This page is part of the electronic Case Reporting (eCR) (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
JSON Format: StructureDefinition-eicr-composition
Raw json
{ "resourceType" : "StructureDefinition", "id" : "eicr-composition", "text" : { "status" : "generated", "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition">Composition</a><a name="Composition"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Case Composition Profile</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.subject">subject</a><a name="Composition.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://build.fhir.org/ig/HL7/US-Core//StructureDefinition-us-core-patient.html">US Core Patient Profile</a>), <a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://hl7.org/fhir/STU3/group.html">Group</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.encounter">encounter</a><a name="Composition.encounter"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-eicr-encounter.html">eICR Encounter Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"Encounter/eicr","display":"EICR Encounter Profile example"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.date">date</a><a name="Composition.date"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">2017-11-06T22:13:23Z</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.author">author</a><a name="Composition.author"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://build.fhir.org/ig/HL7/US-Core//StructureDefinition-us-core-practitionerrole.html">US Core PractitionerRole Profile</a>), <a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://build.fhir.org/ig/HL7/US-Core//StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a>), <a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-ecr-organization.html">eCR Organization Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-section-slices" title="Slice eicr-section-slices: ">section</a><a name="Composition.section"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4; font-style: italic" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:code</span><br style="font-style: italic"/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice2" title="Slice eicr-slice2: ">section</a><a name="Composition.section"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">History of Present Illness Section</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice2.code">code</a><a name="Composition.section.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">{"coding":[{"system":"http://loinc.org","code":"10164-2","display":" History of Present illness Narrative"}],"text":" History of Present illness"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice2.text">text</a><a name="Composition.section.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Narrative">Narrative</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice3" title="Slice eicr-slice3: ">section</a><a name="Composition.section"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reason for Visit Section</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice3.code">code</a><a name="Composition.section.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">{"coding":[{"system":"http://loinc.org","code":"29299-5","display":"Reason for visit Narrative"}],"text":"History of Encounters"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice3.text">text</a><a name="Composition.section.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Narrative">Narrative</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice4" title="Slice eicr-slice4: ">section</a><a name="Composition.section"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Social History Section</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice4.code">code</a><a name="Composition.section.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">{"coding":[{"system":"http://loinc.org","code":"29762-2","display":"Social history Narrative"}],"text":"Social History"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice4.entry:eicr-sh-slices" title="Slice eicr-sh-slices: ">entry</a><a name="Composition.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="font-style: italic" href="http://hl7.org/fhir/STU3/references.html">Reference</a><span style="font-style: italic">(</span><a style="font-style: italic" href="http://hl7.org/fhir/STU3/observation.html">Observation</a><span style="font-style: italic">)</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:profile</span><br style="font-style: italic"/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice4.entry:eicr-sh-slice1" title="Slice eicr-sh-slice1: ">entry</a><a name="Composition.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-eicr-travelhistory.html">eICR TravelHistory Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"Observation/eicr-th-obs","display":"EICR Travel History Profile example"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice4.entry:eicr-sh-slice2" title="Slice eicr-sh-slice2: ">entry</a><a name="Composition.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-eicr-pregnancystatus.html">eICR PregnancyStatus Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"Observation/eicr-ph-obs","display":"EICR Social History Pregnancy Observation example"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice4.entry:eicr-sh-slice3" title="Slice eicr-sh-slice3: ">entry</a><a name="Composition.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-eicr-occupationhistory.html">eICR-OccupationHistory</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"Observation/eicr-oh-obs","display":"EICR Occupational History Profile example"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice5" title="Slice eicr-slice5: ">section</a><a name="Composition.section"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Problems Section</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice5.code">code</a><a name="Composition.section.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">{"coding":[{"system":"http://loinc.org","code":"11450-4","display":"Problem list - Reported"}],"text":"Problem list"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice5.entry">entry</a><a name="Composition.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-eicr-condition.html">eICR Condition Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"Condition/us-core-problems-example","display":"US Core Profile problem list example"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice5.entry.extension:trigger1" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger">extension-trigger</a><a name="Composition.section.entry.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Trigger Code Indicator<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-trigger.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice6" title="Slice eicr-slice6: ">section</a><a name="Composition.section"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Medications Administered Section</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice6.code">code</a><a name="Composition.section.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">{"coding":[{"system":"http://loinc.org","code":"29549-3","display":"Medication administered Narrative"}],"text":"Medication administered"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice6.text">text</a><a name="Composition.section.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Narrative">Narrative</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice6.entry">entry</a><a name="Composition.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://build.fhir.org/ig/HL7/US-Core//StructureDefinition-us-core-medicationstatement.html">US Core MedicationStatement Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"MedicationStatement/us-core-medstmnt-example","display":"US Core Profile Medication list example"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice7" title="Slice eicr-slice7: ">section</a><a name="Composition.section"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Results Section</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice7.code">code</a><a name="Composition.section.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">{"coding":[{"system":"http://loinc.org","code":"30954-2","display":"Relevant diagnostic tests/​laboratory data Narrative"}],"text":"Relevant diagnostic tests/​laboratory data"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice7.entry:eicr-res-slices" title="Slice eicr-res-slices: ">entry</a><a name="Composition.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="font-style: italic" href="http://hl7.org/fhir/STU3/references.html">Reference</a><span style="font-style: italic">(</span><a style="opacity: 0.4; font-style: italic" href="http://hl7.org/fhir/STU3/resource.html">Resource</a><span style="font-style: italic">)</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:type</span><br style="font-style: italic"/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice7.entry:eicr-res-slice1" title="Slice eicr-res-slice1: ">entry</a><a name="Composition.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://build.fhir.org/ig/HL7/US-Core//StructureDefinition-us-core-diagnosticreport.html">US Core DiagnosticReport Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"DiagnosticReport/us-core-dr-example","display":"US Core Profile DiagnosticReport example"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice7.entry:eicr-res-slice1.extension:trigger2" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger">extension-trigger</a><a name="Composition.section.entry.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Trigger Code Indicator<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-trigger.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice7.entry:eicr-res-slice2" title="Slice eicr-res-slice2: ">entry</a><a name="Composition.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://build.fhir.org/ig/HL7/US-Core//StructureDefinition-us-core-observationresults.html">US Core Results Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"Observation/us-core-obs-example","display":"US Core Profile Observation example"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice7.entry:eicr-res-slice2.extension:trigger3" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger">extension-trigger</a><a name="Composition.section.entry.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Trigger Code Indicator<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-trigger.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice8" title="Slice eicr-slice8: ">section</a><a name="Composition.section"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Lab Order Section</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice8.code">code</a><a name="Composition.section.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">{"coding":[{"system":"http://example.org","code":"NNNNN-N","display":"Lab Order Narrative"}],"text":"Relevant ​laboratory order data"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice8.entry">entry</a><a name="Composition.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-eicr-procedurerequest.html">eICR Lab Orders Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"ProcedureRequest/us-core-pr-example","display":"US Core Profile ProcedureRequest (aka ServiceRequest) example"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice8.entry.extension:trigger4" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger">extension-trigger</a><a name="Composition.section.entry.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Trigger Code Indicator<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-trigger.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice9" title="Slice eicr-slice9: ">section</a><a name="Composition.section"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Immunizations Section</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice9.code">code</a><a name="Composition.section.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">{"coding":[{"system":"http://loinc.org","code":"11369-6","display":"History of Immunization Narrative"}],"text":"History of Immunization"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-eicr-composition-definitions.html#Composition.section:eicr-slice9.entry">entry</a><a name="Composition.section.entry"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://build.fhir.org/ig/HL7/US-Core//StructureDefinition-us-core-immunization.html">US Core Immunization Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"Immunization/us-core-immunization-example","display":"US Core Profile Immunization example"}</span></td></tr> <tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>" }, "url" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-composition", "version" : "0.0.0", "name" : "eICR Composition Profile", "status" : "draft", "date" : "2017-12-04T00:00:00+11:00", "description" : "The Electronic Case Reporting Composition profile establishes the core elements, extensions, vocabularies and value sets for representing an electronic initial case report (eICR). It describes the content requirements for the initial Case Report including: - Patient demographics - Patient pregnancy status - Patient occupation and travel history - Provider and Facility information - Laboratory orders tests and results - Signs and Symptoms and Diangosis - Medication and Immunization History - Flags for the existence of reportable condition trigger codes in diagnoses and ordered/resulted laboratory tests.", "jurisdiction" : [ { "coding" : [ { "system" : "urn:iso:std:iso:3166", "code" : "US", "display" : "United States Minor Outlying Islands (the)" } ] } ], "fhirVersion" : "3.0.1", "mapping" : [ { "identity" : "eicr-ccda", "uri" : "http://unknown.org/EICR CCDA", "name" : "EICR CCDA" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "cda", "uri" : "http://hl7.org/v3/cda", "name" : "CDA (R2)" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/w5", "name" : "W5 Mapping" } ], "kind" : "resource", "abstract" : false, "type" : "Composition", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Composition", "derivation" : "constraint", "snapshot" : { "element" : [ { "id" : "Composition", "path" : "Composition", "short" : "Case Composition Profile", "definition" : "A set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.", "comment" : "While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.", "min" : 0, "max" : "*", "base" : { "path" : "Composition", "min" : 0, "max" : "*" }, "constraint" : [ { "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "xpath" : "not(parent::f:contained and f:contained)", "source" : "DomainResource" }, { "key" : "dom-1", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative", "expression" : "contained.text.empty()", "xpath" : "not(parent::f:contained and f:text)", "source" : "DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source" : "DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource", "expression" : "contained.where(('#'+id in %resource.descendants().reference).not()).empty()", "xpath" : "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))", "source" : "DomainResource" } ], "mustSupport" : false, "mapping" : [ { "identity" : "rim", "map" : "Entity. Role, or Act" }, { "identity" : "rim", "map" : "Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]" }, { "identity" : "cda", "map" : "ClinicalDocument" }, { "identity" : "w5", "map" : "infrastructure.documents" }, { "identity" : "eicr-ccda", "map" : "EICR CCDA" } ] }, { "id" : "Composition.id", "path" : "Composition.id", "short" : "Logical id of this artifact", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "id" } ], "isSummary" : true }, { "id" : "Composition.meta", "path" : "Composition.meta", "short" : "Metadata about the resource", "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Meta" } ], "isSummary" : true }, { "id" : "Composition.implicitRules", "path" : "Composition.implicitRules", "short" : "A set of rules under which this content was created", "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.", "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "isModifier" : true, "isSummary" : true }, { "id" : "Composition.language", "path" : "Composition.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min" : 0, "max" : "1", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueReference" : { "reference" : "http://hl7.org/fhir/ValueSet/all-languages" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean" : true } ], "strength" : "extensible", "description" : "A human language.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/languages" } } }, { "id" : "Composition.text", "path" : "Composition.text", "short" : "Text summary of the resource, for human interpretation", "definition" : "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.", "alias" : [ "narrative", "html", "xhtml", "display" ], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "dom-1" ], "mapping" : [ { "identity" : "rim", "map" : "Act.text?" } ] }, { "id" : "Composition.contained", "path" : "Composition.contained", "short" : "Contained, inline Resources", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.", "alias" : [ "inline resources", "anonymous resources", "contained resources" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Resource" } ], "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.extension", "path" : "Composition.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.modifierExtension", "path" : "Composition.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.identifier", "path" : "Composition.identifier", "short" : "Logical identifier of composition (version-independent)", "definition" : "Logical identifier for the composition, assigned when created. This identifier stays constant as the composition is changed over time.", "comment" : "See discussion in resource definition for how these relate.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.identifier", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Identifier" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "Document.id / Document.setId" }, { "identity" : "cda", "map" : ".setId" }, { "identity" : "w5", "map" : "id" } ] }, { "id" : "Composition.status", "path" : "Composition.status", "short" : "preliminary | final | amended | entered-in-error", "definition" : "The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.", "comment" : "If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements. Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.", "requirements" : "Need to be able to mark interim, amended, or withdrawn compositions or documents.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.status", "min" : 1, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : true, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionStatus" } ], "strength" : "required", "description" : "The workflow/clinical status of the composition.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/composition-status" } }, "mapping" : [ { "identity" : "rim", "map" : "interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "w5", "map" : "status" } ] }, { "id" : "Composition.type", "path" : "Composition.type", "short" : "Kind of composition (LOINC if possible)", "definition" : "Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.", "comment" : "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.", "requirements" : "Key metadata element describing the composition, used in searching/filtering.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.type", "min" : 1, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DocumentType" } ], "strength" : "preferred", "description" : "Type of a composition.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/doc-typecodes" } }, "mapping" : [ { "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }, { "identity" : "w5", "map" : "class" } ] }, { "id" : "Composition.class", "path" : "Composition.class", "short" : "Categorization of Composition", "definition" : "A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.", "comment" : "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).", "requirements" : "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.class", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DocumentClass" } ], "strength" : "example", "description" : "High-level kind of a clinical document at a macro level.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/doc-classcodes" } }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "w5", "map" : "class" } ] }, { "id" : "Composition.subject", "path" : "Composition.subject", "short" : "Who and/or what the composition is about", "definition" : "Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).", "comment" : "For clinical documents, this is usually the patient.", "requirements" : "Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.subject", "min" : 1, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" }, { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Group" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".participation[typeCode="SBJ"].role[typeCode="PAT"]" }, { "identity" : "cda", "map" : ".recordTarget" }, { "identity" : "w5", "map" : "who.focus" } ] }, { "id" : "Composition.encounter", "path" : "Composition.encounter", "short" : "Context of the Composition", "definition" : "Describes the clinical encounter or type of care this documentation is associated with.", "comment" : "(US Core Encounter profile pending).", "requirements" : "Provides context for the composition and supports searching.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.encounter", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-encounter" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Encounter/eicr", "display" : "EICR Encounter Profile example" } } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])" }, { "identity" : "cda", "map" : ".componentOf.encompassingEncounter" }, { "identity" : "w5", "map" : "context" } ] }, { "id" : "Composition.date", "path" : "Composition.date", "short" : "Composition editing time", "definition" : "The composition editing time, when the composition was last logically changed by the author.", "comment" : "The Last Modified Date on the composition may be after the date of the document was attested without being changed.", "requirements" : "dateTime is used for tracking, organizing versions and searching.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.date", "min" : 1, "max" : "1" }, "type" : [ { "code" : "dateTime" } ], "example" : [ { "label" : "General", "valueDateTime" : "2017-11-07T09:13:23+11:00" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".effectiveTime[type="TS"]" }, { "identity" : "cda", "map" : ".effectiveTime" }, { "identity" : "w5", "map" : "when.done" } ] }, { "id" : "Composition.author", "path" : "Composition.author", "short" : "Who and/or what authored the composition", "definition" : "Identifies who is responsible for the information in the composition, not necessarily who typed it in.", "comment" : "(US Core PractitionerRole profile pending).", "requirements" : "Identifies who is responsible for the content.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.author", "min" : 1, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole" }, { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner" }, { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/ecr-organization" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".participation[typeCode="AUT"].role[classCode="ASSIGNED"]" }, { "identity" : "cda", "map" : ".author.assignedAuthor" }, { "identity" : "w5", "map" : "who.author" } ] }, { "id" : "Composition.title", "path" : "Composition.title", "short" : "Human Readable name/title", "definition" : "Official human-readable label for the composition.", "comment" : "For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.title", "min" : 1, "max" : "1" }, "type" : [ { "code" : "string" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" } ] }, { "id" : "Composition.confidentiality", "path" : "Composition.confidentiality", "short" : "As defined by affinity domain", "definition" : "The code specifying the level of confidentiality of the Composition.", "comment" : "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.confidentiality", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : true, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DocumentConfidentiality" } ], "strength" : "required", "description" : "Codes specifying the level of confidentiality of the composition.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/v3-ConfidentialityClassification" } }, "mapping" : [ { "identity" : "rim", "map" : ".confidentialityCode" }, { "identity" : "cda", "map" : ".confidentialityCode" } ] }, { "id" : "Composition.attester", "path" : "Composition.attester", "short" : "Attests to accuracy of composition", "definition" : "A participant who has attested to the accuracy of the composition/document.", "comment" : "Only list each attester once.", "requirements" : "Identifies responsibility for the accuracy of the composition content.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.attester", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]" }, { "identity" : "cda", "map" : ".authenticator/.legalAuthenticator" } ] }, { "id" : "Composition.attester.id", "path" : "Composition.attester.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.attester.extension", "path" : "Composition.attester.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.attester.modifierExtension", "path" : "Composition.attester.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.attester.mode", "path" : "Composition.attester.mode", "short" : "personal | professional | legal | official", "definition" : "The type of attestation the authenticator offers.", "comment" : "Use more than one code where a single attester has more than one mode (professional and legal are often paired).", "requirements" : "Indicates the level of authority of the attestation.", "min" : 1, "max" : "*", "base" : { "path" : "Composition.attester.mode", "min" : 1, "max" : "*" }, "type" : [ { "code" : "code" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionAttestationMode" } ], "strength" : "required", "description" : "The way in which a person authenticated a composition.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/composition-attestation-mode" } }, "mapping" : [ { "identity" : "rim", "map" : "unique(./modeCode)" }, { "identity" : "cda", "map" : "implied by .authenticator/.legalAuthenticator" } ] }, { "id" : "Composition.attester.time", "path" : "Composition.attester.time", "short" : "When the composition was attested", "definition" : "When the composition was attested by the party.", "requirements" : "Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).", "min" : 0, "max" : "1", "base" : { "path" : "Composition.attester.time", "min" : 0, "max" : "1" }, "type" : [ { "code" : "dateTime" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "./time[type="TS" and isNormalDatatype()]" }, { "identity" : "cda", "map" : ".authenticator.time" } ] }, { "id" : "Composition.attester.party", "path" : "Composition.attester.party", "short" : "Who attested the composition", "definition" : "Who attested the composition in the specified way.", "requirements" : "Identifies who has taken on the responsibility for accuracy of the composition content.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.attester.party", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Organization" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]" }, { "identity" : "cda", "map" : ".authenticator.assignedEnttty" }, { "identity" : "w5", "map" : "who.witness" } ] }, { "id" : "Composition.custodian", "path" : "Composition.custodian", "short" : "Organization which maintains the composition", "definition" : "Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.", "comment" : "This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.", "requirements" : "Identifies where to go to find the current version, where to report issues, etc.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.custodian", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Organization" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]" }, { "identity" : "cda", "map" : ".custodian.assignedCustodian" } ] }, { "id" : "Composition.relatesTo", "path" : "Composition.relatesTo", "short" : "Relationships to other compositions/documents", "definition" : "Relationships that this composition has with other compositions or documents that already exist.", "comment" : "A document is a version specific composition.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.relatesTo", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship" }, { "identity" : "cda", "map" : ".relatedDocument" } ] }, { "id" : "Composition.relatesTo.id", "path" : "Composition.relatesTo.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.relatesTo.extension", "path" : "Composition.relatesTo.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.relatesTo.modifierExtension", "path" : "Composition.relatesTo.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.relatesTo.code", "path" : "Composition.relatesTo.code", "short" : "replaces | transforms | signs | appends", "definition" : "The type of relationship that this composition has with anther composition or document.", "comment" : "If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.relatesTo.code", "min" : 1, "max" : "1" }, "type" : [ { "code" : "code" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DocumentRelationshipType" } ], "strength" : "required", "description" : "The type of relationship between documents.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/document-relationship-type" } }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship.typeCode" }, { "identity" : "cda", "map" : ".relatedDocument.typeCode" } ] }, { "id" : "Composition.relatesTo.target[x]", "path" : "Composition.relatesTo.target[x]", "short" : "Target of the relationship", "definition" : "The target composition/document of this relationship.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.relatesTo.target[x]", "min" : 1, "max" : "1" }, "type" : [ { "code" : "Identifier" }, { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Composition" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".target[classCode="DOC", moodCode="EVN"].id" }, { "identity" : "cda", "map" : ".relatedDocument.id" } ] }, { "id" : "Composition.event", "path" : "Composition.event", "short" : "The clinical service(s) being documented", "definition" : "The clinical service, such as a colonoscopy or an appendectomy, being documented.", "comment" : "The event needs to be consistent with the type element, though can provide further information if desired.", "requirements" : "Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.event", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']" }, { "identity" : "cda", "map" : ".documentationOf.serviceEvent" } ] }, { "id" : "Composition.event.id", "path" : "Composition.event.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.event.extension", "path" : "Composition.event.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.event.modifierExtension", "path" : "Composition.event.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.event.code", "path" : "Composition.event.code", "short" : "Code(s) that apply to the event being documented", "definition" : "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.", "comment" : "An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.event.code", "min" : 0, "max" : "*" }, "type" : [ { "code" : "CodeableConcept" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DocumentEventType" } ], "strength" : "example", "description" : "This list of codes represents the main clinical acts being documented.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/v3-ActCode" } }, "mapping" : [ { "identity" : "rim", "map" : ".code" }, { "identity" : "cda", "map" : ".code" } ] }, { "id" : "Composition.event.period", "path" : "Composition.event.period", "short" : "The period covered by the documentation", "definition" : "The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.event.period", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Period" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".effectiveTime" }, { "identity" : "cda", "map" : ".effectiveTime" } ] }, { "id" : "Composition.event.detail", "path" : "Composition.event.detail", "short" : "The event(s) being documented", "definition" : "The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.event.detail", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode="SUBJ"].target" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-section-slices", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString" : "Section" } ], "path" : "Composition.section", "sliceName" : "eicr-section-slices", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "code" } ], "rules" : "open" }, "short" : "Composition is broken into sections", "definition" : "The root of the sections that make up the composition.", "min" : 1, "max" : "*", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "cmp-1", "severity" : "error", "human" : "A section must at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "Composition.section" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "Composition.section" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" } ] }, { "id" : "Composition.section:eicr-section-slices.id", "path" : "Composition.section.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-section-slices.extension", "path" : "Composition.section.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-section-slices.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-section-slices.title", "path" : "Composition.section.title", "short" : "Label for section (e.g. for ToC)", "definition" : "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : [ "header", "label", "caption" ], "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" } ] }, { "id" : "Composition.section:eicr-section-slices.code", "path" : "Composition.section.code", "short" : "Classification of section (recommended)", "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" } ], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes" } }, "mapping" : [ { "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" } ] }, { "id" : "Composition.section:eicr-section-slices.text", "path" : "Composition.section.text", "short" : "Text summary of the section, for human interpretation", "definition" : "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.", "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" } ] }, { "id" : "Composition.section:eicr-section-slices.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : true, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" } ], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-mode" } }, "mapping" : [ { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "w5", "map" : "class" } ] }, { "id" : "Composition.section:eicr-section-slices.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" } ], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-order" } }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-section-slices.entry", "path" : "Composition.section.entry", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition" : [ "cmp-2" ], "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" } ] }, { "id" : "Composition.section:eicr-section-slices.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "cmp-2" ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" } ], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason" } }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-section-slices.section", "path" : "Composition.section.section", "short" : "Nested Section", "definition" : "A nested sub-section within this section.", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "contentReference" : "#Composition.section:eicr-section-slices", "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" } ] }, { "id" : "Composition.section:eicr-slice2", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString" : "Section" } ], "path" : "Composition.section", "sliceName" : "eicr-slice2", "short" : "History of Present Illness Section", "definition" : "The root of the sections that make up the composition.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "cmp-1", "severity" : "error", "human" : "A section must at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "Composition.section" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "Composition.section" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }, { "identity" : "eicr-ccda", "map" : "3284-97" } ] }, { "id" : "Composition.section:eicr-slice2.id", "path" : "Composition.section.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice2.extension", "path" : "Composition.section.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice2.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice2.title", "path" : "Composition.section.title", "short" : "Label for section (e.g. for ToC)", "definition" : "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : [ "header", "label", "caption" ], "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" } ] }, { "id" : "Composition.section:eicr-slice2.code", "path" : "Composition.section.code", "short" : "Classification of section (recommended)", "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "10164-2", "display" : " History of Present illness Narrative" } ], "text" : " History of Present illness" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "10164-2", "display" : " History of Present illness Narrative" } ], "text" : " History of Present illness" } } ], "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" } ], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes" } }, "mapping" : [ { "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }, { "identity" : "eicr-ccda", "map" : "81-15477" } ] }, { "id" : "Composition.section:eicr-slice2.text", "path" : "Composition.section.text", "short" : "Text summary of the section, for human interpretation", "definition" : "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.", "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "cmp-1" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }, { "identity" : "eicr-ccda", "map" : "81-7851" } ] }, { "id" : "Composition.section:eicr-slice2.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : true, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" } ], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-mode" } }, "mapping" : [ { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "w5", "map" : "class" } ] }, { "id" : "Composition.section:eicr-slice2.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" } ], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-order" } }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice2.entry", "path" : "Composition.section.entry", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition" : [ "cmp-2" ], "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" } ] }, { "id" : "Composition.section:eicr-slice2.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "cmp-2" ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" } ], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason" } }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice2.section", "path" : "Composition.section.section", "short" : "Nested Section", "definition" : "A nested sub-section within this section.", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "contentReference" : "#Composition.section:eicr-slice2", "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" } ] }, { "id" : "Composition.section:eicr-slice3", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString" : "Section" } ], "path" : "Composition.section", "sliceName" : "eicr-slice3", "short" : "Reason for Visit Section", "definition" : "The root of the sections that make up the composition.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "cmp-1", "severity" : "error", "human" : "A section must at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "Composition.section" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "Composition.section" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }, { "identity" : "eicr-ccda", "map" : "3284-98" } ] }, { "id" : "Composition.section:eicr-slice3.id", "path" : "Composition.section.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice3.extension", "path" : "Composition.section.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice3.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice3.title", "path" : "Composition.section.title", "short" : "Label for section (e.g. for ToC)", "definition" : "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : [ "header", "label", "caption" ], "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" } ] }, { "id" : "Composition.section:eicr-slice3.code", "path" : "Composition.section.code", "short" : "Classification of section (recommended)", "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "29299-5", "display" : "Reason for visit Narrative" } ], "text" : "History of Encounters" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "46240-8", "display" : "History of Hospitalizations+Outpatient visits Narrative" } ], "text" : "History of Encounters" } } ], "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" } ], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes" } }, "mapping" : [ { "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }, { "identity" : "eicr-ccda", "map" : "81-15429" } ] }, { "id" : "Composition.section:eicr-slice3.text", "path" : "Composition.section.text", "short" : "Text summary of the section, for human interpretation", "definition" : "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.", "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "cmp-1" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }, { "identity" : "eicr-ccda", "map" : "81-7839" } ] }, { "id" : "Composition.section:eicr-slice3.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : true, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" } ], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-mode" } }, "mapping" : [ { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "w5", "map" : "class" } ] }, { "id" : "Composition.section:eicr-slice3.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" } ], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-order" } }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice3.entry", "path" : "Composition.section.entry", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition" : [ "cmp-2" ], "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" } ] }, { "id" : "Composition.section:eicr-slice3.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "cmp-2" ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" } ], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason" } }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice3.section", "path" : "Composition.section.section", "short" : "Nested Section", "definition" : "A nested sub-section within this section.", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "contentReference" : "#Composition.section:eicr-slice3", "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" } ] }, { "id" : "Composition.section:eicr-slice4", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString" : "Section" } ], "path" : "Composition.section", "sliceName" : "eicr-slice4", "short" : "Social History Section", "definition" : "The root of the sections that make up the composition.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "cmp-1", "severity" : "error", "human" : "A section must at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "Composition.section" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "Composition.section" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }, { "identity" : "eicr-ccda", "map" : "3284-87" } ] }, { "id" : "Composition.section:eicr-slice4.id", "path" : "Composition.section.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice4.extension", "path" : "Composition.section.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice4.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice4.title", "path" : "Composition.section.title", "short" : "Label for section (e.g. for ToC)", "definition" : "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : [ "header", "label", "caption" ], "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" } ] }, { "id" : "Composition.section:eicr-slice4.code", "path" : "Composition.section.code", "short" : "Classification of section (recommended)", "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "29762-2", "display" : "Social history Narrative" } ], "text" : "Social History" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "29762-2", "display" : "Social history Narrative" } ], "text" : "Social History" } } ], "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" } ], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes" } }, "mapping" : [ { "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }, { "identity" : "eicr-ccda", "map" : "1198-14819" } ] }, { "id" : "Composition.section:eicr-slice4.text", "path" : "Composition.section.text", "short" : "Text summary of the section, for human interpretation", "definition" : "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.", "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" } ] }, { "id" : "Composition.section:eicr-slice4.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : true, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" } ], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-mode" } }, "mapping" : [ { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "w5", "map" : "class" } ] }, { "id" : "Composition.section:eicr-slice4.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" } ], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-order" } }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice4.entry", "path" : "Composition.section.entry", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "profile" } ], "rules" : "open" }, "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition" : [ "cmp-2" ], "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" } ] }, { "id" : "Composition.section:eicr-slice4.entry:eicr-sh-slices", "path" : "Composition.section.entry", "sliceName" : "eicr-sh-slices", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 1, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "condition" : [ "cmp-2" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }, { "identity" : "eicr-ccda", "map" : "todo" } ] }, { "id" : "Composition.section:eicr-slice4.entry:eicr-sh-slice1", "path" : "Composition.section.entry", "sliceName" : "eicr-sh-slice1", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-travelhistory" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Observation/eicr-th-obs", "display" : "EICR Travel History Profile example" } } ], "condition" : [ "cmp-2" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }, { "identity" : "eicr-ccda", "map" : "todo" } ] }, { "id" : "Composition.section:eicr-slice4.entry:eicr-sh-slice2", "path" : "Composition.section.entry", "sliceName" : "eicr-sh-slice2", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-pregnancystatus" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Observation/eicr-ph-obs", "display" : "EICR Social History Pregnancy Observation example" } } ], "condition" : [ "cmp-2" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }, { "identity" : "eicr-ccda", "map" : "todo" } ] }, { "id" : "Composition.section:eicr-slice4.entry:eicr-sh-slice3", "path" : "Composition.section.entry", "sliceName" : "eicr-sh-slice3", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-occupationhistory" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Observation/eicr-oh-obs", "display" : "EICR Occupational History Profile example" } } ], "condition" : [ "cmp-2" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }, { "identity" : "eicr-ccda", "map" : "todo" } ] }, { "id" : "Composition.section:eicr-slice4.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "cmp-2" ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" } ], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason" } }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice4.section", "path" : "Composition.section.section", "short" : "Nested Section", "definition" : "A nested sub-section within this section.", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "contentReference" : "#Composition.section:eicr-slice4", "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" } ] }, { "id" : "Composition.section:eicr-slice5", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString" : "Section" } ], "path" : "Composition.section", "sliceName" : "eicr-slice5", "short" : "Problems Section", "definition" : "The root of the sections that make up the composition.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "cmp-1", "severity" : "error", "human" : "A section must at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "Composition.section" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "Composition.section" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }, { "identity" : "eicr-ccda", "map" : "3284-99" } ] }, { "id" : "Composition.section:eicr-slice5.id", "path" : "Composition.section.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice5.extension", "path" : "Composition.section.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice5.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice5.title", "path" : "Composition.section.title", "short" : "Label for section (e.g. for ToC)", "definition" : "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : [ "header", "label", "caption" ], "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" } ] }, { "id" : "Composition.section:eicr-slice5.code", "path" : "Composition.section.code", "short" : "Classification of section (recommended)", "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "11450-4", "display" : "Problem list - Reported" } ], "text" : "Problem list" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "11450-4", "display" : "Problem list - Reported" } ], "text" : "Problem list" } } ], "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" } ], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes" } }, "mapping" : [ { "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }, { "identity" : "eicr-ccda", "map" : "1198-15409" } ] }, { "id" : "Composition.section:eicr-slice5.text", "path" : "Composition.section.text", "short" : "Text summary of the section, for human interpretation", "definition" : "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.", "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" } ] }, { "id" : "Composition.section:eicr-slice5.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : true, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" } ], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-mode" } }, "mapping" : [ { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "w5", "map" : "class" } ] }, { "id" : "Composition.section:eicr-slice5.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" } ], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-order" } }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice5.entry", "path" : "Composition.section.entry", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 1, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-condition" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Condition/us-core-problems-example", "display" : "US Core Profile problem list example" } } ], "condition" : [ "cmp-2" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }, { "identity" : "eicr-ccda", "map" : "1198-15506" } ] }, { "id" : "Composition.section:eicr-slice5.entry.id", "path" : "Composition.section.entry.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice5.entry.extension", "path" : "Composition.section.entry.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice5.entry.extension:trigger1", "path" : "Composition.section.entry.extension", "sliceName" : "trigger1", "short" : "Trigger Code Indicator", "definition" : "An Extension", "min" : 0, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension", "profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice5.entry.extension:trigger1.id", "path" : "Composition.section.entry.extension.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice5.entry.extension:trigger1.extension", "path" : "Composition.section.entry.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice5.entry.extension:trigger1.url", "path" : "Composition.section.entry.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "code" : "uri" } ], "fixedUri" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger", "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice5.entry.extension:trigger1.valueBoolean", "path" : "Composition.section.entry.extension.valueBoolean", "short" : "Value of extension", "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice5.entry.reference", "path" : "Composition.section.entry.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ref-1" ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice5.entry.identifier", "path" : "Composition.section.entry.identifier", "short" : "Logical reference, when literal reference is not known", "definition" : "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Identifier" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".identifier" } ] }, { "id" : "Composition.section:eicr-slice5.entry.display", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Composition.section.entry.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice5.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "cmp-2" ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" } ], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason" } }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice5.section", "path" : "Composition.section.section", "short" : "Nested Section", "definition" : "A nested sub-section within this section.", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "contentReference" : "#Composition.section:eicr-slice5", "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" } ] }, { "id" : "Composition.section:eicr-slice6", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString" : "Section" } ], "path" : "Composition.section", "sliceName" : "eicr-slice6", "short" : "Medications Administered Section", "definition" : "The root of the sections that make up the composition.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "cmp-1", "severity" : "error", "human" : "A section must at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "Composition.section" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "Composition.section" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }, { "identity" : "eicr-ccda", "map" : "3284-88" } ] }, { "id" : "Composition.section:eicr-slice6.id", "path" : "Composition.section.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice6.extension", "path" : "Composition.section.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice6.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice6.title", "path" : "Composition.section.title", "short" : "Label for section (e.g. for ToC)", "definition" : "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : [ "header", "label", "caption" ], "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" } ] }, { "id" : "Composition.section:eicr-slice6.code", "path" : "Composition.section.code", "short" : "Classification of section (recommended)", "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "29549-3", "display" : "Medication administered Narrative" } ], "text" : "Medication administered" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "29549-3", "display" : "Medication administered Narrative" } ], "text" : "Medication administered" } } ], "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" } ], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes" } }, "mapping" : [ { "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }, { "identity" : "eicr-ccda", "map" : "1098-15383" } ] }, { "id" : "Composition.section:eicr-slice6.text", "path" : "Composition.section.text", "short" : "Text summary of the section, for human interpretation", "definition" : "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.", "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "cmp-1" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" }, { "identity" : "eicr-ccda", "map" : "1098-8155" } ] }, { "id" : "Composition.section:eicr-slice6.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : true, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" } ], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-mode" } }, "mapping" : [ { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "w5", "map" : "class" } ] }, { "id" : "Composition.section:eicr-slice6.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" } ], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-order" } }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice6.entry", "path" : "Composition.section.entry", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "MedicationStatement/us-core-medstmnt-example", "display" : "US Core Profile Medication list example" } } ], "condition" : [ "cmp-2" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }, { "identity" : "eicr-ccda", "map" : "1098-8156" } ] }, { "id" : "Composition.section:eicr-slice6.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "cmp-2" ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" } ], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason" } }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice6.section", "path" : "Composition.section.section", "short" : "Nested Section", "definition" : "A nested sub-section within this section.", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "contentReference" : "#Composition.section:eicr-slice6", "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" } ] }, { "id" : "Composition.section:eicr-slice7", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString" : "Section" } ], "path" : "Composition.section", "sliceName" : "eicr-slice7", "short" : "Results Section", "definition" : "The root of the sections that make up the composition.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "cmp-1", "severity" : "error", "human" : "A section must at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "Composition.section" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "Composition.section" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }, { "identity" : "eicr-ccda", "map" : "3284-89" } ] }, { "id" : "Composition.section:eicr-slice7.id", "path" : "Composition.section.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.extension", "path" : "Composition.section.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice7.title", "path" : "Composition.section.title", "short" : "Label for section (e.g. for ToC)", "definition" : "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : [ "header", "label", "caption" ], "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" } ] }, { "id" : "Composition.section:eicr-slice7.code", "path" : "Composition.section.code", "short" : "Classification of section (recommended)", "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "30954-2", "display" : "Relevant diagnostic tests/laboratory data Narrative" } ], "text" : "Relevant diagnostic tests/laboratory data" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "30954-2", "display" : "Relevant diagnostic tests/laboratory data Narrative" } ], "text" : "Relevant diagnostic tests/laboratory data" } } ], "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" } ], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes" } }, "mapping" : [ { "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }, { "identity" : "eicr-ccda", "map" : "1198-15433" } ] }, { "id" : "Composition.section:eicr-slice7.text", "path" : "Composition.section.text", "short" : "Text summary of the section, for human interpretation", "definition" : "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.", "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" } ] }, { "id" : "Composition.section:eicr-slice7.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : true, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" } ], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-mode" } }, "mapping" : [ { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "w5", "map" : "class" } ] }, { "id" : "Composition.section:eicr-slice7.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" } ], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-order" } }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.entry", "path" : "Composition.section.entry", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "type" } ], "rules" : "open" }, "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition" : [ "cmp-2" ], "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slices", "path" : "Composition.section.entry", "sliceName" : "eicr-res-slices", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 1, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition" : [ "cmp-2" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }, { "identity" : "eicr-ccda", "map" : "todo" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1", "path" : "Composition.section.entry", "sliceName" : "eicr-res-slice1", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "DiagnosticReport/us-core-dr-example", "display" : "US Core Profile DiagnosticReport example" } } ], "condition" : [ "cmp-2" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }, { "identity" : "eicr-ccda", "map" : "1198-15516" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1.id", "path" : "Composition.section.entry.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1.extension", "path" : "Composition.section.entry.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1.extension:trigger2", "path" : "Composition.section.entry.extension", "sliceName" : "trigger2", "short" : "Trigger Code Indicator", "definition" : "An Extension", "min" : 0, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension", "profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1.extension:trigger2.id", "path" : "Composition.section.entry.extension.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1.extension:trigger2.extension", "path" : "Composition.section.entry.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1.extension:trigger2.url", "path" : "Composition.section.entry.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "code" : "uri" } ], "fixedUri" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger", "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1.extension:trigger2.valueBoolean", "path" : "Composition.section.entry.extension.valueBoolean", "short" : "Value of extension", "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1.reference", "path" : "Composition.section.entry.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ref-1" ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1.identifier", "path" : "Composition.section.entry.identifier", "short" : "Logical reference, when literal reference is not known", "definition" : "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Identifier" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".identifier" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1.display", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Composition.section.entry.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2", "path" : "Composition.section.entry", "sliceName" : "eicr-res-slice2", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Observation/us-core-obs-example", "display" : "US Core Profile Observation example" } } ], "condition" : [ "cmp-2" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }, { "identity" : "eicr-ccda", "map" : "1198-15516" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2.id", "path" : "Composition.section.entry.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2.extension", "path" : "Composition.section.entry.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2.extension:trigger3", "path" : "Composition.section.entry.extension", "sliceName" : "trigger3", "short" : "Trigger Code Indicator", "definition" : "An Extension", "min" : 0, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension", "profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2.extension:trigger3.id", "path" : "Composition.section.entry.extension.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2.extension:trigger3.extension", "path" : "Composition.section.entry.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2.extension:trigger3.url", "path" : "Composition.section.entry.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "code" : "uri" } ], "fixedUri" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger", "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2.extension:trigger3.valueBoolean", "path" : "Composition.section.entry.extension.valueBoolean", "short" : "Value of extension", "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2.reference", "path" : "Composition.section.entry.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ref-1" ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2.identifier", "path" : "Composition.section.entry.identifier", "short" : "Logical reference, when literal reference is not known", "definition" : "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Identifier" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".identifier" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2.display", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Composition.section.entry.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice7.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "cmp-2" ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" } ], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason" } }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice7.section", "path" : "Composition.section.section", "short" : "Nested Section", "definition" : "A nested sub-section within this section.", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "contentReference" : "#Composition.section:eicr-slice7", "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" } ] }, { "id" : "Composition.section:eicr-slice8", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString" : "Section" } ], "path" : "Composition.section", "sliceName" : "eicr-slice8", "short" : "Lab Order Section", "definition" : "The root of the sections that make up the composition.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "cmp-1", "severity" : "error", "human" : "A section must at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "Composition.section" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "Composition.section" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" } ] }, { "id" : "Composition.section:eicr-slice8.id", "path" : "Composition.section.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice8.extension", "path" : "Composition.section.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice8.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice8.title", "path" : "Composition.section.title", "short" : "Label for section (e.g. for ToC)", "definition" : "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : [ "header", "label", "caption" ], "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" } ] }, { "id" : "Composition.section:eicr-slice8.code", "path" : "Composition.section.code", "short" : "Classification of section (recommended)", "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://example.org", "code" : "NNNNN-N", "display" : "Lab Order Narrative" } ], "text" : "Relevant laboratory order data" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "30954-2", "display" : "Relevant diagnostic tests/laboratory data Narrative" } ], "text" : "Relevant diagnostic tests/laboratory data" } } ], "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" } ], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes" } }, "mapping" : [ { "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" } ] }, { "id" : "Composition.section:eicr-slice8.text", "path" : "Composition.section.text", "short" : "Text summary of the section, for human interpretation", "definition" : "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.", "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" } ] }, { "id" : "Composition.section:eicr-slice8.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : true, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" } ], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-mode" } }, "mapping" : [ { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "w5", "map" : "class" } ] }, { "id" : "Composition.section:eicr-slice8.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" } ], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-order" } }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice8.entry", "path" : "Composition.section.entry", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-procedurerequest" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "ProcedureRequest/us-core-pr-example", "display" : "US Core Profile ProcedureRequest (aka ServiceRequest) example" } } ], "condition" : [ "cmp-2" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" } ] }, { "id" : "Composition.section:eicr-slice8.entry.id", "path" : "Composition.section.entry.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice8.entry.extension", "path" : "Composition.section.entry.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice8.entry.extension:trigger4", "path" : "Composition.section.entry.extension", "sliceName" : "trigger4", "short" : "Trigger Code Indicator", "definition" : "An Extension", "min" : 0, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension", "profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice8.entry.extension:trigger4.id", "path" : "Composition.section.entry.extension.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice8.entry.extension:trigger4.extension", "path" : "Composition.section.entry.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice8.entry.extension:trigger4.url", "path" : "Composition.section.entry.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "code" : "uri" } ], "fixedUri" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger", "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice8.entry.extension:trigger4.valueBoolean", "path" : "Composition.section.entry.extension.valueBoolean", "short" : "Value of extension", "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice8.entry.reference", "path" : "Composition.section.entry.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ref-1" ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice8.entry.identifier", "path" : "Composition.section.entry.identifier", "short" : "Logical reference, when literal reference is not known", "definition" : "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Identifier" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".identifier" } ] }, { "id" : "Composition.section:eicr-slice8.entry.display", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Composition.section.entry.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice8.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "cmp-2" ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" } ], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason" } }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice8.section", "path" : "Composition.section.section", "short" : "Nested Section", "definition" : "A nested sub-section within this section.", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "contentReference" : "#Composition.section:eicr-slice8", "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" } ] }, { "id" : "Composition.section:eicr-slice9", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString" : "Section" } ], "path" : "Composition.section", "sliceName" : "eicr-slice9", "short" : "Immunizations Section", "definition" : "The root of the sections that make up the composition.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "cmp-1", "severity" : "error", "human" : "A section must at least one of text, entries, or sub-sections", "expression" : "text.exists() or entry.exists() or section.exists()", "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)", "source" : "Composition.section" }, { "key" : "cmp-2", "severity" : "error", "human" : "A section can only have an emptyReason if it is empty", "expression" : "emptyReason.empty() or entry.empty()", "xpath" : "not(exists(f:emptyReason) and exists(f:entry))", "source" : "Composition.section" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.structuredBody.component.section" }, { "identity" : "eicr-ccda", "map" : "3284-148" } ] }, { "id" : "Composition.section:eicr-slice9.id", "path" : "Composition.section.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice9.extension", "path" : "Composition.section.extension", "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice9.modifierExtension", "path" : "Composition.section.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Composition.section:eicr-slice9.title", "path" : "Composition.section.title", "short" : "Label for section (e.g. for ToC)", "definition" : "The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.", "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.", "requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.", "alias" : [ "header", "label", "caption" ], "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.title", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "mapping" : [ { "identity" : "rim", "map" : "./title" }, { "identity" : "cda", "map" : ".title" } ] }, { "id" : "Composition.section:eicr-slice9.code", "path" : "Composition.section.code", "short" : "Classification of section (recommended)", "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.", "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.", "requirements" : "Provides computable standardized labels to topics within the document.", "min" : 1, "max" : "1", "base" : { "path" : "Composition.section.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "11369-6", "display" : "History of Immunization Narrative" } ], "text" : "History of Immunization" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "11369-6", "display" : "History of Immunization Narrative" } ], "text" : "History of Immunization" } } ], "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CompositionSectionType" } ], "strength" : "example", "description" : "Classification of a section of a composition/document.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes" } }, "mapping" : [ { "identity" : "rim", "map" : "./code" }, { "identity" : "cda", "map" : ".code" }, { "identity" : "eicr-ccda", "map" : "1198-15369" } ] }, { "id" : "Composition.section:eicr-slice9.text", "path" : "Composition.section.text", "short" : "Text summary of the section, for human interpretation", "definition" : "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.", "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : ".text" }, { "identity" : "cda", "map" : ".text" } ] }, { "id" : "Composition.section:eicr-slice9.mode", "path" : "Composition.section.mode", "short" : "working | snapshot | changes", "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.", "comment" : "This element is labeled as a modifier because a change list must not be mis-understood as a complete list.", "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.mode", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : true, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionMode" } ], "strength" : "required", "description" : "The processing mode that applies to this section.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-mode" } }, "mapping" : [ { "identity" : "rim", "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value" }, { "identity" : "cda", "map" : "n/a" }, { "identity" : "w5", "map" : "class" } ] }, { "id" : "Composition.section:eicr-slice9.orderedBy", "path" : "Composition.section.orderedBy", "short" : "Order of section entries", "definition" : "Specifies the order applied to the items in the section entries.", "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.", "requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.orderedBy", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEntryOrder" } ], "strength" : "preferred", "description" : "What order applies to the items in the entry.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-order" } }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice9.entry", "path" : "Composition.section.entry", "short" : "A reference to data that supports this section", "definition" : "A reference to the actual resource from which the narrative in the section is derived.", "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.", "min" : 1, "max" : "*", "base" : { "path" : "Composition.section.entry", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Immunization/us-core-immunization-example", "display" : "US Core Profile Immunization example" } } ], "condition" : [ "cmp-2" ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]" }, { "identity" : "cda", "map" : ".entry" }, { "identity" : "eicr-ccda", "map" : "1198-9019" } ] }, { "id" : "Composition.section:eicr-slice9.emptyReason", "path" : "Composition.section.emptyReason", "short" : "Why the section is empty", "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.", "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.", "requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.", "min" : 0, "max" : "1", "base" : { "path" : "Composition.section.emptyReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "cmp-2" ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SectionEmptyReason" } ], "strength" : "preferred", "description" : "If a section is empty, why it is empty.", "valueSetReference" : { "reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason" } }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]" }, { "identity" : "cda", "map" : "n/a" } ] }, { "id" : "Composition.section:eicr-slice9.section", "path" : "Composition.section.section", "short" : "Nested Section", "definition" : "A nested sub-section within this section.", "comment" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.", "min" : 0, "max" : "*", "base" : { "path" : "Composition.section.section", "min" : 0, "max" : "*" }, "contentReference" : "#Composition.section:eicr-slice9", "condition" : [ "cmp-1" ], "mapping" : [ { "identity" : "rim", "map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]" }, { "identity" : "cda", "map" : ".component.section" } ] } ] }, "differential" : { "element" : [ { "id" : "Composition", "path" : "Composition", "short" : "Case Composition Profile", "mustSupport" : false, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "EICR CCDA" } ] }, { "id" : "Composition.subject", "path" : "Composition.subject", "min" : 1, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" }, { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Group" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.encounter", "path" : "Composition.encounter", "comment" : "(US Core Encounter profile pending).", "min" : 1, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-encounter" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Encounter/eicr", "display" : "EICR Encounter Profile example" } } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.date", "path" : "Composition.date", "min" : 1, "max" : "1", "type" : [ { "code" : "dateTime" } ], "example" : [ { "label" : "General", "valueDateTime" : "2017-11-07T09:13:23+11:00" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.author", "path" : "Composition.author", "comment" : "(US Core PractitionerRole profile pending).", "min" : 1, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole" }, { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner" }, { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/ecr-organization" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-section-slices", "path" : "Composition.section", "sliceName" : "eicr-section-slices", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "code" } ], "rules" : "open" }, "min" : 1, "max" : "*", "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice2", "path" : "Composition.section", "sliceName" : "eicr-slice2", "short" : "History of Present Illness Section", "min" : 1, "max" : "1", "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "3284-97" } ] }, { "id" : "Composition.section:eicr-slice2.code", "path" : "Composition.section.code", "min" : 1, "max" : "1", "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "10164-2", "display" : " History of Present illness Narrative" } ], "text" : " History of Present illness" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "10164-2", "display" : " History of Present illness Narrative" } ], "text" : " History of Present illness" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "81-15477" } ] }, { "id" : "Composition.section:eicr-slice2.text", "path" : "Composition.section.text", "min" : 1, "max" : "1", "type" : [ { "code" : "Narrative" } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "81-7851" } ] }, { "id" : "Composition.section:eicr-slice3", "path" : "Composition.section", "sliceName" : "eicr-slice3", "short" : "Reason for Visit Section", "min" : 1, "max" : "1", "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "3284-98" } ] }, { "id" : "Composition.section:eicr-slice3.code", "path" : "Composition.section.code", "min" : 1, "max" : "1", "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "29299-5", "display" : "Reason for visit Narrative" } ], "text" : "History of Encounters" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "46240-8", "display" : "History of Hospitalizations+Outpatient visits Narrative" } ], "text" : "History of Encounters" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "81-15429" } ] }, { "id" : "Composition.section:eicr-slice3.text", "path" : "Composition.section.text", "min" : 1, "max" : "1", "type" : [ { "code" : "Narrative" } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "81-7839" } ] }, { "id" : "Composition.section:eicr-slice4", "path" : "Composition.section", "sliceName" : "eicr-slice4", "short" : "Social History Section", "min" : 1, "max" : "1", "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "3284-87" } ] }, { "id" : "Composition.section:eicr-slice4.code", "path" : "Composition.section.code", "min" : 1, "max" : "1", "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "29762-2", "display" : "Social history Narrative" } ], "text" : "Social History" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "29762-2", "display" : "Social history Narrative" } ], "text" : "Social History" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "1198-14819" } ] }, { "id" : "Composition.section:eicr-slice4.entry:eicr-sh-slices", "path" : "Composition.section.entry", "sliceName" : "eicr-sh-slices", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "profile" } ], "rules" : "open" }, "min" : 1, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "todo" } ] }, { "id" : "Composition.section:eicr-slice4.entry:eicr-sh-slice1", "path" : "Composition.section.entry", "sliceName" : "eicr-sh-slice1", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-travelhistory" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Observation/eicr-th-obs", "display" : "EICR Travel History Profile example" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "todo" } ] }, { "id" : "Composition.section:eicr-slice4.entry:eicr-sh-slice2", "path" : "Composition.section.entry", "sliceName" : "eicr-sh-slice2", "min" : 0, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-pregnancystatus" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Observation/eicr-ph-obs", "display" : "EICR Social History Pregnancy Observation example" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "todo" } ] }, { "id" : "Composition.section:eicr-slice4.entry:eicr-sh-slice3", "path" : "Composition.section.entry", "sliceName" : "eicr-sh-slice3", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-occupationhistory" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Observation/eicr-oh-obs", "display" : "EICR Occupational History Profile example" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "todo" } ] }, { "id" : "Composition.section:eicr-slice5", "path" : "Composition.section", "sliceName" : "eicr-slice5", "short" : "Problems Section", "min" : 1, "max" : "1", "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "3284-99" } ] }, { "id" : "Composition.section:eicr-slice5.code", "path" : "Composition.section.code", "min" : 1, "max" : "1", "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "11450-4", "display" : "Problem list - Reported" } ], "text" : "Problem list" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "11450-4", "display" : "Problem list - Reported" } ], "text" : "Problem list" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "1198-15409" } ] }, { "id" : "Composition.section:eicr-slice5.entry", "path" : "Composition.section.entry", "min" : 1, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-condition" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Condition/us-core-problems-example", "display" : "US Core Profile problem list example" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "1198-15506" } ] }, { "id" : "Composition.section:eicr-slice5.entry.extension:trigger1", "path" : "Composition.section.entry.extension", "sliceName" : "trigger1", "short" : "Trigger Code Indicator", "min" : 0, "max" : "1", "type" : [ { "code" : "Extension", "profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice6", "path" : "Composition.section", "sliceName" : "eicr-slice6", "short" : "Medications Administered Section", "min" : 1, "max" : "1", "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "3284-88" } ] }, { "id" : "Composition.section:eicr-slice6.code", "path" : "Composition.section.code", "min" : 1, "max" : "1", "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "29549-3", "display" : "Medication administered Narrative" } ], "text" : "Medication administered" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "29549-3", "display" : "Medication administered Narrative" } ], "text" : "Medication administered" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "1098-15383" } ] }, { "id" : "Composition.section:eicr-slice6.text", "path" : "Composition.section.text", "min" : 1, "max" : "1", "type" : [ { "code" : "Narrative" } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "1098-8155" } ] }, { "id" : "Composition.section:eicr-slice6.entry", "path" : "Composition.section.entry", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "MedicationStatement/us-core-medstmnt-example", "display" : "US Core Profile Medication list example" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "1098-8156" } ] }, { "id" : "Composition.section:eicr-slice7", "path" : "Composition.section", "sliceName" : "eicr-slice7", "short" : "Results Section", "min" : 1, "max" : "1", "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "3284-89" } ] }, { "id" : "Composition.section:eicr-slice7.code", "path" : "Composition.section.code", "min" : 1, "max" : "1", "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "30954-2", "display" : "Relevant diagnostic tests/laboratory data Narrative" } ], "text" : "Relevant diagnostic tests/laboratory data" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "30954-2", "display" : "Relevant diagnostic tests/laboratory data Narrative" } ], "text" : "Relevant diagnostic tests/laboratory data" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "1198-15433" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slices", "path" : "Composition.section.entry", "sliceName" : "eicr-res-slices", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "type" } ], "rules" : "open" }, "min" : 1, "max" : "*", "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "todo" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1", "path" : "Composition.section.entry", "sliceName" : "eicr-res-slice1", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "DiagnosticReport/us-core-dr-example", "display" : "US Core Profile DiagnosticReport example" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "1198-15516" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice1.extension:trigger2", "path" : "Composition.section.entry.extension", "sliceName" : "trigger2", "short" : "Trigger Code Indicator", "min" : 0, "max" : "1", "type" : [ { "code" : "Extension", "profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2", "path" : "Composition.section.entry", "sliceName" : "eicr-res-slice2", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Observation/us-core-obs-example", "display" : "US Core Profile Observation example" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "1198-15516" } ] }, { "id" : "Composition.section:eicr-slice7.entry:eicr-res-slice2.extension:trigger3", "path" : "Composition.section.entry.extension", "sliceName" : "trigger3", "short" : "Trigger Code Indicator", "min" : 0, "max" : "1", "type" : [ { "code" : "Extension", "profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice8", "path" : "Composition.section", "sliceName" : "eicr-slice8", "short" : "Lab Order Section", "min" : 1, "max" : "1", "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice8.code", "path" : "Composition.section.code", "min" : 1, "max" : "1", "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://example.org", "code" : "NNNNN-N", "display" : "Lab Order Narrative" } ], "text" : "Relevant laboratory order data" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "30954-2", "display" : "Relevant diagnostic tests/laboratory data Narrative" } ], "text" : "Relevant diagnostic tests/laboratory data" } } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice8.entry", "path" : "Composition.section.entry", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-procedurerequest" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "ProcedureRequest/us-core-pr-example", "display" : "US Core Profile ProcedureRequest (aka ServiceRequest) example" } } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice8.entry.extension:trigger4", "path" : "Composition.section.entry.extension", "sliceName" : "trigger4", "short" : "Trigger Code Indicator", "min" : 0, "max" : "1", "type" : [ { "code" : "Extension", "profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-trigger" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "Composition.section:eicr-slice9", "path" : "Composition.section", "sliceName" : "eicr-slice9", "short" : "Immunizations Section", "min" : 0, "max" : "1", "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "3284-148" } ] }, { "id" : "Composition.section:eicr-slice9.code", "path" : "Composition.section.code", "min" : 1, "max" : "1", "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "11369-6", "display" : "History of Immunization Narrative" } ], "text" : "History of Immunization" }, "example" : [ { "label" : "General", "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "11369-6", "display" : "History of Immunization Narrative" } ], "text" : "History of Immunization" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "1198-15369" } ] }, { "id" : "Composition.section:eicr-slice9.entry", "path" : "Composition.section.entry", "min" : 1, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" } ], "example" : [ { "label" : "General", "valueReference" : { "reference" : "Immunization/us-core-immunization-example", "display" : "US Core Profile Immunization example" } } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "eicr-ccda", "map" : "1198-9019" } ] } ] } }