C-CDA on FHIR
1.1.0 - (FHIR R4) STU Release 1.1

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: Diagnostic Imaging Report

Defining URL:http://hl7.org/fhir/us/ccda/StructureDefinition/Diagnostic-Imaging-Report
Version:1.1.0
Name:DiagnosticImagingReport
Title:Diagnostic Imaging Report
Status:Active as of 2020-10-21T22:01:58+00:00
Definition:

A Diagnostic Imaging Report (DIR) is a document that contains a consulting specialist's interpretation of image data. It conveys the interpretation to the referring (ordering) physician and becomes part of the patient's medical record. It is for use in Radiology, Endoscopy, Cardiology, and other imaging specialties. Note: this document type overlaps with the FHIR DiagnosticReport resource. Most use cases will want to use the specific resource type, but this document type is still useful for CDA to FHIR conversion and other such use cases.

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/Diagnostic-Imaging-Report

Formal Views of Profile Content

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

This structure is derived from USRealmHeader

Summary

Mandatory: 4 elements (19 nested mandatory elements)
Must-Support: 43 elements

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*USRealmHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... type S1..1CodeableConceptDiagnostic Imaging Report
Binding: LOINC Imaging Document Codes (preferred)
... section 0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:findings_section S1..1BackboneElementFindings Section
..... title S1..1stringtitle
..... code S1..1CodeableConceptFunctional Status
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121070
..... text S1..1Narrativetext
..... entry 0..*(Slice Definition)entry
Slice: Unordered, Open by profile:resolve()
...... entry:findings_entry S0..*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:dicom_object_catalog_section S0..1BackboneElementDICOM Object Catalog Section
..... title S1..1stringtitle
..... code S1..1CodeableConceptDicom Object Catalog
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121181
..... text S1..1Narrativetext
..... entry 0..*(Slice Definition)entry
Slice: Unordered, Open by profile:resolve()
...... entry:dicom_object_catalog_entry S0..*Reference(ImagingStudy)This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
.... section:history_section S0..1BackboneElementHistory Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121060
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:request_section S0..1BackboneElementRequest Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121062
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:current_procedure_descriptions_section S0..1BackboneElementCurrent Procedure Descriptions Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121064
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:prior_procedure_descriptions_section S0..1BackboneElementPrior Procedure Descriptions Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121066
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:previous_findings_section S0..1BackboneElementPrevious Findings Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121068
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:impressions_section S0..1BackboneElementImpressions Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121072
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:recommendations_section S0..1BackboneElementImpressions Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121074
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:conclusions_section S0..1BackboneElementConclusions Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121076
..... text S1..1NarrativeText summary of the section, for human interpretation

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*USRealmHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language S1..1codelanguage
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... composition-clinicaldocument-versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... VersionNumber S0..1integerExtension
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber
... DataEntererExtension S0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)Extension
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension
... InformantExtension S0..*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 S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile)informationRecipient
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformationRecipientExtension
... ParticipantExtension S0..*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 S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)performer
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension
... AuthorizationExtension S0..*Reference(Consent)authorization
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension
... OrderExtension S0..*Reference(ServiceRequest)authorization
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1Identifieridentifier
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type SΣ1..1CodeableConceptDiagnostic Imaging Report
Binding: LOINC Imaging Document Codes (preferred)
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example)
... subject SΣ0..1Reference(US Core Patient Profile | Group)Who and/or what the composition is about
... encounter SΣ0..1Reference(US Core Encounter Profile)Context of the Composition
... date SΣ1..1dateTimedate
... author SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title SΣ1..1stringDocument 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required)
..... time 0..1dateTimeWhen the composition was attested
..... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
.... attester:legal_attester S0..1BackboneElementattester
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codemode
Binding: CompositionAttestationMode (required)
Fixed Value: legal
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)party
.... attester:professional_attester S0..*BackboneElementattester
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codemode
Binding: CompositionAttestationMode (required)
Fixed Value: professional
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)party
.... attester:personal_attester S0..*BackboneElementattester
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codemode
Binding: CompositionAttestationMode (required)
Fixed Value: personal
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Patient Profile | RelatedPerson)party
... custodian SΣ1..1Reference(US Core Organization Profile)custodian
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required)
.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example)
.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section I0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:findings_section SI1..1BackboneElementFindings Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringtitle
..... code S1..1CodeableConceptFunctional Status
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121070
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1Narrativetext
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*(Slice Definition)entry
Slice: Unordered, Open by profile:resolve()
...... entry:findings_entry SI0..*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 I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:dicom_object_catalog_section SI0..1BackboneElementDICOM Object Catalog Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringtitle
..... code S1..1CodeableConceptDicom Object Catalog
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121181
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1Narrativetext
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*(Slice Definition)entry
Slice: Unordered, Open by profile:resolve()
...... entry:dicom_object_catalog_entry SI0..*Reference(ImagingStudy)This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:history_section SI0..1BackboneElementHistory Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121060
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:request_section SI0..1BackboneElementRequest Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121062
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:current_procedure_descriptions_section SI0..1BackboneElementCurrent Procedure Descriptions Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121064
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:prior_procedure_descriptions_section SI0..1BackboneElementPrior Procedure Descriptions Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121066
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:previous_findings_section SI0..1BackboneElementPrevious Findings Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121068
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:impressions_section SI0..1BackboneElementImpressions Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121072
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:recommendations_section SI0..1BackboneElementImpressions Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121074
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:conclusions_section SI0..1BackboneElementConclusions Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121076
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*USRealmHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... language 1..1codelanguage
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... VersionNumber 0..1integerExtension
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber
... DataEntererExtension 0..1Reference(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 Σ1..1Identifieridentifier
... type Σ1..1CodeableConceptDiagnostic Imaging Report
Binding: LOINC Imaging Document Codes (preferred)
... subject Σ0..1Reference(US Core Patient Profile | Group)Who and/or what the composition is about
... encounter Σ0..1Reference(US Core Encounter Profile)Context of the Composition
... date Σ1..1dateTimedate
... author Σ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title Σ1..1stringDocument Title
... attester:legal_attester 0..1BackboneElementattester
.... mode 1..1codemode
Binding: CompositionAttestationMode (required)
Fixed Value: legal
.... party 1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)party
... attester:professional_attester 0..*BackboneElementattester
.... mode 1..1codemode
Binding: CompositionAttestationMode (required)
Fixed Value: professional
.... party 1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)party
... attester:personal_attester 0..*BackboneElementattester
.... mode 1..1codemode
Binding: CompositionAttestationMode (required)
Fixed Value: personal
.... party 1..1Reference(US Core Patient Profile | RelatedPerson)party
... custodian Σ1..1Reference(US Core Organization Profile)custodian
... section:findings_section I1..1BackboneElementFindings Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptFunctional Status
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121070
.... text I1..1Narrativetext
.... entry:findings_entry I0..*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:dicom_object_catalog_section I0..1BackboneElementDICOM Object Catalog Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptDicom Object Catalog
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121181
.... text I1..1Narrativetext
.... entry:dicom_object_catalog_entry I0..*Reference(ImagingStudy)This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
... section:history_section I0..1BackboneElementHistory Section
.... title 0..1stringtitle
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121060
.... text I1..1NarrativeText summary of the section, for human interpretation
... section:request_section I0..1BackboneElementRequest Section
.... title 0..1stringtitle
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121062
.... text I1..1NarrativeText summary of the section, for human interpretation
... section:current_procedure_descriptions_section I0..1BackboneElementCurrent Procedure Descriptions Section
.... title 0..1stringtitle
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121064
.... text I1..1NarrativeText summary of the section, for human interpretation
... section:prior_procedure_descriptions_section I0..1BackboneElementPrior Procedure Descriptions Section
.... title 0..1stringtitle
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121066
.... text I1..1NarrativeText summary of the section, for human interpretation
... section:previous_findings_section I0..1BackboneElementPrevious Findings Section
.... title 0..1stringtitle
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121068
.... text I1..1NarrativeText summary of the section, for human interpretation
... section:impressions_section I0..1BackboneElementImpressions Section
.... title 0..1stringtitle
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121072
.... text I1..1NarrativeText summary of the section, for human interpretation
... section:recommendations_section I0..1BackboneElementImpressions Section
.... title 0..1stringtitle
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121074
.... text I1..1NarrativeText summary of the section, for human interpretation
... section:conclusions_section I0..1BackboneElementConclusions Section
.... title 0..1stringtitle
.... code 1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121076
.... text I1..1NarrativeText summary of the section, for human interpretation

doco Documentation for this format

This structure is derived from USRealmHeader

Summary

Mandatory: 4 elements (19 nested mandatory elements)
Must-Support: 43 elements

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*USRealmHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... type S1..1CodeableConceptDiagnostic Imaging Report
Binding: LOINC Imaging Document Codes (preferred)
... section 0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:findings_section S1..1BackboneElementFindings Section
..... title S1..1stringtitle
..... code S1..1CodeableConceptFunctional Status
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121070
..... text S1..1Narrativetext
..... entry 0..*(Slice Definition)entry
Slice: Unordered, Open by profile:resolve()
...... entry:findings_entry S0..*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:dicom_object_catalog_section S0..1BackboneElementDICOM Object Catalog Section
..... title S1..1stringtitle
..... code S1..1CodeableConceptDicom Object Catalog
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121181
..... text S1..1Narrativetext
..... entry 0..*(Slice Definition)entry
Slice: Unordered, Open by profile:resolve()
...... entry:dicom_object_catalog_entry S0..*Reference(ImagingStudy)This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
.... section:history_section S0..1BackboneElementHistory Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121060
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:request_section S0..1BackboneElementRequest Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121062
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:current_procedure_descriptions_section S0..1BackboneElementCurrent Procedure Descriptions Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121064
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:prior_procedure_descriptions_section S0..1BackboneElementPrior Procedure Descriptions Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121066
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:previous_findings_section S0..1BackboneElementPrevious Findings Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121068
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:impressions_section S0..1BackboneElementImpressions Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121072
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:recommendations_section S0..1BackboneElementImpressions Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121074
..... text S1..1NarrativeText summary of the section, for human interpretation
.... section:conclusions_section S0..1BackboneElementConclusions Section
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121076
..... text S1..1NarrativeText summary of the section, for human interpretation

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*USRealmHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language S1..1codelanguage
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... composition-clinicaldocument-versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... VersionNumber S0..1integerExtension
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber
... DataEntererExtension S0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)Extension
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension
... InformantExtension S0..*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 S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile)informationRecipient
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformationRecipientExtension
... ParticipantExtension S0..*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 S0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)performer
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension
... AuthorizationExtension S0..*Reference(Consent)authorization
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension
... OrderExtension S0..*Reference(ServiceRequest)authorization
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1Identifieridentifier
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type SΣ1..1CodeableConceptDiagnostic Imaging Report
Binding: LOINC Imaging Document Codes (preferred)
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example)
... subject SΣ0..1Reference(US Core Patient Profile | Group)Who and/or what the composition is about
... encounter SΣ0..1Reference(US Core Encounter Profile)Context of the Composition
... date SΣ1..1dateTimedate
... author SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
... title SΣ1..1stringDocument 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..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required)
..... time 0..1dateTimeWhen the composition was attested
..... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
.... attester:legal_attester S0..1BackboneElementattester
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codemode
Binding: CompositionAttestationMode (required)
Fixed Value: legal
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)party
.... attester:professional_attester S0..*BackboneElementattester
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codemode
Binding: CompositionAttestationMode (required)
Fixed Value: professional
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)party
.... attester:personal_attester S0..*BackboneElementattester
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode S1..1codemode
Binding: CompositionAttestationMode (required)
Fixed Value: personal
..... time 0..1dateTimeWhen the composition was attested
..... party S1..1Reference(US Core Patient Profile | RelatedPerson)party
... custodian SΣ1..1Reference(US Core Organization Profile)custodian
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required)
.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example)
.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section I0..*(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:findings_section SI1..1BackboneElementFindings Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringtitle
..... code S1..1CodeableConceptFunctional Status
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121070
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1Narrativetext
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*(Slice Definition)entry
Slice: Unordered, Open by profile:resolve()
...... entry:findings_entry SI0..*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 I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:dicom_object_catalog_section SI0..1BackboneElementDICOM Object Catalog Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S1..1stringtitle
..... code S1..1CodeableConceptDicom Object Catalog
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121181
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1Narrativetext
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*(Slice Definition)entry
Slice: Unordered, Open by profile:resolve()
...... entry:dicom_object_catalog_entry SI0..*Reference(ImagingStudy)This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:history_section SI0..1BackboneElementHistory Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121060
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:request_section SI0..1BackboneElementRequest Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121062
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:current_procedure_descriptions_section SI0..1BackboneElementCurrent Procedure Descriptions Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121064
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:prior_procedure_descriptions_section SI0..1BackboneElementPrior Procedure Descriptions Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121066
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:previous_findings_section SI0..1BackboneElementPrevious Findings Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121068
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:impressions_section SI0..1BackboneElementImpressions Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121072
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:recommendations_section SI0..1BackboneElementImpressions Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121074
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section
.... section:conclusions_section SI0..1BackboneElementConclusions Section
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title S0..1stringtitle
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121076
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*See sectionNested Section

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Composition.statusrequiredCompositionStatus
Composition.typepreferredLOINCImagingDocumentCodes
Composition.categoryexampleDocumentClassValueSet
Composition.attester.moderequiredCompositionAttestationMode
Composition.attester:legal_attester.moderequiredFixed Value: legal
Composition.attester:professional_attester.moderequiredFixed Value: professional
Composition.attester:personal_attester.moderequiredFixed Value: personal
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexamplev3.ActCode
Composition.section.codeexampleDocumentSectionCodes
Composition.section.moderequiredListMode
Composition.section.orderedBypreferredListOrderCodes
Composition.section.emptyReasonpreferredListEmptyReasons
Composition.section:findings_section.codeexamplePattern: 121070
Composition.section:findings_section.moderequiredListMode
Composition.section:findings_section.orderedBypreferredListOrderCodes
Composition.section:findings_section.emptyReasonpreferredListEmptyReasons
Composition.section:dicom_object_catalog_section.codeexamplePattern: 121181
Composition.section:dicom_object_catalog_section.moderequiredListMode
Composition.section:dicom_object_catalog_section.orderedBypreferredListOrderCodes
Composition.section:dicom_object_catalog_section.emptyReasonpreferredListEmptyReasons
Composition.section:history_section.codeexamplePattern: 121060
Composition.section:history_section.moderequiredListMode
Composition.section:history_section.orderedBypreferredListOrderCodes
Composition.section:history_section.emptyReasonpreferredListEmptyReasons
Composition.section:request_section.codeexamplePattern: 121062
Composition.section:request_section.moderequiredListMode
Composition.section:request_section.orderedBypreferredListOrderCodes
Composition.section:request_section.emptyReasonpreferredListEmptyReasons
Composition.section:current_procedure_descriptions_section.codeexamplePattern: 121064
Composition.section:current_procedure_descriptions_section.moderequiredListMode
Composition.section:current_procedure_descriptions_section.orderedBypreferredListOrderCodes
Composition.section:current_procedure_descriptions_section.emptyReasonpreferredListEmptyReasons
Composition.section:prior_procedure_descriptions_section.codeexamplePattern: 121066
Composition.section:prior_procedure_descriptions_section.moderequiredListMode
Composition.section:prior_procedure_descriptions_section.orderedBypreferredListOrderCodes
Composition.section:prior_procedure_descriptions_section.emptyReasonpreferredListEmptyReasons
Composition.section:previous_findings_section.codeexamplePattern: 121068
Composition.section:previous_findings_section.moderequiredListMode
Composition.section:previous_findings_section.orderedBypreferredListOrderCodes
Composition.section:previous_findings_section.emptyReasonpreferredListEmptyReasons
Composition.section:impressions_section.codeexamplePattern: 121072
Composition.section:impressions_section.moderequiredListMode
Composition.section:impressions_section.orderedBypreferredListOrderCodes
Composition.section:impressions_section.emptyReasonpreferredListEmptyReasons
Composition.section:recommendations_section.codeexamplePattern: 121074
Composition.section:recommendations_section.moderequiredListMode
Composition.section:recommendations_section.orderedBypreferredListOrderCodes
Composition.section:recommendations_section.emptyReasonpreferredListEmptyReasons
Composition.section:conclusions_section.codeexamplePattern: 121076
Composition.section:conclusions_section.moderequiredListMode
Composition.section:conclusions_section.orderedBypreferredListOrderCodes
Composition.section:conclusions_section.emptyReasonpreferredListEmptyReasons

Constraints

IdPathDetailsRequirements
dom-2CompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3CompositionIf 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-4CompositionIf 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-5CompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6CompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1Composition.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:versionNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:versionNumberMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:version_number_extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:version_number_extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:data_enterer_extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:data_enterer_extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:informant_extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:informant_extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:information_recipient_extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:information_recipient_extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:participant_extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:participant_extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:performer_extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:performer_extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:authorization_extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:authorization_extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:order_extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:order_extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.timeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.partyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:legal_attesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:legal_attester.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester:legal_attester.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester:legal_attester.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester:legal_attester.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester:legal_attester.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:legal_attester.timeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:legal_attester.partyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:professional_attesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:professional_attester.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester:professional_attester.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester:professional_attester.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester:professional_attester.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester:professional_attester.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:professional_attester.timeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:professional_attester.partyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:personal_attesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:personal_attester.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester:personal_attester.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester:personal_attester.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester:personal_attester.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester:personal_attester.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:personal_attester.timeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester:personal_attester.partyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.custodianAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesTo.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.relatesTo.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.relatesTo.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.relatesTo.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.relatesTo.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesTo.target[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.eventAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.event.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.event.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.event.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.event.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:findings_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:findings_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:findings_sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:findings_section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:findings_section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:findings_section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:findings_section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:findings_section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:findings_section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:findings_section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:findings_section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:findings_section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:findings_section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:findings_section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:findings_section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:findings_section.entry:findings_entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:findings_section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:findings_section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:dicom_object_catalog_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:dicom_object_catalog_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:dicom_object_catalog_sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:dicom_object_catalog_section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:dicom_object_catalog_section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:dicom_object_catalog_section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:dicom_object_catalog_section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:dicom_object_catalog_section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:dicom_object_catalog_section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:dicom_object_catalog_section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:dicom_object_catalog_section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:dicom_object_catalog_section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:dicom_object_catalog_section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:dicom_object_catalog_section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:dicom_object_catalog_section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:dicom_object_catalog_section.entry:dicom_object_catalog_entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:dicom_object_catalog_section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:dicom_object_catalog_section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:history_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:history_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:history_sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:history_section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:history_section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:history_section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:history_section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:history_section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:history_section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:history_section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:history_section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:history_section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:history_section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:history_section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:history_section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:history_section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:history_section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:request_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:request_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:request_sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:request_section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:request_section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:request_section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:request_section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:request_section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:request_section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:request_section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:request_section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:request_section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:request_section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:request_section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:request_section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:request_section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:request_section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:current_procedure_descriptions_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:current_procedure_descriptions_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:current_procedure_descriptions_sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:current_procedure_descriptions_section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:current_procedure_descriptions_section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:current_procedure_descriptions_section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:current_procedure_descriptions_section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:current_procedure_descriptions_section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:current_procedure_descriptions_section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:current_procedure_descriptions_section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:current_procedure_descriptions_section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:current_procedure_descriptions_section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:current_procedure_descriptions_section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:current_procedure_descriptions_section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:current_procedure_descriptions_section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:current_procedure_descriptions_section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:current_procedure_descriptions_section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:prior_procedure_descriptions_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:prior_procedure_descriptions_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:prior_procedure_descriptions_sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:prior_procedure_descriptions_section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:prior_procedure_descriptions_section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:prior_procedure_descriptions_section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:prior_procedure_descriptions_section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:prior_procedure_descriptions_section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:prior_procedure_descriptions_section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:prior_procedure_descriptions_section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:prior_procedure_descriptions_section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:prior_procedure_descriptions_section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:prior_procedure_descriptions_section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:prior_procedure_descriptions_section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:prior_procedure_descriptions_section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:prior_procedure_descriptions_section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:prior_procedure_descriptions_section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:previous_findings_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:previous_findings_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:previous_findings_sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:previous_findings_section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:previous_findings_section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:previous_findings_section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:previous_findings_section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:previous_findings_section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:previous_findings_section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:previous_findings_section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:previous_findings_section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:previous_findings_section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:previous_findings_section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:previous_findings_section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:previous_findings_section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:previous_findings_section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:previous_findings_section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:impressions_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:impressions_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:impressions_sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:impressions_section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:impressions_section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:impressions_section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:impressions_section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:impressions_section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:impressions_section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:impressions_section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:impressions_section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:impressions_section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:impressions_section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:impressions_section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:impressions_section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:impressions_section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:impressions_section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:recommendations_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:recommendations_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:recommendations_sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:recommendations_section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:recommendations_section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:recommendations_section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:recommendations_section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:recommendations_section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:recommendations_section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:recommendations_section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:recommendations_section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:recommendations_section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:recommendations_section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:recommendations_section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:recommendations_section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:recommendations_section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:recommendations_section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:conclusions_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:conclusions_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:conclusions_sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:conclusions_section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:conclusions_section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:conclusions_section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:conclusions_section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:conclusions_section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:conclusions_section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:conclusions_section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:conclusions_section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:conclusions_section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:conclusions_section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:conclusions_section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:conclusions_section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:conclusions_section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:conclusions_section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())