Central Cancer Registry Reporting Content IG
2.0.0-ballot - STU 2 Ballot

Central Cancer Registry Reporting Content IG - Downloaded Version 2.0.0-ballot See the Directory of published versions

## Resource Profile: Central Cancer Registry Reporting Composition

Official URL: http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition | Version: 2.0.0-ballot
Standards status: Trial-use | Maturity Level: 2 | Computable Name: CcrrComposition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.40.42.3

This Composition profile is used to organize the central cancer registry report content.

### Introduction

This profile is used to represent the Central Cancer Registry Report Composition resource. The Composition resource is used as part of the Central Cancer Registry Reporting Content Bundle. The Composition resource is used to organize the information into different sections so that the receiver of the data can consume the data easily.

#### Profiles from Other IGs used as part of the Composition

The content is made up data elements from the following profiles from the other IGs as direct references or as base profiles.

From the Cancer Pathology Data Sharing IG:

- US Pathology Diagnostic Report

From the mCODE IG:

- mCODE Secondary Cancer Condition Profile
- mCODE TNM Stage Group Profile
- mCODE TNM Distant Metastases Category Profile
- mCODE TNM Primary Tumor Category Profile
- mCODE TNM Regional Nodes Category Profile
- mCODE Cancer-Related Medication Request Profile
- mCODE Cancer-Related Medication Administration Profile
- mCODE Radiotherapy Course Summary Profile

From ODH IG:

- Occupation Data for Health Usual Work Profile

From US Core IG:

- US Core CarePlan Profile
- US Core Condition Encounter Diagnosis Profile
- US Core Condition Problems and Health Concerns Profile
- US Core DiagnosticReport Profile for Laboratory Results Reporting
- US Core DiagnosticReport Profile for Report and Note Exchange
- US Core DocumentReference Profile
- US Core Encounter Profile
- US Core Laboratory Result Observation Profile
- US Core Medication Profile
- US Core Patient Profile
- US Core Practitioner Profile
- US Core PractitionerRole Profile
- US Core Procedure Profile
- US Core ServiceRequest Profile
- US Core Smoking Status Observation Profile
- US Core Vital Signs Profile

#### Guidance on populating the data for each section:

The following guidance is provided to the implementers to identify the data of interest which needs to be extracted and populated in the various sections of the Composition.

- Encounter Section: Any relevant Encounter(s).
- Primary Cancer Condition Section: Condition with a category of "encounter-diagnosis" for the closed encounter with a Condition.code value that is on the reportability list. All Conditions that do not have a clinicalStatus of inactive can be considered to determine the primary cancer condition along with a verificationStatus of confirmed when populated.
- Secondary Cancer Condition Section: Condition with a category of "encounter-diagnosis" for the closed encounter with a Condition.code that is present in the Secondary Cancer Disorder Value Set. Conditions that do not have a clinicalStatus of inactive can be considered to determine the secondary cancer condition along with a verificationStatus of confirmed when populated.
- TNM Staging Section: Observation(s) with the TNM stage group, primary tumor, regional nodes, and distant metastases information having a status of final, amended, or corrected.
- Radiotherapy Course Summary Section: Procedures with the radiotherapy course summary information having a status of completed, not-done, stopped, entered-in-error, unknown and a category of 1217123003-Radiotherapy course of treatment (regime/therapy).
- Problems Section: Underlying medical conditions and active problems. All Conditions that do not have a clinicalStatus of inactive and have a verificationStatus of confirmed when populated.
- Medications Administered Section: Cancer-related medications administered during the closed encounter with a status of completed, on-hold, in-progress, stopped, or unknown.
- Medications Section: Medications referenced by MedicationRequest and MedicationAdministration.
- ODH Section: Usual Work information for the patient with a status of final.
- Results Section: Results linked to the encounter or ordered during the encounter or results received during the encounter with a status of final.
- Notes Section: DiagnosticReports and Documents created during the encounter with a status of current or final.
- Procedures Section: Procedures performed during the closed encounter limited to status of completed or unknown.
- Plan of Treatment Section: Cancer-related medications and services requested during the closed encounter with a status of active, completed, cancelled, entered-in-error, stopped, unknown and an intent of order. Care plans associated with the patient with status = active.
- Vital Signs: All vital signs for the encounter with status of final, corrected, unknown or amended.
- Social History Section: Smoking status associated with the patient with status of final.

Usages:

- Use this Profile: Central Cancer Registry Reporting Content Bundle
- Examples for this Profile: Composition/ccrr-composition-example

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | S | 0..* | Composition | Central Cancer Registry Composition Profile
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Central Cancer Registry Report Composition identifier
status | ?!S Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type | S Σ | 1..1 | CodeableConcept | Central Cancer Registry Report Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 72134-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(US Core Patient Profile(6.1.0) | Central Cancer Registry Reporting Patient) | Patient who is the subject of the report.
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile(6.1.0) | Central Cancer Registry Reporting Encounter) | Encounter related to the public health event
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(US Core PractitionerRole Profile(6.1.0) | US Core Practitioner Profile(6.1.0) | Central Cancer Registry Reporting Organization) | The author(s) of the document
title | S Σ | 1..1 | string | Human Readable name/title Fixed Value: Central Cancer Registry Report
Slices for section | S C | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
section:sliceEncounterSection | S C | 0..1 | BackboneElement | Encounter Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Encounter Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Encounter Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceEncounter | S C | 0..* | Reference(US Core Encounter Profile(6.1.0)) | Encounter Entry
entry:sliceEncounterDiagnosis | S C | 0..* | Reference(US Core Condition Encounter Diagnosis Profile(6.1.0)) | Encounter Diagnosis Entry
section:slicePrimaryCancerCondition | S C | 1..1 | BackboneElement | Primary Cancer Condition Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Primary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363346000
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Primary Cancer Condition narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(Central Cancer Registry Reporting Primary Cancer Condition) | A reference to data that supports this section
section:sliceSecondaryCancerCondition | S C | 0..1 | BackboneElement | Secondary Cancer Condition Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Secondary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 128462008
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Secondary Cancer Condition narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Secondary Cancer Condition Profile) | A reference to data that supports this section
section:sliceTNMStaging | S C | 0..1 | BackboneElement | TNM Staging Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | TNM Staging code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21908-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | TNM Staging narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceTNMStageGroup | S C | 0..* | Reference(TNM Stage Group Profile | TNM Distant Metastases Category Profile | TNM Primary Tumor Category Profile | TNM Regional Nodes Category Profile) | TNM Stage Group Entry
section:sliceRadioTherapyCourseSummary | S C | 0..1 | BackboneElement | Cancer Radio Therapy Course Summary Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Cancer Radio Therapy Course Summary Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1217123003
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Cancer Radio Therapy Course Summary narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..1 | Reference(Radiotherapy Course Summary Profile) | A reference to data that supports this section
section:sliceProblemSection | S C | 0..1 | BackboneElement | Problem Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Problem Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Problem Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(6.1.0)) | A reference to data that supports this section
section:sliceMedicationsAdministeredSection | S C | 0..1 | BackboneElement | Medications Administered Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Medications Administered Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29549-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Medications Administered Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S C | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
section:sliceMedicationsSection | S C | 0..1 | BackboneElement | Medications Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Medications Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Medications Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S C | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationStatement | S C | 0..* | Reference(MedicationStatement) | Medication Statement Entry
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
section:sliceODHSection | S C | 0..1 | BackboneElement | ODH Data Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | ODH Data code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | ODH Data narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..1 | Reference(Usual Work) | A reference to data that supports this section
section:sliceResultsSection | S C | 0..1 | BackboneElement | Results Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Results Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Results Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceLabResultEntry | S C | 0..* | Reference(US Core Laboratory Result Observation Profile(6.1.0)) | Lab Result Entries
entry:sliceDiagnosticResultEntry | S C | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting(6.1.0)) | Diagnostic Result Entries
section:sliceNotesSection | S C | 0..1 | BackboneElement | Clinical and Diagnostic Reports Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Clinical Notes Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 28650-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Notes Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceDocumentReferenceEntry | S C | 0..* | Reference(US Core DocumentReference Profile(6.1.0)) | Document Reference Entries
entry:sliceDiagnosticReportEntry | S C | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note Exchange(6.1.0) | US Pathology Diagnostic Report) | Diagnostic Report Entries
section:slicePlanOfTreatmentSection | S C | 0..1 | BackboneElement | Plan of Treatment Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Plan of Treatment code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Plan of Treatment narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationRequest | S C | 0..* | Reference(Cancer-Related Medication Request Profile) | Medication Request Entries
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
entry:sliceProcedureOrders | S C | 0..* | Reference(US Core ServiceRequest Profile(6.1.0)) | Procedure Order Entries
entry:sliceCarePlanEntries | S C | 0..* | Reference(US Core CarePlan Profile(6.1.0)) | CarePlan Entries
section:sliceProceduresSection | S C | 0..1 | BackboneElement | This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Procedures Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Procedures Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(US Core Procedure Profile(6.1.0)) | A reference to data that supports this section
section:sliceVitalSignsSection | S C | 0..1 | BackboneElement | Vital Signs Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Vital Signs code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Vital Signs narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(US Core Vital Signs Profile(6.1.0)) | A reference to data that supports this section
section:sliceSocialHistorySection | S C | 0..1 | BackboneElement | Social History Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Social History Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Social History Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..1 | Reference(US Core Smoking Status Observation Profile(6.1.0)) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceEncounterSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePrimaryCancerCondition.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSecondaryCancerCondition.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceTNMStaging.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceRadioTherapyCourseSummary.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProblemSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsAdministeredSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceODHSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceResultsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceNotesSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePlanOfTreatmentSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProceduresSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceVitalSignsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSocialHistorySection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:sliceEncounterSection, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceTNMStaging, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceODHSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:sliceEncounterSection, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceTNMStaging, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceODHSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | S | 0..* | Composition | Central Cancer Registry Composition Profile
identifier | S | 1..1 | Identifier | Central Cancer Registry Report Composition identifier
status | S | 1..1 | code | preliminary | final | amended | entered-in-error Fixed Value: final
type | S | 1..1 | CodeableConcept | Central Cancer Registry Report Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 72134-0
subject | S | 1..1 | Reference(US Core Patient Profile(6.1.0) | Central Cancer Registry Reporting Patient) | Patient who is the subject of the report.
encounter | S | 0..1 | Reference(US Core Encounter Profile(6.1.0) | Central Cancer Registry Reporting Encounter) | Encounter related to the public health event
date | S | 1..1 | dateTime | Composition editing time
author | S | 1..* | Reference(US Core PractitionerRole Profile(6.1.0) | US Core Practitioner Profile(6.1.0) | Central Cancer Registry Reporting Organization) | The author(s) of the document
title | S | 1..1 | string | Human Readable name/title Fixed Value: Central Cancer Registry Report
Slices for section | S | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code
section:sliceEncounterSection | S | 0..1 | BackboneElement | Encounter Section
code | S | 1..1 | CodeableConcept | Encounter Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5
text | S | 1..1 | Narrative | Encounter Section narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceEncounter | S | 0..* | Reference(US Core Encounter Profile(6.1.0)) | Encounter Entry
entry:sliceEncounterDiagnosis | S | 0..* | Reference(US Core Condition Encounter Diagnosis Profile(6.1.0)) | Encounter Diagnosis Entry
section:slicePrimaryCancerCondition | S | 1..1 | BackboneElement | Primary Cancer Condition Section
code | S | 1..1 | CodeableConcept | Primary Cancer Condition code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363346000
text | S | 1..1 | Narrative | Primary Cancer Condition narrative
entry | S | 1..1 | Reference(Central Cancer Registry Reporting Primary Cancer Condition) | A reference to data that supports this section
section:sliceSecondaryCancerCondition | S | 0..1 | BackboneElement | Secondary Cancer Condition Section
code | S | 1..1 | CodeableConcept | Secondary Cancer Condition code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 128462008
text | S | 1..1 | Narrative | Secondary Cancer Condition narrative
entry | S | 0..* | Reference(Secondary Cancer Condition Profile) | A reference to data that supports this section
section:sliceTNMStaging | S | 0..1 | BackboneElement | TNM Staging Section
code | S | 1..1 | CodeableConcept | TNM Staging code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21908-9
text | S | 1..1 | Narrative | TNM Staging narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceTNMStageGroup | S | 0..* | Reference(TNM Stage Group Profile | TNM Distant Metastases Category Profile | TNM Primary Tumor Category Profile | TNM Regional Nodes Category Profile) | TNM Stage Group Entry
section:sliceRadioTherapyCourseSummary | S | 0..1 | BackboneElement | Cancer Radio Therapy Course Summary
code | S | 1..1 | CodeableConcept | Cancer Radio Therapy Course Summary Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1217123003
text | S | 1..1 | Narrative | Cancer Radio Therapy Course Summary narrative
entry | S | 0..1 | Reference(Radiotherapy Course Summary Profile) | A reference to data that supports this section
section:sliceProblemSection | S | 0..1 | BackboneElement | Problem Section
code | S | 1..1 | CodeableConcept | Problem Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
text | S | 1..1 | Narrative | Problem Section narrative
entry | S | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(6.1.0)) | A reference to data that supports this section
section:sliceMedicationsAdministeredSection | S | 0..1 | BackboneElement | Medications Administered Section
code | S | 1..1 | CodeableConcept | Medications Administered Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29549-3
text | S | 1..1 | Narrative | Medications Administered Section narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
section:sliceMedicationsSection | S | 0..1 | BackboneElement | Medications Section
code | S | 1..1 | CodeableConcept | Medications Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
text | S | 1..1 | Narrative | Medications Section narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationStatement | S | 0..* | Reference(MedicationStatement) | Medication Statement Entry
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
section:sliceODHSection | S | 0..1 | BackboneElement | ODH Data
code | S | 1..1 | CodeableConcept | ODH Data code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
text | S | 1..1 | Narrative | ODH Data narrative
entry | S | 0..1 | Reference(Usual Work) | A reference to data that supports this section
section:sliceResultsSection | S | 0..1 | BackboneElement | Results Section
code | S | 1..1 | CodeableConcept | Results Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
text | S | 1..1 | Narrative | Results Section narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceLabResultEntry | S | 0..* | Reference(US Core Laboratory Result Observation Profile(6.1.0)) | Lab Result Entries
entry:sliceDiagnosticResultEntry | S | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting(6.1.0)) | Diagnostic Result Entries
section:sliceNotesSection | S | 0..1 | BackboneElement | Clinical and Diagnostic Reports Section
code | S | 1..1 | CodeableConcept | Clinical Notes Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 28650-0
text | S | 1..1 | Narrative | Notes Section narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceDocumentReferenceEntry | S | 0..* | Reference(US Core DocumentReference Profile(6.1.0)) | Document Reference Entries
entry:sliceDiagnosticReportEntry | S | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note Exchange(6.1.0) | US Pathology Diagnostic Report) | Diagnostic Report Entries
section:slicePlanOfTreatmentSection | S | 0..1 | BackboneElement | Plan of Treatment Section
code | S | 1..1 | CodeableConcept | Plan of Treatment code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
text | S | 1..1 | Narrative | Plan of Treatment narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationRequest | S | 0..* | Reference(Cancer-Related Medication Request Profile) | Medication Request Entries
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
entry:sliceProcedureOrders | S | 0..* | Reference(US Core ServiceRequest Profile(6.1.0)) | Procedure Order Entries
entry:sliceCarePlanEntries | S | 0..* | Reference(US Core CarePlan Profile(6.1.0)) | CarePlan Entries
section:sliceProceduresSection | S | 0..1 | BackboneElement | This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
code | S | 1..1 | CodeableConcept | Procedures Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
text | S | 1..1 | Narrative | Procedures Section narrative
entry | S | 0..* | Reference(US Core Procedure Profile(6.1.0)) | A reference to data that supports this section
section:sliceVitalSignsSection | S | 0..1 | BackboneElement | Vital Signs Section
code | S | 1..1 | CodeableConcept | Vital Signs code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
text | S | 1..1 | Narrative | Vital Signs narrative
entry | S | 0..* | Reference(US Core Vital Signs Profile(6.1.0)) | A reference to data that supports this section
section:sliceSocialHistorySection | S | 0..1 | BackboneElement | Social History Section
code | S | 1..1 | CodeableConcept | Social History Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
text | S | 1..1 | Narrative | Social History Section narrative
entry | S | 0..1 | Reference(US Core Smoking Status Observation Profile(6.1.0)) | A reference to data that supports this section
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | S | 0..* | Composition | Central Cancer Registry Composition Profile
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Central Cancer Registry Report Composition identifier
status | ?!S Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type | S Σ | 1..1 | CodeableConcept | Central Cancer Registry Report Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 72134-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(US Core Patient Profile(6.1.0) | Central Cancer Registry Reporting Patient) | Patient who is the subject of the report.
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile(6.1.0) | Central Cancer Registry Reporting Encounter) | Encounter related to the public health event
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(US Core PractitionerRole Profile(6.1.0) | US Core Practitioner Profile(6.1.0) | Central Cancer Registry Reporting Organization) | The author(s) of the document
title | S Σ | 1..1 | string | Human Readable name/title Fixed Value: Central Cancer Registry Report
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the composition was attested
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | S C | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceEncounterSection | S C | 0..1 | BackboneElement | Encounter Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Encounter Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Encounter Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceEncounter | S C | 0..* | Reference(US Core Encounter Profile(6.1.0)) | Encounter Entry
entry:sliceEncounterDiagnosis | S C | 0..* | Reference(US Core Condition Encounter Diagnosis Profile(6.1.0)) | Encounter Diagnosis Entry
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:slicePrimaryCancerCondition | S C | 1..1 | BackboneElement | Primary Cancer Condition Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Primary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363346000
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Primary Cancer Condition narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 1..1 | Reference(Central Cancer Registry Reporting Primary Cancer Condition) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceSecondaryCancerCondition | S C | 0..1 | BackboneElement | Secondary Cancer Condition Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Secondary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 128462008
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Secondary Cancer Condition narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(Secondary Cancer Condition Profile) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceTNMStaging | S C | 0..1 | BackboneElement | TNM Staging Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | TNM Staging code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21908-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | TNM Staging narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceTNMStageGroup | S C | 0..* | Reference(TNM Stage Group Profile | TNM Distant Metastases Category Profile | TNM Primary Tumor Category Profile | TNM Regional Nodes Category Profile) | TNM Stage Group Entry
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceRadioTherapyCourseSummary | S C | 0..1 | BackboneElement | Cancer Radio Therapy Course Summary Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Cancer Radio Therapy Course Summary Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1217123003
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Cancer Radio Therapy Course Summary narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..1 | Reference(Radiotherapy Course Summary Profile) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceProblemSection | S C | 0..1 | BackboneElement | Problem Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Problem Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Problem Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(6.1.0)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceMedicationsAdministeredSection | S C | 0..1 | BackboneElement | Medications Administered Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Medications Administered Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29549-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Medications Administered Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S C | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceMedicationsSection | S C | 0..1 | BackboneElement | Medications Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Medications Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Medications Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S C | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationStatement | S C | 0..* | Reference(MedicationStatement) | Medication Statement Entry
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceODHSection | S C | 0..1 | BackboneElement | ODH Data Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | ODH Data code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | ODH Data narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..1 | Reference(Usual Work) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceResultsSection | S C | 0..1 | BackboneElement | Results Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Results Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Results Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceLabResultEntry | S C | 0..* | Reference(US Core Laboratory Result Observation Profile(6.1.0)) | Lab Result Entries
entry:sliceDiagnosticResultEntry | S C | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting(6.1.0)) | Diagnostic Result Entries
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceNotesSection | S C | 0..1 | BackboneElement | Clinical and Diagnostic Reports Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Clinical Notes Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 28650-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Notes Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceDocumentReferenceEntry | S C | 0..* | Reference(US Core DocumentReference Profile(6.1.0)) | Document Reference Entries
entry:sliceDiagnosticReportEntry | S C | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note Exchange(6.1.0) | US Pathology Diagnostic Report) | Diagnostic Report Entries
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:slicePlanOfTreatmentSection | S C | 0..1 | BackboneElement | Plan of Treatment Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Plan of Treatment code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Plan of Treatment narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationRequest | S C | 0..* | Reference(Cancer-Related Medication Request Profile) | Medication Request Entries
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
entry:sliceProcedureOrders | S C | 0..* | Reference(US Core ServiceRequest Profile(6.1.0)) | Procedure Order Entries
entry:sliceCarePlanEntries | S C | 0..* | Reference(US Core CarePlan Profile(6.1.0)) | CarePlan Entries
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceProceduresSection | S C | 0..1 | BackboneElement | This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Procedures Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Procedures Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(US Core Procedure Profile(6.1.0)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceVitalSignsSection | S C | 0..1 | BackboneElement | Vital Signs Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Vital Signs code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Vital Signs narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(US Core Vital Signs Profile(6.1.0)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceSocialHistorySection | S C | 0..1 | BackboneElement | Social History Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Social History Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Social History Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..1 | Reference(US Core Smoking Status Observation Profile(6.1.0)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std.
Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std.
Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
Composition.section.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceEncounterSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceEncounterSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceEncounterSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceEncounterSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:slicePrimaryCancerCondition.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePrimaryCancerCondition.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:slicePrimaryCancerCondition.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePrimaryCancerCondition.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceSecondaryCancerCondition.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSecondaryCancerCondition.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceSecondaryCancerCondition.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSecondaryCancerCondition.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceTNMStaging.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceTNMStaging.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceTNMStaging.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceTNMStaging.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceRadioTherapyCourseSummary.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceRadioTherapyCourseSummary.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceRadioTherapyCourseSummary.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceRadioTherapyCourseSummary.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceProblemSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProblemSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceProblemSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProblemSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsAdministeredSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsAdministeredSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsAdministeredSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsAdministeredSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceODHSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceODHSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceODHSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceODHSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceResultsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceResultsSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceResultsSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceResultsSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceNotesSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceNotesSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceNotesSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceNotesSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:slicePlanOfTreatmentSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePlanOfTreatmentSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:slicePlanOfTreatmentSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePlanOfTreatmentSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceProceduresSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProceduresSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceProceduresSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProceduresSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceVitalSignsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceVitalSignsSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceVitalSignsSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceVitalSignsSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceSocialHistorySection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSocialHistorySection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceSocialHistorySection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSocialHistorySection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:sliceEncounterSection, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceTNMStaging, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceODHSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:sliceEncounterSection, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceTNMStaging, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceODHSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Composition

Summary

Mandatory: 6 elements(28 nested mandatory elements)
Must-Support: 85 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0)
- Central Cancer Registry Reporting Patient (http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient)
- US Core Encounter Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0)
- Central Cancer Registry Reporting Encounter (http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-encounter)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0)
- Central Cancer Registry Reporting Organization (http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-organization)
- US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|6.1.0)
- Central Cancer Registry Reporting Primary Cancer Condition (http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-primary-cancer-condition)
- Secondary Cancer Condition Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-secondary-cancer-condition)
- TNM Stage Group Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group)
- TNM Distant Metastases Category Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category)
- TNM Primary Tumor Category Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category)
- TNM Regional Nodes Category Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category)
- Radiotherapy Course Summary Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary)
- US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|6.1.0)
- Cancer-Related Medication Administration Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-administration)
- US Core Medication Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication|6.1.0)
- Usual Work (http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork)
- US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab|6.1.0)
- US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|6.1.0)
- US Core DocumentReference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|6.1.0)
- US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|6.1.0)
- US Pathology Diagnostic Report (http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-diagnostic-report)
- Cancer-Related Medication Request Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request)
- US Core ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|6.1.0)
- US Core CarePlan Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|6.1.0)
- US Core Procedure Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|6.1.0)
- US Core Vital Signs Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs|6.1.0)
- US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus|6.1.0)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | S | 0..* | Composition | Central Cancer Registry Composition Profile
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Central Cancer Registry Report Composition identifier
status | ?!S Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type | S Σ | 1..1 | CodeableConcept | Central Cancer Registry Report Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 72134-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(US Core Patient Profile(6.1.0) | Central Cancer Registry Reporting Patient) | Patient who is the subject of the report.
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile(6.1.0) | Central Cancer Registry Reporting Encounter) | Encounter related to the public health event
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(US Core PractitionerRole Profile(6.1.0) | US Core Practitioner Profile(6.1.0) | Central Cancer Registry Reporting Organization) | The author(s) of the document
title | S Σ | 1..1 | string | Human Readable name/title Fixed Value: Central Cancer Registry Report
Slices for section | S C | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
section:sliceEncounterSection | S C | 0..1 | BackboneElement | Encounter Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Encounter Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Encounter Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceEncounter | S C | 0..* | Reference(US Core Encounter Profile(6.1.0)) | Encounter Entry
entry:sliceEncounterDiagnosis | S C | 0..* | Reference(US Core Condition Encounter Diagnosis Profile(6.1.0)) | Encounter Diagnosis Entry
section:slicePrimaryCancerCondition | S C | 1..1 | BackboneElement | Primary Cancer Condition Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Primary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363346000
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Primary Cancer Condition narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(Central Cancer Registry Reporting Primary Cancer Condition) | A reference to data that supports this section
section:sliceSecondaryCancerCondition | S C | 0..1 | BackboneElement | Secondary Cancer Condition Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Secondary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 128462008
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Secondary Cancer Condition narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Secondary Cancer Condition Profile) | A reference to data that supports this section
section:sliceTNMStaging | S C | 0..1 | BackboneElement | TNM Staging Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | TNM Staging code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21908-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | TNM Staging narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceTNMStageGroup | S C | 0..* | Reference(TNM Stage Group Profile | TNM Distant Metastases Category Profile | TNM Primary Tumor Category Profile | TNM Regional Nodes Category Profile) | TNM Stage Group Entry
section:sliceRadioTherapyCourseSummary | S C | 0..1 | BackboneElement | Cancer Radio Therapy Course Summary Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Cancer Radio Therapy Course Summary Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1217123003
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Cancer Radio Therapy Course Summary narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..1 | Reference(Radiotherapy Course Summary Profile) | A reference to data that supports this section
section:sliceProblemSection | S C | 0..1 | BackboneElement | Problem Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Problem Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Problem Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(6.1.0)) | A reference to data that supports this section
section:sliceMedicationsAdministeredSection | S C | 0..1 | BackboneElement | Medications Administered Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Medications Administered Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29549-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Medications Administered Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S C | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
section:sliceMedicationsSection | S C | 0..1 | BackboneElement | Medications Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Medications Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Medications Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S C | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationStatement | S C | 0..* | Reference(MedicationStatement) | Medication Statement Entry
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
section:sliceODHSection | S C | 0..1 | BackboneElement | ODH Data Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | ODH Data code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | ODH Data narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..1 | Reference(Usual Work) | A reference to data that supports this section
section:sliceResultsSection | S C | 0..1 | BackboneElement | Results Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Results Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Results Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceLabResultEntry | S C | 0..* | Reference(US Core Laboratory Result Observation Profile(6.1.0)) | Lab Result Entries
entry:sliceDiagnosticResultEntry | S C | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting(6.1.0)) | Diagnostic Result Entries
section:sliceNotesSection | S C | 0..1 | BackboneElement | Clinical and Diagnostic Reports Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Clinical Notes Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 28650-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Notes Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceDocumentReferenceEntry | S C | 0..* | Reference(US Core DocumentReference Profile(6.1.0)) | Document Reference Entries
entry:sliceDiagnosticReportEntry | S C | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note Exchange(6.1.0) | US Pathology Diagnostic Report) | Diagnostic Report Entries
section:slicePlanOfTreatmentSection | S C | 0..1 | BackboneElement | Plan of Treatment Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Plan of Treatment code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Plan of Treatment narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationRequest | S C | 0..* | Reference(Cancer-Related Medication Request Profile) | Medication Request Entries
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
entry:sliceProcedureOrders | S C | 0..* | Reference(US Core ServiceRequest Profile(6.1.0)) | Procedure Order Entries
entry:sliceCarePlanEntries | S C | 0..* | Reference(US Core CarePlan Profile(6.1.0)) | CarePlan Entries
section:sliceProceduresSection | S C | 0..1 | BackboneElement | This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Procedures Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Procedures Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(US Core Procedure Profile(6.1.0)) | A reference to data that supports this section
section:sliceVitalSignsSection | S C | 0..1 | BackboneElement | Vital Signs Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Vital Signs code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Vital Signs narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(US Core Vital Signs Profile(6.1.0)) | A reference to data that supports this section
section:sliceSocialHistorySection | S C | 0..1 | BackboneElement | Social History Section Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Social History Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Social History Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..1 | Reference(US Core Smoking Status Observation Profile(6.1.0)) | A reference to data that supports this section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceEncounterSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePrimaryCancerCondition.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSecondaryCancerCondition.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceTNMStaging.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceRadioTherapyCourseSummary.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProblemSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsAdministeredSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceODHSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceResultsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceNotesSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePlanOfTreatmentSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProceduresSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceVitalSignsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSocialHistorySection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:sliceEncounterSection, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceTNMStaging, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceODHSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:sliceEncounterSection, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceTNMStaging, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceODHSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Composition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | S | 0..* | Composition | Central Cancer Registry Composition Profile
identifier | S | 1..1 | Identifier | Central Cancer Registry Report Composition identifier
status | S | 1..1 | code | preliminary | final | amended | entered-in-error Fixed Value: final
type | S | 1..1 | CodeableConcept | Central Cancer Registry Report Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 72134-0
subject | S | 1..1 | Reference(US Core Patient Profile(6.1.0) | Central Cancer Registry Reporting Patient) | Patient who is the subject of the report.
encounter | S | 0..1 | Reference(US Core Encounter Profile(6.1.0) | Central Cancer Registry Reporting Encounter) | Encounter related to the public health event
date | S | 1..1 | dateTime | Composition editing time
author | S | 1..* | Reference(US Core PractitionerRole Profile(6.1.0) | US Core Practitioner Profile(6.1.0) | Central Cancer Registry Reporting Organization) | The author(s) of the document
title | S | 1..1 | string | Human Readable name/title Fixed Value: Central Cancer Registry Report
Slices for section | S | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code
section:sliceEncounterSection | S | 0..1 | BackboneElement | Encounter Section
code | S | 1..1 | CodeableConcept | Encounter Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5
text | S | 1..1 | Narrative | Encounter Section narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceEncounter | S | 0..* | Reference(US Core Encounter Profile(6.1.0)) | Encounter Entry
entry:sliceEncounterDiagnosis | S | 0..* | Reference(US Core Condition Encounter Diagnosis Profile(6.1.0)) | Encounter Diagnosis Entry
section:slicePrimaryCancerCondition | S | 1..1 | BackboneElement | Primary Cancer Condition Section
code | S | 1..1 | CodeableConcept | Primary Cancer Condition code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363346000
text | S | 1..1 | Narrative | Primary Cancer Condition narrative
entry | S | 1..1 | Reference(Central Cancer Registry Reporting Primary Cancer Condition) | A reference to data that supports this section
section:sliceSecondaryCancerCondition | S | 0..1 | BackboneElement | Secondary Cancer Condition Section
code | S | 1..1 | CodeableConcept | Secondary Cancer Condition code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 128462008
text | S | 1..1 | Narrative | Secondary Cancer Condition narrative
entry | S | 0..* | Reference(Secondary Cancer Condition Profile) | A reference to data that supports this section
section:sliceTNMStaging | S | 0..1 | BackboneElement | TNM Staging Section
code | S | 1..1 | CodeableConcept | TNM Staging code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21908-9
text | S | 1..1 | Narrative | TNM Staging narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceTNMStageGroup | S | 0..* | Reference(TNM Stage Group Profile | TNM Distant Metastases Category Profile | TNM Primary Tumor Category Profile | TNM Regional Nodes Category Profile) | TNM Stage Group Entry
section:sliceRadioTherapyCourseSummary | S | 0..1 | BackboneElement | Cancer Radio Therapy Course Summary
code | S | 1..1 | CodeableConcept | Cancer Radio Therapy Course Summary Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1217123003
text | S | 1..1 | Narrative | Cancer Radio Therapy Course Summary narrative
entry | S | 0..1 | Reference(Radiotherapy Course Summary Profile) | A reference to data that supports this section
section:sliceProblemSection | S | 0..1 | BackboneElement | Problem Section
code | S | 1..1 | CodeableConcept | Problem Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
text | S | 1..1 | Narrative | Problem Section narrative
entry | S | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(6.1.0)) | A reference to data that supports this section
section:sliceMedicationsAdministeredSection | S | 0..1 | BackboneElement | Medications Administered Section
code | S | 1..1 | CodeableConcept | Medications Administered Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29549-3
text | S | 1..1 | Narrative | Medications Administered Section narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
section:sliceMedicationsSection | S | 0..1 | BackboneElement | Medications Section
code | S | 1..1 | CodeableConcept | Medications Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
text | S | 1..1 | Narrative | Medications Section narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationStatement | S | 0..* | Reference(MedicationStatement) | Medication Statement Entry
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
section:sliceODHSection | S | 0..1 | BackboneElement | ODH Data
code | S | 1..1 | CodeableConcept | ODH Data code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
text | S | 1..1 | Narrative | ODH Data narrative
entry | S | 0..1 | Reference(Usual Work) | A reference to data that supports this section
section:sliceResultsSection | S | 0..1 | BackboneElement | Results Section
code | S | 1..1 | CodeableConcept | Results Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
text | S | 1..1 | Narrative | Results Section narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceLabResultEntry | S | 0..* | Reference(US Core Laboratory Result Observation Profile(6.1.0)) | Lab Result Entries
entry:sliceDiagnosticResultEntry | S | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting(6.1.0)) | Diagnostic Result Entries
section:sliceNotesSection | S | 0..1 | BackboneElement | Clinical and Diagnostic Reports Section
code | S | 1..1 | CodeableConcept | Clinical Notes Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 28650-0
text | S | 1..1 | Narrative | Notes Section narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceDocumentReferenceEntry | S | 0..* | Reference(US Core DocumentReference Profile(6.1.0)) | Document Reference Entries
entry:sliceDiagnosticReportEntry | S | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note Exchange(6.1.0) | US Pathology Diagnostic Report) | Diagnostic Report Entries
section:slicePlanOfTreatmentSection | S | 0..1 | BackboneElement | Plan of Treatment Section
code | S | 1..1 | CodeableConcept | Plan of Treatment code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
text | S | 1..1 | Narrative | Plan of Treatment narrative
Slices for entry | S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationRequest | S | 0..* | Reference(Cancer-Related Medication Request Profile) | Medication Request Entries
entry:sliceMedicationReferences | S | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
entry:sliceProcedureOrders | S | 0..* | Reference(US Core ServiceRequest Profile(6.1.0)) | Procedure Order Entries
entry:sliceCarePlanEntries | S | 0..* | Reference(US Core CarePlan Profile(6.1.0)) | CarePlan Entries
section:sliceProceduresSection | S | 0..1 | BackboneElement | This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
code | S | 1..1 | CodeableConcept | Procedures Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
text | S | 1..1 | Narrative | Procedures Section narrative
entry | S | 0..* | Reference(US Core Procedure Profile(6.1.0)) | A reference to data that supports this section
section:sliceVitalSignsSection | S | 0..1 | BackboneElement | Vital Signs Section
code | S | 1..1 | CodeableConcept | Vital Signs code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
text | S | 1..1 | Narrative | Vital Signs narrative
entry | S | 0..* | Reference(US Core Vital Signs Profile(6.1.0)) | A reference to data that supports this section
section:sliceSocialHistorySection | S | 0..1 | BackboneElement | Social History Section
code | S | 1..1 | CodeableConcept | Social History Section code Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
text | S | 1..1 | Narrative | Social History Section narrative
entry | S | 0..1 | Reference(US Core Smoking Status Observation Profile(6.1.0)) | A reference to data that supports this section
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | S | 0..* | Composition | Central Cancer Registry Composition Profile
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Central Cancer Registry Report Composition identifier
status | ?!S Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type | S Σ | 1..1 | CodeableConcept | Central Cancer Registry Report Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 72134-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(US Core Patient Profile(6.1.0) | Central Cancer Registry Reporting Patient) | Patient who is the subject of the report.
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile(6.1.0) | Central Cancer Registry Reporting Encounter) | Encounter related to the public health event
date | S Σ | 1..1 | dateTime | Composition editing time
author | S Σ | 1..* | Reference(US Core PractitionerRole Profile(6.1.0) | US Core Practitioner Profile(6.1.0) | Central Cancer Registry Reporting Organization) | The author(s) of the document
title | S Σ | 1..1 | string | Human Readable name/title Fixed Value: Central Cancer Registry Report
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 0..* | BackboneElement | Attests to accuracy of composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the composition was attested
party |  | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | S C | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceEncounterSection | S C | 0..1 | BackboneElement | Encounter Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Encounter Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Encounter Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceEncounter | S C | 0..* | Reference(US Core Encounter Profile(6.1.0)) | Encounter Entry
entry:sliceEncounterDiagnosis | S C | 0..* | Reference(US Core Condition Encounter Diagnosis Profile(6.1.0)) | Encounter Diagnosis Entry
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:slicePrimaryCancerCondition | S C | 1..1 | BackboneElement | Primary Cancer Condition Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Primary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363346000
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Primary Cancer Condition narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 1..1 | Reference(Central Cancer Registry Reporting Primary Cancer Condition) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceSecondaryCancerCondition | S C | 0..1 | BackboneElement | Secondary Cancer Condition Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Secondary Cancer Condition code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 128462008
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Secondary Cancer Condition narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(Secondary Cancer Condition Profile) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceTNMStaging | S C | 0..1 | BackboneElement | TNM Staging Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | TNM Staging code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21908-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | TNM Staging narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceTNMStageGroup | S C | 0..* | Reference(TNM Stage Group Profile | TNM Distant Metastases Category Profile | TNM Primary Tumor Category Profile | TNM Regional Nodes Category Profile) | TNM Stage Group Entry
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceRadioTherapyCourseSummary | S C | 0..1 | BackboneElement | Cancer Radio Therapy Course Summary Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Cancer Radio Therapy Course Summary Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1217123003
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Cancer Radio Therapy Course Summary narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..1 | Reference(Radiotherapy Course Summary Profile) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceProblemSection | S C | 0..1 | BackboneElement | Problem Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Problem Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Problem Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(6.1.0)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceMedicationsAdministeredSection | S C | 0..1 | BackboneElement | Medications Administered Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Medications Administered Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29549-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Medications Administered Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S C | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceMedicationsSection | S C | 0..1 | BackboneElement | Medications Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Medications Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Medications Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration | S C | 0..* | Reference(Cancer-Related Medication Administration Profile) | Medication Administration Entry
entry:sliceMedicationStatement | S C | 0..* | Reference(MedicationStatement) | Medication Statement Entry
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceODHSection | S C | 0..1 | BackboneElement | ODH Data Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | ODH Data code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | ODH Data narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..1 | Reference(Usual Work) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceResultsSection | S C | 0..1 | BackboneElement | Results Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Results Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Results Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceLabResultEntry | S C | 0..* | Reference(US Core Laboratory Result Observation Profile(6.1.0)) | Lab Result Entries
entry:sliceDiagnosticResultEntry | S C | 0..* | Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting(6.1.0)) | Diagnostic Result Entries
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceNotesSection | S C | 0..1 | BackboneElement | Clinical and Diagnostic Reports Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Clinical Notes Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 28650-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Notes Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceDocumentReferenceEntry | S C | 0..* | Reference(US Core DocumentReference Profile(6.1.0)) | Document Reference Entries
entry:sliceDiagnosticReportEntry | S C | 0..* | Reference(US Core DiagnosticReport Profile for Report and Note Exchange(6.1.0) | US Pathology Diagnostic Report) | Diagnostic Report Entries
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:slicePlanOfTreatmentSection | S C | 0..1 | BackboneElement | Plan of Treatment Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Plan of Treatment code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Plan of Treatment narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationRequest | S C | 0..* | Reference(Cancer-Related Medication Request Profile) | Medication Request Entries
entry:sliceMedicationReferences | S C | 0..* | Reference(US Core Medication Profile(6.1.0)) | Medication Reference Entries
entry:sliceProcedureOrders | S C | 0..* | Reference(US Core ServiceRequest Profile(6.1.0)) | Procedure Order Entries
entry:sliceCarePlanEntries | S C | 0..* | Reference(US Core CarePlan Profile(6.1.0)) | CarePlan Entries
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceProceduresSection | S C | 0..1 | BackboneElement | This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Procedures Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Procedures Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(US Core Procedure Profile(6.1.0)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceVitalSignsSection | S C | 0..1 | BackboneElement | Vital Signs Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Vital Signs code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Vital Signs narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(US Core Vital Signs Profile(6.1.0)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:sliceSocialHistorySection | S C | 0..1 | BackboneElement | Social History Section Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Social History Section code Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Social History Section narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..1 | Reference(US Core Smoking Status Observation Profile(6.1.0)) | A reference to data that supports this section
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | FHIR Std.
Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std.
Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
Composition.section.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceEncounterSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceEncounterSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceEncounterSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceEncounterSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:slicePrimaryCancerCondition.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePrimaryCancerCondition.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:slicePrimaryCancerCondition.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePrimaryCancerCondition.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceSecondaryCancerCondition.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSecondaryCancerCondition.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceSecondaryCancerCondition.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSecondaryCancerCondition.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceTNMStaging.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceTNMStaging.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceTNMStaging.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceTNMStaging.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceRadioTherapyCourseSummary.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceRadioTherapyCourseSummary.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceRadioTherapyCourseSummary.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceRadioTherapyCourseSummary.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceProblemSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProblemSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceProblemSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProblemSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsAdministeredSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsAdministeredSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsAdministeredSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsAdministeredSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceMedicationsSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceODHSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceODHSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceODHSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceODHSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceResultsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceResultsSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceResultsSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceResultsSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceNotesSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceNotesSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceNotesSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceNotesSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:slicePlanOfTreatmentSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePlanOfTreatmentSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:slicePlanOfTreatmentSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:slicePlanOfTreatmentSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceProceduresSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProceduresSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceProceduresSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceProceduresSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceVitalSignsSection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceVitalSignsSection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceVitalSignsSection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceVitalSignsSection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.
Composition.section:sliceSocialHistorySection.​code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSocialHistorySection.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:sliceSocialHistorySection.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std.
Composition.section:sliceSocialHistorySection.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:sliceEncounterSection, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceTNMStaging, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceODHSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:sliceEncounterSection, Composition.section:slicePrimaryCancerCondition, Composition.section:sliceSecondaryCancerCondition, Composition.section:sliceTNMStaging, Composition.section:sliceRadioTherapyCourseSummary, Composition.section:sliceProblemSection, Composition.section:sliceMedicationsAdministeredSection, Composition.section:sliceMedicationsSection, Composition.section:sliceODHSection, Composition.section:sliceResultsSection, Composition.section:sliceNotesSection, Composition.section:slicePlanOfTreatmentSection, Composition.section:sliceProceduresSection, Composition.section:sliceVitalSignsSection, Composition.section:sliceSocialHistorySection | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Composition

Summary

Mandatory: 6 elements(28 nested mandatory elements)
Must-Support: 85 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0)
- Central Cancer Registry Reporting Patient (http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient)
- US Core Encounter Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0)
- Central Cancer Registry Reporting Encounter (http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-encounter)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0)
- Central Cancer Registry Reporting Organization (http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-organization)
- US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|6.1.0)
- Central Cancer Registry Reporting Primary Cancer Condition (http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-primary-cancer-condition)
- Secondary Cancer Condition Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-secondary-cancer-condition)
- TNM Stage Group Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group)
- TNM Distant Metastases Category Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category)
- TNM Primary Tumor Category Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category)
- TNM Regional Nodes Category Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category)
- Radiotherapy Course Summary Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary)
- US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|6.1.0)
- Cancer-Related Medication Administration Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-administration)
- US Core Medication Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication|6.1.0)
- Usual Work (http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork)
- US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab|6.1.0)
- US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|6.1.0)
- US Core DocumentReference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|6.1.0)
- US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|6.1.0)
- US Pathology Diagnostic Report (http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-diagnostic-report)
- Cancer-Related Medication Request Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request)
- US Core ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|6.1.0)
- US Core CarePlan Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|6.1.0)
- US Core Procedure Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|6.1.0)
- US Core Vital Signs Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs|6.1.0)
- US Core Smoking Status Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus|6.1.0)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Maturity: 2

Other representations of profile: CSV, Excel, Schematron