This page is part of the International Patient Summary Implementation Guide (v0.3.0: STU 1 (FHIR R4) Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions
SD.5 StructureDefinition-Composition-uv-ips
A complete list of the IPS sections, with description and used profiles is available in the International Patient Summary Structure page.
SD.5.1 Formal Views of Profile Content
Description of Profiles, Differentials, and Snapshots.
The official URL for this profile is: http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips
Published on Wed Aug 29 00:00:00 EDT 2018 as a draft by HL7 International.
This profile builds on Clinical Document
Summary
Mandatory: 19 elements (43 nested mandatory elements)
Must-Support: 118 elements
Prohibited: 28 elements
Structures
This structure refers to these other structures:
- http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/DeviceUseStatement-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-laboratory-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pathology-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-imaging-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips
- http://hl7.org/fhir/StructureDefinition/vitalsigns
- http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-tobaccouse-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips
- http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element Composition.event is sliced based on the value of pattern:code
- The element Composition.section is sliced based on the value of pattern:code
- The element Composition.section.entry is sliced based on the value of profile:resolve()
Differential View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | S | 0..* | International Patient Summary composition | |
id | S | 0..1 | id | |
meta | S | 0..1 | Meta | |
text | S | 0..1 | Narrative | |
participant-uv-ips | 0..* | Reference() | Provider to be contacted URL: http://hl7.org/fhir/uv/ips/StructureDefinition/participant-uv-ips | |
identifier | S | 0..1 | Identifier | |
status | S | 1..1 | code | |
type | S | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
subject | S | 0..1 | Reference(Patient (IPS)) | |
reference | S | 1..1 | string | |
date | S | 1..1 | dateTime | |
author | S | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the IPS |
reference | S | 0..1 | string | |
title | S | 1..1 | string | International Patient Summary |
confidentiality | S | 0..1 | code | |
attester | S | 0..* | BackboneElement | |
mode | S | 1..1 | code | |
time | S | 0..1 | dateTime | |
party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | |
reference | S | 0..1 | string | |
custodian | S | 0..1 | Reference(Organization) | |
reference | S | 0..1 | string | |
relatesTo | S | 0..* | BackboneElement | |
code | S | 1..1 | code | |
target[x] | S | 1..1 | ||
targetIdentifier | Identifier | |||
targetReference | Reference(http://hl7.org/fhir/R4/composition.html | StructureDefinition-Composition-uv-ips.html) | |||
event | S | (Slice Definition) | Slice: Unordered, Open by pattern:code | |
careProvisioningEvent | S | 0..1 | BackboneElement | The care provisioning being documented |
code | S | 1..* | CodeableConcept | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |
period | S | 0..1 | Period | |
section | S | (Slice Definition) | Sections composing the IPS Slice: Unordered, Open by pattern:code | |
sectionMedications | S | 1..1 | BackboneElement | IPS Medication Summary Section |
title | S | 1..1 | string | Medication Summary section |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() | |
medicationStatement | S | 1..* | Reference(Medication Statement (IPS)) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionAllergies | S | 1..1 | BackboneElement | IPS Allergies and Intolerances Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by profile:resolve() | |
allergyOrIntolerance | S | 1..* | Reference(Allergy Intolerance (IPS)) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionProblems | S | 1..1 | BackboneElement | IPS Problems Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by profile:resolve() | |
problem | S | 1..* | Reference(Condition (IPS)) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionProceduresHx | S | 0..1 | BackboneElement | IPS History of Procedures Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by profile:resolve() | |
procedure | S | 1..* | Reference(Procedure (IPS)) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionImmunizations | S | 0..1 | BackboneElement | IPS Immunizations Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Patient's immunization status and pertinent history. Slice: Unordered, Open by profile:resolve() | |
immunization | S | 1..* | Reference(Immunization (IPS)) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionMedicalDevices | S | 0..1 | BackboneElement | IPS Medical Devices Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Patient history of medical device use. Slice: Unordered, Open by profile:resolve() | |
deviceStatement | S | 1..* | Reference(Device Use Statement (IPS)) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionResults | S | 0..1 | BackboneElement | IPS Results Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Slice: Unordered, Open by profile:resolve() | |
genericResult | S | 0..* | Reference(Observation (Results: generic)) | |
laboratoryResult | S | 0..* | Reference(Observation (Results: laboratory)) | |
pathologyResult | S | 0..* | Reference(Observation (Results: pathology)) | |
imagingResult | S | 0..* | Reference(Observation (Results: imaging)) | |
diagnosticReport | S | 0..* | Reference(DiagnosticReport (IPS)) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionVitalSigns | S | 0..1 | BackboneElement | IPS Vital Signs Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Notable vital signs or physical findings. Slice: Unordered, Open by profile:resolve() | |
vitalSign | S | 0..* | Reference(Vital Signs Profile) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionPastIllnessHx | S | 0..1 | BackboneElement | IPS History of Past Illness Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Conditions the patient suffered in the past. Slice: Unordered, Open by profile:resolve() | |
pastProblem | S | 1..* | Reference(Condition (IPS)) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionFunctionalStatus | S | 0..1 | BackboneElement | IPS Functional Status |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by profile:resolve() | |
disability | S | 0..* | Reference(Condition (IPS)) | |
functionalAssessment | S | 0..* | Reference(ClinicalImpression) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionPlanOfCare | S | 0..1 | BackboneElement | IPS Plan of Care Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
text | S | 1..1 | Narrative | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionSocialHistory | S | 0..1 | BackboneElement | IPS Social History Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:resolve() | |
smokingTobaccoUse | S | 0..1 | Reference(Observation (SH: tobacco use)) | |
alcoholUse | S | 0..1 | Reference(Observation (SH: alcohol use)) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionPregnancyHx | S | 0..1 | BackboneElement | IPS History of Pregnancy Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies. Slice: Unordered, Open by profile:resolve() | |
pregnancyStatus | S | 0..* | Reference(Observation (Pregnancy: status)) | |
pregnancyOutcomeSummary | S | 0..* | Reference(Observation (Pregnancy: outcome)) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
sectionAdvanceDirectives | S | 0..1 | BackboneElement | IPS Advance Directives Section |
title | S | 1..1 | string | |
code | S | 1..1 | CodeableConceptIPS | Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |
text | S | 1..1 | Narrative | |
entry | S | (Slice Definition) | Narrative description of the patient's advance directive. Slice: Unordered, Open by profile:resolve() | |
advanceDirectivesConsent | S | 0..* | Reference(Consent) | |
emptyReason | 0..0 | |||
section | 0..0 | |||
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | SI | 0..* | International Patient Summary composition | |
id | SΣ | 0..1 | id | Logical id of this artifact |
meta | SΣ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
composition-clinicaldocument-versionNumber | I | 0..* | string | Version-specific identifier for composition URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber |
participant-uv-ips | 0..* | Reference() | Provider to be contacted URL: http://hl7.org/fhir/uv/ips/StructureDefinition/participant-uv-ips | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
url | S | 1..1 | string | "http://hl7.org/fhir/uv/ips/StructureDefinition/participant-uv-ips" |
value[x] | (Slice Definition) | Value of extension Slice: Unordered, Closed by type:$this | ||
valueReference | S | 0..1 | Reference(PractitionerRole | Organization) | Value of extension |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | SΣ | 0..1 | Identifier | Version-independent identifier for the Composition |
status | ?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
type | SI | 1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example) |
subject | SΣ | 0..1 | Reference(Patient (IPS)) | Who and/or what the composition is about |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
reference | SΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource |
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
reference | SΣI | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource |
date | SΣ | 1..1 | dateTime | Composition editing time |
author | SΣ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the IPS |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
reference | SΣI | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource |
title | SΣ | 1..1 | string | International Patient Summary |
confidentiality | SΣ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required) |
attester | SI | 0..* | BackboneElement | Attests to accuracy of composition |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
mode | S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required) |
time | S | 0..1 | dateTime | When the composition was attested |
party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
reference | SΣI | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource |
custodian | SΣ | 0..1 | Reference(Organization) | Organization which maintains the composition |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
reference | SΣI | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource |
relatesTo | SI | 0..* | BackboneElement | Relationships to other compositions/documents |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required) |
target[x] | S | 1..1 | Target of the relationship | |
targetIdentifier | Identifier | |||
targetReference | Reference(http://hl7.org/fhir/R4/composition.html | StructureDefinition-Composition-uv-ips.html) | |||
event | SΣI | (Slice Definition) | The clinical service(s) being documented Slice: Unordered, Open by pattern:code | |
(All Slices) | Content/Rules for all slices | |||
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example) |
period | Σ | 0..1 | Period | The period covered by the documentation |
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented |
careProvisioningEvent | SΣI | 0..1 | BackboneElement | The care provisioning being documented |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | SΣ | 1..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
period | SΣ | 0..1 | Period | The period covered by the documentation |
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented |
section | SI | (Slice Definition) | Sections composing the IPS Slice: Unordered, Open by pattern:code | |
(All Slices) | Content/Rules for all slices | |||
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | 0..1 | string | Label for section (e.g. for ToC) | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | I | 0..* | Reference(Resource) | A reference to data that supports this section |
emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
section | I | 0..* | Unknown reference to #Composition.section Nested Section | |
sectionMedications | SI | 1..1 | BackboneElement | IPS Medication Summary Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Medication Summary section |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() | |
medicationStatement | SI | 1..* | Reference(Medication Statement (IPS)) | A reference to data that supports this section |
sectionAllergies | SI | 1..1 | BackboneElement | IPS Allergies and Intolerances Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by profile:resolve() | |
allergyOrIntolerance | SI | 1..* | Reference(Allergy Intolerance (IPS)) | A reference to data that supports this section |
sectionProblems | SI | 1..1 | BackboneElement | IPS Problems Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Clinical problems or conditions currently being monitored for the patient. Slice: Unordered, Open by profile:resolve() | |
problem | SI | 1..* | Reference(Condition (IPS)) | A reference to data that supports this section |
sectionProceduresHx | SI | 0..1 | BackboneElement | IPS History of Procedures Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Patient past procedures pertinent to the scope of this document. Slice: Unordered, Open by profile:resolve() | |
procedure | SI | 1..* | Reference(Procedure (IPS)) | A reference to data that supports this section |
sectionImmunizations | SI | 0..1 | BackboneElement | IPS Immunizations Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Patient's immunization status and pertinent history. Slice: Unordered, Open by profile:resolve() | |
immunization | SI | 1..* | Reference(Immunization (IPS)) | A reference to data that supports this section |
sectionMedicalDevices | SI | 0..1 | BackboneElement | IPS Medical Devices Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Patient history of medical device use. Slice: Unordered, Open by profile:resolve() | |
deviceStatement | SI | 1..* | Reference(Device Use Statement (IPS)) | A reference to data that supports this section |
sectionResults | SI | 0..1 | BackboneElement | IPS Results Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Slice: Unordered, Open by profile:resolve() | |
genericResult | SI | 0..* | Reference(Observation (Results: generic)) | A reference to data that supports this section |
laboratoryResult | SI | 0..* | Reference(Observation (Results: laboratory)) | A reference to data that supports this section |
pathologyResult | SI | 0..* | Reference(Observation (Results: pathology)) | A reference to data that supports this section |
imagingResult | SI | 0..* | Reference(Observation (Results: imaging)) | A reference to data that supports this section |
diagnosticReport | SI | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section |
sectionVitalSigns | SI | 0..1 | BackboneElement | IPS Vital Signs Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Notable vital signs or physical findings. Slice: Unordered, Open by profile:resolve() | |
vitalSign | SI | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section |
sectionPastIllnessHx | SI | 0..1 | BackboneElement | IPS History of Past Illness Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Conditions the patient suffered in the past. Slice: Unordered, Open by profile:resolve() | |
pastProblem | SI | 1..* | Reference(Condition (IPS)) | A reference to data that supports this section |
sectionFunctionalStatus | SI | 0..1 | BackboneElement | IPS Functional Status |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Optional entry used to represent disabilities and functional assessments Slice: Unordered, Open by profile:resolve() | |
disability | SI | 0..* | Reference(Condition (IPS)) | A reference to data that supports this section |
functionalAssessment | SI | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section |
sectionPlanOfCare | SI | 0..1 | BackboneElement | IPS Plan of Care Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | I | 0..* | Reference(Resource) | A reference to data that supports this section |
sectionSocialHistory | SI | 0..1 | BackboneElement | IPS Social History Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) Slice: Unordered, Open by profile:resolve() | |
smokingTobaccoUse | SI | 0..1 | Reference(Observation (SH: tobacco use)) | A reference to data that supports this section |
alcoholUse | SI | 0..1 | Reference(Observation (SH: alcohol use)) | A reference to data that supports this section |
sectionPregnancyHx | SI | 0..1 | BackboneElement | IPS History of Pregnancy Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies. Slice: Unordered, Open by profile:resolve() | |
pregnancyStatus | SI | 0..* | Reference(Observation (Pregnancy: status)) | A reference to data that supports this section |
pregnancyOutcomeSummary | SI | 0..* | Reference(Observation (Pregnancy: outcome)) | A reference to data that supports this section |
sectionAdvanceDirectives | SI | 0..1 | BackboneElement | IPS Advance Directives Section |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | SI | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |
text | SI | 1..1 | Narrative | Text summary of the section, for human interpretation |
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required) | |
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) | |
entry | SI | (Slice Definition) | Narrative description of the patient's advance directive. Slice: Unordered, Open by profile:resolve() | |
advanceDirectivesConsent | SI | 0..* | Reference(Consent) | A reference to data that supports this section |
Documentation for this format |
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron