
Composition.section:mental_status_section.mode	required	ListMode
Composition.section:mental_status_section.orderedBy	preferred	ListOrderCodes
Composition.section:mental_status_section.emptyReason	preferred	ListEmptyReasons
Composition.section:medical_equipment_section.code	example	Pattern: LOINC code 46264-8
Composition.section:medical_equipment_section.mode	required	ListMode
Composition.section:medical_equipment_section.orderedBy	preferred	ListOrderCodes
Composition.section:medical_equipment_section.emptyReason	preferred	ListEmptyReasons
Composition.section:payers_section.code	example	Pattern: LOINC code 48768-6
Composition.section:payers_section.mode	required	ListMode
Composition.section:payers_section.orderedBy	preferred	ListOrderCodes
Composition.section:payers_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

Constraints

Id	Path	Details	Requirements
dom-2	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	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	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	Composition.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.extension:versionNumber	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.extension:versionNumber	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.extension:version_number_extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.extension:version_number_extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.extension:data_enterer_extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.extension:data_enterer_extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.extension:informant_extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.extension:informant_extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.extension:information_recipient_extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.extension:information_recipient_extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.extension:participant_extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.extension:participant_extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.extension:performer_extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.extension:performer_extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.extension:authorization_extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.extension:authorization_extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.extension:order_extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.extension:order_extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.date	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.attester.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.attester.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.attester.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.attester.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester.time	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester.party	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:legal_attester	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:legal_attester.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.attester:legal_attester.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.attester:legal_attester.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.attester:legal_attester.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.attester:legal_attester.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:legal_attester.time	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:legal_attester.party	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:professional_attester	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:professional_attester.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.attester:professional_attester.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.attester:professional_attester.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.attester:professional_attester.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.attester:professional_attester.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:professional_attester.time	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:professional_attester.party	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:personal_attester	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:personal_attester.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.attester:personal_attester.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.attester:personal_attester.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.attester:personal_attester.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.attester:personal_attester.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:personal_attester.time	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.attester:personal_attester.party	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.custodian	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.relatesTo	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.relatesTo.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.relatesTo.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.relatesTo.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.relatesTo.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.relatesTo.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.relatesTo.target[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.event	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.event.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.event.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.event.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.event.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.event.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.event.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.event.period.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.event.period.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.event.period.start	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.event.period.end	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.event.detail	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:allergies_and_intolerances_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:allergies_and_intolerances_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:allergies_and_intolerances_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:allergies_and_intolerances_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:allergies_and_intolerances_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:allergies_and_intolerances_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:allergies_and_intolerances_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:allergies_and_intolerances_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:allergies_and_intolerances_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:allergies_and_intolerances_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:allergies_and_intolerances_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:allergies_and_intolerances_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:allergies_and_intolerances_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:allergies_and_intolerances_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:allergies_and_intolerances_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:allergies_and_intolerances_section.entry:allergy_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:allergies_and_intolerances_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:allergies_and_intolerances_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:medications_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:medications_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:medications_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medications_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:medications_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:medications_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:medications_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:medications_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medications_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medications_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medications_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medications_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medications_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medications_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medications_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medications_section.entry:medication_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medications_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medications_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:problem_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:problem_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:problem_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:problem_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:problem_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:problem_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:problem_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:problem_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:problem_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:problem_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:problem_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:problem_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:problem_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:problem_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:problem_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:problem_section.entry:problems_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:problem_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:problem_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:results_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:results_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:results_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:results_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:results_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:results_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:results_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:results_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:results_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:results_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:results_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:results_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:results_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:results_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:results_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:results_section.entry:sliceEntry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:results_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:results_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:social_history_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:social_history_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:social_history_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:social_history_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:social_history_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:social_history_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:social_history_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:social_history_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:social_history_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:social_history_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:social_history_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:social_history_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:social_history_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:social_history_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:social_history_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:social_history_section.entry:smoking_status_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:social_history_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:social_history_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:vital_signs_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:vital_signs_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:vital_signs_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:vital_signs_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:vital_signs_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:vital_signs_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:vital_signs_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:vital_signs_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:vital_signs_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:vital_signs_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:vital_signs_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:vital_signs_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:vital_signs_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:vital_signs_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:vital_signs_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:vital_signs_section.entry:vital_signs_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:vital_signs_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:vital_signs_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:plan_of_treatment_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:plan_of_treatment_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:plan_of_treatment_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:plan_of_treatment_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:plan_of_treatment_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:plan_of_treatment_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:plan_of_treatment_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:plan_of_treatment_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:plan_of_treatment_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:plan_of_treatment_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:plan_of_treatment_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:plan_of_treatment_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:plan_of_treatment_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:plan_of_treatment_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:plan_of_treatment_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:plan_of_treatment_section.entry:sliceEntry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:plan_of_treatment_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:plan_of_treatment_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:procedures_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:procedures_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:procedures_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:procedures_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:procedures_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:procedures_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:procedures_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:procedures_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:procedures_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:procedures_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:procedures_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:procedures_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:procedures_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:procedures_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:procedures_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:procedures_section.entry:procedure_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:procedures_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:procedures_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:family_history_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:family_history_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:family_history_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:family_history_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:family_history_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:family_history_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:family_history_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:family_history_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:family_history_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:family_history_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:family_history_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:family_history_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:family_history_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:family_history_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:family_history_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:family_history_section.entry:family_history_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:family_history_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:family_history_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:advance_directives_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:advance_directives_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:advance_directives_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:advance_directives_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:advance_directives_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:advance_directives_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:advance_directives_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:advance_directives_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:advance_directives_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:advance_directives_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:advance_directives_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:advance_directives_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:advance_directives_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:advance_directives_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:advance_directives_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:advance_directives_section.entry:advance_directive_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:advance_directives_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:advance_directives_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:encounters_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:encounters_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:encounters_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:encounters_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:encounters_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:encounters_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:encounters_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:encounters_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:encounters_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:encounters_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:encounters_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:encounters_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:encounters_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:encounters_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:encounters_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:encounters_section.entry:encounter_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:encounters_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:encounters_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:functional_status_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:functional_status_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:functional_status_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:functional_status_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:functional_status_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:functional_status_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:functional_status_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:functional_status_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:functional_status_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:functional_status_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:functional_status_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:functional_status_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:functional_status_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:functional_status_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:functional_status_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:functional_status_section.entry:functional_status_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:functional_status_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:functional_status_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:immunizations_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:immunizations_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:immunizations_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:immunizations_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:immunizations_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:immunizations_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:immunizations_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:immunizations_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:immunizations_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:immunizations_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:immunizations_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:immunizations_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:immunizations_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:immunizations_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:immunizations_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:immunizations_section.entry:immunization_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:immunizations_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:immunizations_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:nutrition_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:nutrition_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:nutrition_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:nutrition_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:nutrition_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:nutrition_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:nutrition_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:nutrition_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:nutrition_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:nutrition_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:nutrition_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:nutrition_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:nutrition_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:nutrition_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:nutrition_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:nutrition_section.entry:nutrition_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:nutrition_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:nutrition_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:mental_status_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:mental_status_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:mental_status_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:mental_status_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:mental_status_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:mental_status_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:mental_status_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:mental_status_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:mental_status_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:mental_status_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:mental_status_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:mental_status_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:mental_status_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:mental_status_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:mental_status_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:mental_status_section.entry:mental_status_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:mental_status_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:mental_status_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:medical_equipment_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:medical_equipment_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:medical_equipment_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medical_equipment_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:medical_equipment_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:medical_equipment_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:medical_equipment_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:medical_equipment_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medical_equipment_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medical_equipment_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medical_equipment_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medical_equipment_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medical_equipment_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medical_equipment_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medical_equipment_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medical_equipment_section.entry:medical_equipment_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medical_equipment_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:medical_equipment_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:payers_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:payers_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:payers_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:payers_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:payers_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:payers_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:payers_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:payers_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:payers_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:payers_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:payers_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:payers_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:payers_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:payers_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:payers_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:payers_section.entry:coverage_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:payers_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:payers_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	Composition.section:goals_section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	Composition.section:goals_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:goals_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:goals_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:goals_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:goals_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:goals_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:goals_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:goals_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:goals_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:goals_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:goals_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:goals_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:goals_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:goals_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:goals_section.entry:goals_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:goals_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:goals_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cmp-1	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	Composition.section:health_concerns_section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
ele-1	Composition.section:health_concerns_section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:health_concerns_section.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:health_concerns_section.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:health_concerns_section.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Composition.section:health_concerns_section.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Composition.section:health_concerns_section.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:health_concerns_section.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:health_concerns_section.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:health_concerns_section.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:health_concerns_section.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:health_concerns_section.mode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:health_concerns_section.orderedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:health_concerns_section.entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:health_concerns_section.entry:health_concerns_entry	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:health_concerns_section.emptyReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Composition.section:health_concerns_section.section	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())