HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR)

This page is part of the electronic Case Reporting (eCR) (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

SD.11 StructureDefinition-eicr-composition

This Composition profile represents an electronic initial case report (eICR). It describes the content requirements for the eICR including:

patient demographics
patient pregnancy status
patient occupation and travel history
provider and facility information
laboratory orders, tests, and results
signs, symptoms, and diagnoses
medication and immunization information
flags for the existence of reportable condition trigger codes in diagnoses, ordered/resulted laboratory tests, medications, and immunizations
- flags contain RCTC OID and RCTC version
codes indicating whether the eICR was manually or alternately initiated

SD.11.1 Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition

Published on Wed Jan 29 20:30:08 UTC 2020 as a active by HL7 Public Health Work Group.

This profile builds on Composition

Text Summary
Differential Table
Snapshot Table
All

Summary

Mandatory: 24 elements (7 nested mandatory elements)
Must-Support: 61 elements
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	eICR Composition Profile
extension		0..*	Extension	Slice: Unordered, Open by value:url
composition-clinicaldocument-versionNumber	S	1..1	string	eICR Composition versionNumber URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
eicr-initiation-type-extension	S	0..1	CodeableConcept	Initial Case Report Initiation Type URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-type-extension Binding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.113883.10.20.15.2.5.11 (extensible)
eicr-initiation-reason-extension	S	0..*	string, CodeableConcept	Initial Case Report Initiation Reason URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-reason-extension
identifier	S	1..1	Identifier	eICR Composition identifier
type	S	1..1	CodeableConcept	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: 55751-2
category	S	0..1	CodeableConcept	Manual/Alternate Initiation Binding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.113883.10.20.15.2.5.11 (extensible)
subject	S	0..1	Reference(eCR Patient)	Patient
encounter	S	1..1	Reference(eICR Encounter)	Encounter related to the eICR event
date	S	1..1	dateTime
author	S	1..*	Reference(eCR PractitionerRole \| US Core Practitioner Profile \| eCR Organization \| Device)
relatesTo	S	0..*	(Slice Definition)	Slice: Unordered, Open by value:code
relatesTo:sliceTransformed		0..1	BackboneElement	Document or Composition that this Composition is transformed from
code		1..1	code	Fixed Value: transforms
target[x]		1..1	Identifier	Identifier of the Document or Composition transformed
relatesTo:sliceReplaced		0..1	BackboneElement	Document or Composition that this Composition replaces
code		1..1	code	Fixed Value: replaces
target[x]		1..1	Identifier, Reference(Composition)	Identifier/Reference to the Document or Composition transformed
section		0..*	(Slice Definition)	Slice: Unordered, Open by value:code
section:sliceReasonForVisitSection	S	1..1	BackboneElement	Reason for Visit Section
code	S	1..1	CodeableConcept	Reason for Visit code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29299-5
text	S	1..1	Narrative	Reason for Visit narrative
section:sliceHistoryOfPresentIllnessSection	S	1..1	BackboneElement	History of Present Illness Section
code	S	1..1	CodeableConcept	History of Present Illness code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10164-2
text	S	1..1	Narrative	History of Present Illness narrative
section:sliceProblemSection	S	1..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..*	(Slice Definition)	Slice: Unordered, Open by profile:resolve()
entry:sliceEICRCondition	S	0..*	Reference(eICR Condition)	eICR Condition entry
extension		0..*	Extension	Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension	S	0..1	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
section:sliceMedicationsAdministeredSection	S	1..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
entry	S	0..*	(Slice Definition)	Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration	S	0..*	Reference(MedicationAdministration)	Medication Administration entry
extension		0..*	Extension	Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension		0..1	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
section:sliceResultsSection	S	1..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
entry		0..*	(Slice Definition)	Slice: Unordered, Open by profile:resolve()
entry:sliceUSCoreObservationResults	S	0..*	Reference(US Core Laboratory Result Observation Profile)
extension		0..*	Extension	Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension	S	0..*	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
section:slicePlanOfTreatmentSection	S	1..1	BackboneElement	Plan of Treatment Section
code	S	1..1	CodeableConcept	Plan of Treatment Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
text	S	1..1	Narrative
entry	S	0..*	(Slice Definition)	Slice: Unordered, Open by profile:resolve()
entry:sliceEICRServiceRequest	S	0..*	Reference(eICR ServiceRequest)	eICR Service Request entry
extension		0..*	Extension	Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension	S	0..1	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
entry:sliceUSCoreMedicationRequest	S	0..*	Reference(US Core MedicationRequest Profile)	US Core Medication Request entry
extension		0..*	Extension	Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension	S	0..1	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
section:sliceImmunizationsSection	S	0..1	BackboneElement	Immunizations Section
code	S	1..1	CodeableConcept	Immunizations Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
text	S	1..1	Narrative
entry	S	0..*	(Slice Definition)	Slice: Unordered, Open by profile:resolve()
entry:sliceUSCoreImmunization	S	0..*	Reference(US Core Immunization Profile)	Immunization entry
extension		0..*	Extension	Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension		0..*	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
section:sliceVitalSignsSection	S	0..1	BackboneElement	Vital Signs Section
code	S	1..1	CodeableConcept	Vital Signs Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
text	S	1..1	Narrative
entry	S	0..*	(Slice Definition)	Slice: Unordered, Open by profile:resolve()
entry:sliceVitalSigns	S	0..*	Reference(Vital Signs Profile)
section:sliceSocialHistorySection	S	1..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..*	(Slice Definition)	Slice: Unordered, Open by profile:resolve()
entry:sliceCharacteristicsOfHomeEnvironment	S	0..*	Reference(Characteristics of Home Environment)	Characteristics of Home Environment
entry:sliceODHPastOrPresentJob		0..*	Reference(Past Or Present Job)	ODH Past or Present Job entry
entry:sliceODHUsualWork		0..*	Reference(Usual Work)	ODH Usual Work entry
entry:sliceTravelHistory	S	0..*	Reference(Travel History Observation)	ODH Travel History entry
section:slicePregnancySection	S	0..1	BackboneElement	Pregnancy Section
code	S	1..1	CodeableConcept	Pregnancy summary Document Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 90767-5
text	S	1..1	Narrative
entry		0..*	(Slice Definition)	Slice: Unordered, Open by profile:resolve()
entry:slicePregnancyStatusObservation		1..*	Reference(Pregnancy Status Observation)	Pregnancy Status Observation entry
entry:slicePregnancyOutcome	S	0..*	Reference(Pregnancy Outcome Observation)	Pregnancy Outcome entry
entry:sliceLastMenstrualPeriod		0..*	Reference(Last Menstrual Period)	Last Menstrual Period entry
entry:slicePostpartumStatus		0..*	Reference(Postpartum Status)	Postpartum Status entry
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Composition	SI	0..*	Composition	eICR Composition Profile
id	Σ	0..1	string	Logical id of this artifact
meta	ΣI	0..1	Meta	Metadata about the resource
implicitRules	?!ΣI	0..1	uri	A set of rules under which this content was created
language	I	0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages
text	I	0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	I	0..*	Extension	Extension Slice: Unordered, Open by value:url
composition-clinicaldocument-versionNumber	SI	1..1	string	eICR Composition versionNumber URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
eicr-initiation-type-extension	SI	0..1	CodeableConcept	Initial Case Report Initiation Type URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-type-extension Binding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.113883.10.20.15.2.5.11 (extensible)
eicr-initiation-reason-extension	SI	0..*	string, CodeableConcept	Initial Case Report Initiation Reason URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-reason-extension
modifierExtension	?!I	0..*	Extension	Extensions that cannot be ignored
identifier	SΣI	1..1	Identifier	eICR Composition identifier
status	?!ΣI	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required)
type	SΣI	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55751-2
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
category	SΣI	0..1	CodeableConcept	Manual/Alternate Initiation Binding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.113883.10.20.15.2.5.11 (extensible)
subject	SΣI	0..1	Reference(eCR Patient)	Patient
encounter	SΣI	1..1	Reference(eICR Encounter)	Encounter related to the eICR event
date	SΣI	1..1	dateTime	Composition editing time
author	SΣI	1..*	Reference(eCR PractitionerRole \| US Core Practitioner Profile \| eCR Organization \| Device)	Who and/or what authored the composition
title	ΣI	1..1	string	Human Readable name/title
confidentiality	ΣI	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required)
attester	I	0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	I	1..1	code	personal \| professional \| legal \| official Binding: CompositionAttestationMode (required)
time	I	0..1	dateTime	When the composition was attested
party	I	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole \| Organization)	Who attested the composition
custodian	ΣI	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo	SI	0..*	(Slice Definition)	Relationships to other compositions/documents Slice: Unordered, Open by value:code
relatesTo:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	I	1..1	code	replaces \| transforms \| signs \| appends Binding: DocumentRelationshipType (required)
target[x]	I	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
relatesTo:sliceTransformed	I	0..1	BackboneElement	Document or Composition that this Composition is transformed from
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	I	1..1	code	replaces \| transforms \| signs \| appends Binding: DocumentRelationshipType (required) Fixed Value: transforms
target[x]	I	1..1	Identifier	Identifier of the Document or Composition transformed
relatesTo:sliceReplaced	I	0..1	BackboneElement	Document or Composition that this Composition replaces
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	I	1..1	code	replaces \| transforms \| signs \| appends Binding: DocumentRelationshipType (required) Fixed Value: replaces
target[x]	I	1..1		Identifier/Reference to the Document or Composition transformed
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	ΣI	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣI	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example)
period	ΣI	0..1	Period	The period covered by the documentation
detail	ΣI	0..*	Reference(Resource)	The event(s) being documented
section	I	0..*	(Slice Definition)	Composition is broken into sections Slice: Unordered, Open by value:code
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	I	0..1	string	Label for section (e.g. for ToC)
code	I	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example)
author	I	0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus	I	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	I	0..1	Narrative	Text summary of the section, for human interpretation
mode	I	0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy	I	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section Nested Section
section:sliceReasonForVisitSection	SI	1..1	BackboneElement	Reason for Visit Section
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	I	0..1	string	Label for section (e.g. for ToC)
code	SI	1..1	CodeableConcept	Reason for Visit code Binding: DocumentSectionCodes (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29299-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author	I	0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus	I	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SI	1..1	Narrative	Reason for Visit narrative
mode	I	0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy	I	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section:sliceReasonForVisitSection Nested Section
section:sliceHistoryOfPresentIllnessSection	SI	1..1	BackboneElement	History of Present Illness Section
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	I	0..1	string	Label for section (e.g. for ToC)
code	SI	1..1	CodeableConcept	History of Present Illness code Binding: DocumentSectionCodes (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10164-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author	I	0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus	I	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SI	1..1	Narrative	History of Present Illness narrative
mode	I	0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy	I	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section:sliceHistoryOfPresentIllnessSection Nested Section
section:sliceProblemSection	SI	1..1	BackboneElement	Problem Section
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	I	0..1	string	Label for section (e.g. for ToC)
code	SI	1..1	CodeableConcept	Problem Section code Binding: DocumentSectionCodes (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 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	I	0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus	I	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SI	1..1	Narrative	Problem Section narrative
mode	I	0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy	I	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceEICRCondition	SI	0..*	Reference(eICR Condition)	eICR Condition entry
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Extension Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension	SI	0..1	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
reference	ΣI	0..1	string	Literal reference, Relative, internal or absolute URL
type	ΣI	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	ΣI	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣI	0..1	string	Text alternative for the resource
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section:sliceProblemSection Nested Section
section:sliceMedicationsAdministeredSection	SI	1..1	BackboneElement	Medications Administered Section
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	I	0..1	string	Label for section (e.g. for ToC)
code	SI	1..1	CodeableConcept	Medications Administered Section code Binding: DocumentSectionCodes (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 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	I	0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus	I	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SI	1..1	Narrative	Medications Administered Section narrative
mode	I	0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy	I	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceMedicationAdministration	SI	0..*	Reference(MedicationAdministration)	Medication Administration entry
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Extension Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension	I	0..1	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
reference	ΣI	0..1	string	Literal reference, Relative, internal or absolute URL
type	ΣI	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	ΣI	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣI	0..1	string	Text alternative for the resource
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section:sliceMedicationsAdministeredSection Nested Section
section:sliceResultsSection	SI	1..1	BackboneElement	Results Section
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	I	0..1	string	Label for section (e.g. for ToC)
code	SI	1..1	CodeableConcept	Results Section code Binding: DocumentSectionCodes (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 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	I	0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus	I	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SI	1..1	Narrative	Results Section narrative
mode	I	0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy	I	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceUSCoreObservationResults	SI	0..*	Reference(US Core Laboratory Result Observation Profile)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Extension Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension	SI	0..*	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
reference	ΣI	0..1	string	Literal reference, Relative, internal or absolute URL
type	ΣI	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	ΣI	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣI	0..1	string	Text alternative for the resource
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section:sliceResultsSection Nested Section
section:slicePlanOfTreatmentSection	SI	1..1	BackboneElement	Plan of Treatment Section
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	I	0..1	string	Label for section (e.g. for ToC)
code	SI	1..1	CodeableConcept	Plan of Treatment Binding: DocumentSectionCodes (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18776-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author	I	0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus	I	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SI	1..1	Narrative	Text summary of the section, for human interpretation
mode	I	0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy	I	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceEICRServiceRequest	SI	0..*	Reference(eICR ServiceRequest)	eICR Service Request entry
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Extension Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension	SI	0..1	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
reference	ΣI	0..1	string	Literal reference, Relative, internal or absolute URL
type	ΣI	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	ΣI	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣI	0..1	string	Text alternative for the resource
entry:sliceUSCoreMedicationRequest	SI	0..*	Reference(US Core MedicationRequest Profile)	US Core Medication Request entry
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Extension Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension	SI	0..1	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
reference	ΣI	0..1	string	Literal reference, Relative, internal or absolute URL
type	ΣI	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	ΣI	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣI	0..1	string	Text alternative for the resource
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section:slicePlanOfTreatmentSection Nested Section
section:sliceImmunizationsSection	SI	0..1	BackboneElement	Immunizations Section
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	I	0..1	string	Label for section (e.g. for ToC)
code	SI	1..1	CodeableConcept	Immunizations Binding: DocumentSectionCodes (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author	I	0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus	I	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SI	1..1	Narrative	Text summary of the section, for human interpretation
mode	I	0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy	I	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceUSCoreImmunization	SI	0..*	Reference(US Core Immunization Profile)	Immunization entry
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Extension Slice: Unordered, Open by value:url
eicr-trigger-code-flag-extension	I	0..*	(Complex)	eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
reference	ΣI	0..1	string	Literal reference, Relative, internal or absolute URL
type	ΣI	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	ΣI	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣI	0..1	string	Text alternative for the resource
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section:sliceImmunizationsSection Nested Section
section:sliceVitalSignsSection	SI	0..1	BackboneElement	Vital Signs Section
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	I	0..1	string	Label for section (e.g. for ToC)
code	SI	1..1	CodeableConcept	Vital Signs Binding: DocumentSectionCodes (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author	I	0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus	I	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SI	1..1	Narrative	Text summary of the section, for human interpretation
mode	I	0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy	I	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceVitalSigns	SI	0..*	Reference(Vital Signs Profile)	A reference to data that supports this section
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section:sliceVitalSignsSection Nested Section
section:sliceSocialHistorySection	SI	1..1	BackboneElement	Social History Section
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	I	0..1	string	Label for section (e.g. for ToC)
code	SI	1..1	CodeableConcept	Social History Section code Binding: DocumentSectionCodes (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 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	I	0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus	I	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SI	1..1	Narrative	Social History Section narrative
mode	I	0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy	I	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	SI	0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:sliceCharacteristicsOfHomeEnvironment	SI	0..*	Reference(Characteristics of Home Environment)	Characteristics of Home Environment
entry:sliceODHPastOrPresentJob	I	0..*	Reference(Past Or Present Job)	ODH Past or Present Job entry
entry:sliceODHUsualWork	I	0..*	Reference(Usual Work)	ODH Usual Work entry
entry:sliceTravelHistory	SI	0..*	Reference(Travel History Observation)	ODH Travel History entry
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section:sliceSocialHistorySection Nested Section
section:slicePregnancySection	SI	0..1	BackboneElement	Pregnancy Section
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations
modifierExtension	?!ΣI	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	I	0..1	string	Label for section (e.g. for ToC)
code	SI	1..1	CodeableConcept	Pregnancy summary Document Binding: DocumentSectionCodes (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 90767-5
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	I	0..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the section
focus	I	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SI	1..1	Narrative	Text summary of the section, for human interpretation
mode	I	0..1	code	working \| snapshot \| changes Binding: ListMode (required)
orderedBy	I	0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred)
entry	I	0..*	(Slice Definition)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:slicePregnancyStatusObservation	I	1..*	Reference(Pregnancy Status Observation)	Pregnancy Status Observation entry
entry:slicePregnancyOutcome	SI	0..*	Reference(Pregnancy Outcome Observation)	Pregnancy Outcome entry
entry:sliceLastMenstrualPeriod	I	0..*	Reference(Last Menstrual Period)	Last Menstrual Period entry
entry:slicePostpartumStatus	I	0..*	Reference(Postpartum Status)	Postpartum Status entry
emptyReason	I	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred)
section	I	0..*		Unknown reference to #Composition.section:slicePregnancySection Nested Section
Documentation for this format