This page is part of the Vital Records Birth and Fetal Death Reporting (v1.1.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Active as of 2023-10-10 |
Definitions for the Composition-jurisdiction-live-birth-report resource profile.
Guidance on how to interpret the contents of this table can be found here
0. Composition | |
Short | Jurisdiction Live Birth Report |
2. Composition.extension | |
Control | 2..? |
Must Support | true |
Slicing | This element introduces a set of slices on Composition.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
4. Composition.extension:liveBirthCertificateNumber | |
Slice Name | liveBirthCertificateNumber |
Short | Birth Number |
Control | 1..1 |
Type | Extension(Extension - Live Birth Certificate Number) (Extension Type: Identifier) |
Must Support | true |
6. Composition.extension:liveBirthLocalFileNumber | |
Slice Name | liveBirthLocalFileNumber |
Short | Local File No. |
Control | 0..1 |
Type | Extension(Extension - Live Birth Local File Number) (Extension Type: Identifier) |
Must Support | true |
8. Composition.extension:dateFiledByRegistrar | |
Slice Name | dateFiledByRegistrar |
Short | Date filed by registrar |
Control | 1..1 |
Type | Extension(Extension - Date Filed by Registrar) (Extension Type: dateTime) |
Must Support | true |
10. Composition.extension:replacementStatus | |
Slice Name | replacementStatus |
Control | 0..1 |
Type | Extension(Extension - Replacement Status) (Extension Type: CodeableConcept) |
Must Support | true |
12. Composition.status | |
Definition | In the case of a live birth sent in error, a status of 'entered-in-error' must be set. |
Short | In the case of a live birth sent in error, a status of 'entered-in-error' must be set. |
Must Support | true |
14. Composition.type | |
Definition | Jurisdiction live birth report Document |
Short | Jurisdiction live birth report Document |
Must Support | true |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92011-6"/><br/> </coding><br/></valueCodeableConcept><br/> |
16. Composition.subject | |
Definition | The subject of the composition as a whole is the newborn baby. Different sections in the composition have different focus (e.g.: the mother). |
Short | The subject of the composition is the newborn baby |
Control | 1..? |
Type | Reference(Patient - Child - Vital Records) |
Must Support | true |
18. Composition.encounter | |
Definition | The Encounter for the Composition is the newborn's birth encounter. This Encounter links to the mother's encounter by the Encounter.partOf data element. |
Short | The Encounter for the Composition is the newborn's birth encounter. |
Type | Reference(Encounter - Birth) |
Must Support | true |
20. Composition.encounter.extension | |
Control | 0..1 |
Type | Extension(Extension - Encounter Maternity Reference) (Extension Type: Reference(Encounter - Maternity)) |
22. Composition.date | |
Short | Date report completed |
Must Support | true |
24. Composition.author | |
Definition | The author is the jurisdictional Vital Records Office. |
Short | The author is the jurisdictional Vital Records Office. |
Control | 0..1 |
Type | Reference(US Core Organization Profile) |
Must Support | true |
26. Composition.section | |
Definition | The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Various administrative and demographic data in the Birth Certificate are contained in other locations in the Composition, such as the Patient and Encounter profiles. |
Short | The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. |
Control | 1..? |
Must Support | true |
Slicing | This element introduces a set of slices on Composition.section . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
28. Composition.section:motherPrenatal | |
Slice Name | motherPrenatal |
Definition | This section contains items from the Mother (prenatal) on theLive Birth Certificate. |
Short | Mother (prenatal) section on the Live Birth Certificate |
Control | 0..1 |
Must Support | true |
30. Composition.section:motherPrenatal.code | |
Definition | Prenatal records |
Short | Prenatal records |
Control | 1..? |
Must Support | true |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="57073-9"/><br/> </coding><br/></valueCodeableConcept><br/> |
32. Composition.section:motherPrenatal.focus | |
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the mother. |
Short | The focus of this section is the mother |
Control | 1..? |
Type | Reference(Patient - Mother - Vital Records) |
Must Support | true |
34. Composition.section:motherPrenatal.entry | |
Definition | Entries that are contained in the Mother Prenatal section |
Short | Entries that are contained in the Mother Prenatal section |
Control | 1..? |
Must Support | true |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
36. Composition.section:motherPrenatal.entry:plannedToDeliverAtHome | |
Slice Name | plannedToDeliverAtHome |
Definition | Planned to deliver at home |
Short | Planned to deliver at home |
Control | 0..1 |
Type | Reference(Observation - Planned to Deliver at Home) |
Must Support | true |
38. Composition.section:motherPrenatal.entry:firstPrenatalCareVisit | |
Slice Name | firstPrenatalCareVisit |
Definition | Date that mother had her first prenatal care visit. |
Short | First prenatal care visit |
Control | 0..1 |
Type | Reference(Observation - Date of First Prenatal Care Visit) |
Must Support | true |
40. Composition.section:motherPrenatal.entry:numberPrenatalCareVisits | |
Slice Name | numberPrenatalCareVisits |
Definition | Those visits which are listed in the mother's prenatal care and/or facility records. |
Short | Number of prenatal care visits |
Control | 0..1 |
Type | Reference(Observation - Number of Prenatal Visits - Vital Records) |
Must Support | true |
42. Composition.section:motherPrenatal.entry:dateLastNormalMenses | |
Slice Name | dateLastNormalMenses |
Definition | Date that the mother's last normal menses began. This item is used to compute the gestational age of the infant. |
Short | Date last normal menses began |
Control | 0..1 |
Type | Reference(Observation - Last Menstrual Period - Vital Records) |
Must Support | true |
44. Composition.section:motherPrenatal.entry:numberNowLiving | |
Slice Name | numberNowLiving |
Definition | The pregnancy history of the mother with respect to previous children born alive |
Short | Number of previous live births now living |
Control | 0..1 |
Type | Reference(Observation - Number of Births Now Living - Vital Records) |
Must Support | true |
46. Composition.section:motherPrenatal.entry:numberNowDead | |
Slice Name | numberNowDead |
Definition | The pregnancy history of the mother with respect to previous children born alive |
Short | Number of previous live births now dead |
Control | 0..1 |
Type | Reference(Observation - Number of Births Now Dead - Vital Records) |
Must Support | true |
48. Composition.section:motherPrenatal.entry:dateLastLiveBirth | |
Slice Name | dateLastLiveBirth |
Definition | The pregnancy history of the mother with respect to previous children born alive |
Short | Date of last live birth |
Control | 0..1 |
Type | Reference(Observation - Date of Last Live Birth) |
Must Support | true |
50. Composition.section:motherPrenatal.entry:numberOtherOutcomes | |
Slice Name | numberOtherOutcomes |
Definition | The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies). |
Short | Number of other pregnancy outcomes |
Control | 0..1 |
Type | Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records) |
Must Support | true |
52. Composition.section:motherPrenatal.entry:dateLastOtherOutcome | |
Slice Name | dateLastOtherOutcome |
Definition | The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies). |
Short | Date of last other pregnancy outcome |
Control | 0..1 |
Type | Reference(Observation - Date of Last Other Pregnancy Outcome) |
Must Support | true |
54. Composition.section:motherPrenatal.entry:principalSourceOfPayment | |
Slice Name | principalSourceOfPayment |
Definition | The principal payer for this delivery |
Short | Principal source of payment for this delivery |
Control | 0..1 |
Type | Reference(Coverage - Principal Payer for Delivery) |
Must Support | true |
56. Composition.section:motherPrenatal.entry:mothersWeightAtDelivery | |
Slice Name | mothersWeightAtDelivery |
Definition | The mother's weight at the time of delivery |
Short | Mother's weight at delivery |
Control | 0..1 |
Type | Reference(Observation - Mother Delivery Weight - Vital Records) |
Must Support | true |
58. Composition.section:motherPrenatal.entry:mothersHeight | |
Slice Name | mothersHeight |
Definition | The mother's height |
Short | Mother's height |
Control | 0..1 |
Type | Reference(Observation - Mother Height - Vital Records) |
Must Support | true |
60. Composition.section:motherPrenatal.entry:mothersPrepregnancyWeight | |
Slice Name | mothersPrepregnancyWeight |
Definition | The mother's prepregnancy weight |
Short | Mother's prepregnancy weight |
Control | 0..1 |
Type | Reference(Observation - Mother Prepregnancy Weight - Vital Records) |
Must Support | true |
62. Composition.section:motherPrenatal.entry:motherReceivedWICFood | |
Slice Name | motherReceivedWICFood |
Definition | Use of the Women, Infant's, and Children (WIC) nutritional program by the mother during the pregnancy. |
Short | Use of the WIC nutritional program by the mother |
Control | 0..1 |
Type | Reference(Observation - Mother Recieved WIC Food) |
Must Support | true |
64. Composition.section:motherPrenatal.entry:cigaretteSmokingBeforeDuringPregnancy | |
Slice Name | cigaretteSmokingBeforeDuringPregnancy |
Definition | The number of cigarettes or packs of cigarettes the mother smoked 3 months before and at various intervals during the pregnancy |
Short | Cigarettes smoked by the mother before and during the pregnancy |
Control | 0..4 |
Type | Reference(Observation - Cigarette Smoking Before and During Pregnancy) |
Must Support | true |
66. Composition.section:medicalHealthInformation | |
Slice Name | medicalHealthInformation |
Definition | This section contains items from the Medical and Health Information section on the Live Birth Certificate. |
Short | Medical and Health Information section on the Live Birth Certificate |
Control | 0..1 |
Must Support | true |
68. Composition.section:medicalHealthInformation.code | |
Definition | Clinical information |
Short | Clinical information |
Control | 1..? |
Must Support | true |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="55752-0"/><br/> </coding><br/></valueCodeableConcept><br/> |
70. Composition.section:medicalHealthInformation.focus | |
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the mother. |
Short | The focus of this section is the mother |
Control | 1..? |
Type | Reference(Patient - Mother - Vital Records) |
Must Support | true |
72. Composition.section:medicalHealthInformation.entry | |
Definition | Entries that are contained in the medical and health information section |
Short | Entries that are contained in the medical and health information section |
Control | 1..? |
Must Support | true |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
74. Composition.section:medicalHealthInformation.entry:pregnancyRiskFactors | |
Slice Name | pregnancyRiskFactors |
Definition | Selected medical risk factors of the mother during this pregnancy |
Short | Risk factors in this pregnancy |
Type | Reference(Condition - Prepregnancy Diabetes - Vital Records, Condition - Gestational Diabetes - Vital Records, Condition - Prepregnancy Hypertension - Vital Records, Condition - Gestational Hypertension - Vital Records, Condition - Eclampsia Hypertension - Vital Records, Observation - Previous Preterm Birth - Vital Records, Procedure - Infertility Treatment - Vital Records, Procedure - Artificial Insemination - Vital Records, Procedure - Assisted Fertilization - Vital Records, Observation - Previous Cesarean - Vital Records, Observation - None Of Specified Pregnancy Risk Factors - Vital Records) |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
76. Composition.section:medicalHealthInformation.entry:numberPreviousCesareans | |
Slice Name | numberPreviousCesareans |
Definition | Number of previous cesarean deliveries. |
Short | If mother had a previous cesarean delivery, how many |
Control | 0..1 |
Type | Reference(Observation - Number of Previous Cesareans - Vital Records) |
Must Support | true |
78. Composition.section:medicalHealthInformation.entry:infectionsDuringPregnancy | |
Slice Name | infectionsDuringPregnancy |
Definition | Selected infections that the mother had or was treated for during the course of this pregnancy |
Short | Infections present and/or treated during this pregnancy |
Type | Reference(Condition - Infection Present During Pregnancy) |
Must Support | true |
80. Composition.section:medicalHealthInformation.entry:obstetricProcedures | |
Slice Name | obstetricProcedures |
Definition | Selected medical treatments or invasive/manipulative procedures performed during this pregnancy specifically for management of labor and delivery |
Short | Obstetric procedures |
Control | 1..1 |
Type | Reference(Procedure - Obstetric) |
Must Support | true |
82. Composition.section:medicalHealthInformation.entry:characteristicsLaborDelivery | |
Slice Name | characteristicsLaborDelivery |
Definition | Information about the course of labor and delivery |
Short | Characteristics of labor and delivery |
Type | Reference(Procedure - Induction of Labor, Procedure - Augmentation of Labor, Observation - Administration of Steroids for Fetal Lung Maturation, Observation - Antibiotics Administered During Labor, Condition - Chorioamnionitis, Procedure - Epidural or Spinal Anesthesia, Observation - None Of Specified Characteristics of Labor and Delivery) |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
84. Composition.section:medicalHealthInformation.entry:fetalPresentation | |
Slice Name | fetalPresentation |
Definition | Fetal presentation at birth |
Short | Fetal presentation at birth |
Control | 0..1 |
Type | Reference(Observation - Fetal Presentation at Birth/Delivery) |
Must Support | true |
86. Composition.section:medicalHealthInformation.entry:finalRouteMethodDelivery | |
Slice Name | finalRouteMethodDelivery |
Definition | Final route and method of delivery |
Short | Final route and method of delivery |
Control | 0..1 |
Type | Reference(Procedure - Final Route and Method of Delivery) |
Must Support | true |
88. Composition.section:medicalHealthInformation.entry:maternalMorbidity | |
Slice Name | maternalMorbidity |
Definition | Serious complications experienced by the mother associated with labor and delivery |
Short | Maternal morbidity (complications associated with labor and delivery) |
Type | Reference(Procedure - Blood Transfusion, Condition - Perineal Laceration, Condition - Ruptured Uterus, Procedure - Unplanned Hysterectomy, Observation - ICU Admission, Observation - None Of Specified Maternal Morbidities) |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
90. Composition.section:newbornInformation | |
Slice Name | newbornInformation |
Definition | This section contains items from the newborn section on the Live Birth Certificate. |
Short | Newborn section on the Live Birth Certificate |
Control | 0..1 |
Must Support | true |
92. Composition.section:newbornInformation.code | |
Definition | Newborn delivery information |
Short | Newborn delivery information |
Control | 1..? |
Must Support | true |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="57075-4"/><br/> </coding><br/></valueCodeableConcept><br/> |
94. Composition.section:newbornInformation.entry | |
Definition | Entries that are contained in the newborn section |
Short | Entries that are contained in the newborn section |
Control | 1..? |
Must Support | true |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
96. Composition.section:newbornInformation.entry:birthWeight | |
Slice Name | birthWeight |
Definition | The weight of the infant/fetus at birth/delivery |
Short | Birthweight |
Control | 0..1 |
Type | Reference(Observation - Birth Weight - Vital Records) |
Must Support | true |
98. Composition.section:newbornInformation.entry:gestationalAgeAtDelivery | |
Slice Name | gestationalAgeAtDelivery |
Definition | The obstetric estimate of the infant’s gestation in completed weeks based on the birth/delivery attendant’s final estimate of gestation which should be determined by all perinatal factors and assessments such as ultrasound, but not the neonatal exam |
Short | Obstetric estimate of gestation |
Control | 0..1 |
Type | Reference(Observation - Gestational Age at Delivery - Vital Records) |
Must Support | true |
100. Composition.section:newbornInformation.entry:ApgarScore | |
Slice Name | ApgarScore |
Definition | The Apgar Score for the child. |
Short | Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used. |
Control | 0..2 |
Type | Reference(Observation - Apgar Score - Vital Records) |
Must Support | true |
102. Composition.section:newbornInformation.entry:numberLiveBirthsThisDelivery | |
Slice Name | numberLiveBirthsThisDelivery |
Short | Number of live births this delivery |
Control | 0..1 |
Type | Reference(Observation - Number of Live Births This Delivery - Vital Records) |
Must Support | true |
104. Composition.section:newbornInformation.entry:abnormalConditionsNewborn | |
Slice Name | abnormalConditionsNewborn |
Definition | Disorders or significant morbidity experienced by the newborn infant |
Short | Abnormal conditions of the newborn |
Type | Reference(Procedure - Assisted Ventilation Following Delivery, Procedure - Assisted Ventilation More Than Six Hours, Observation - NICU Admission, Procedure - Surfactant Replacement Therapy, Procedure - Antibiotic for Suspected Neonatal Sepsis, Condition - Seizure, Observation - None Of Specified Abnormal Conditions of Newborn) |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
106. Composition.section:newbornInformation.entry:congenitalAnomaliesNewborn | |
Slice Name | congenitalAnomaliesNewborn |
Definition | Malformations of the newborn diagnosed prenatally or after delivery |
Short | Congenital anomolies of the newborn |
Type | Reference(Condition - Congenital Anomaly of Newborn) |
Must Support | true |
108. Composition.section:newbornInformation.entry:infantLiving | |
Slice Name | infantLiving |
Definition | Information on the infant's survival |
Short | Is infant living at time of report? |
Control | 0..1 |
Type | Reference(Observation - Infant Living - Vital Records) |
Must Support | true |
110. Composition.section:newbornInformation.entry:infantBreastfedAtDischarge | |
Slice Name | infantBreastfedAtDischarge |
Definition | Information on whether the infant is being breastfed at discharge from the hospital |
Short | Is infant being breastfed at discharge? |
Control | 0..1 |
Type | Reference(Observation - Infant Breastfed at Discharge) |
Must Support | true |
112. Composition.section:motherInformation | |
Slice Name | motherInformation |
Definition | This section contains items from the Mother administrative section on the Live Birth Certificate. |
Short | Mother administrative section on the Live Birth Certificate |
Control | 0..1 |
Must Support | true |
114. Composition.section:motherInformation.code | |
Definition | Mother's administrative information |
Short | Mother's administrative information |
Control | 1..? |
Must Support | true |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92014-0"/><br/> </coding><br/></valueCodeableConcept><br/> |
116. Composition.section:motherInformation.focus | |
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the mother. |
Short | The focus of this section is the mother |
Control | 1..? |
Type | Reference(Patient - Mother - Vital Records) |
Must Support | true |
118. Composition.section:motherInformation.entry | |
Definition | Entries that are contained in the motherInformation section |
Short | Entries that are contained in the motherInformation section |
Control | 1..? |
Must Support | true |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
120. Composition.section:motherInformation.entry:marriedDuringPregnancy | |
Slice Name | marriedDuringPregnancy |
Definition | Was mother married at conception, at the time of birth, or at any time between conception and giving birth? |
Short | Mother married during pregnancy |
Control | 0..1 |
Type | Reference(Observation - Mother Married During Pregnancy) |
Must Support | true |
122. Composition.section:motherInformation.entry:ssnRequestedForChild | |
Slice Name | ssnRequestedForChild |
Definition | Was social security number requested for the child |
Short | Was social security number requested for the child |
Control | 0..1 |
Type | Reference(Observation - Social Security Number Requested For Child) |
Must Support | true |
124. Composition.section:motherInformation.entry:mothersEducation | |
Slice Name | mothersEducation |
Definition | Mother's education |
Short | Mother's education |
Control | 0..1 |
Type | Reference(Observation - Parent Education Level - Vital Records) |
Must Support | true |
126. Composition.section:fatherInformation | |
Slice Name | fatherInformation |
Definition | This section contains items from the father section on the Live Birth Certificate. |
Short | Father section on the Live Birth Certificate |
Control | 0..1 |
Must Support | true |
128. Composition.section:fatherInformation.code | |
Definition | Father's administrative information |
Short | Father's administrative information |
Control | 1..? |
Must Support | true |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92013-2"/><br/> </coding><br/></valueCodeableConcept><br/> |
130. Composition.section:fatherInformation.focus | |
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the father. |
Short | The focus of this section is the father |
Control | 1..? |
Type | Reference(RelatedPerson - Father Natural - Vital Records) |
Must Support | true |
132. Composition.section:fatherInformation.entry | |
Definition | Entries that are contained in the fatherInformation section |
Short | Entries that are contained in the fatherInformation section |
Control | 1..? |
Must Support | true |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
134. Composition.section:fatherInformation.entry:paternityAcknowledgementSigned | |
Slice Name | paternityAcknowledgementSigned |
Definition | Whether or not a paternity acknowledgement was signed by the father if the mother was not married at conception, at the time of birth, or at any time between conception and giving birth. |
Short | Paternity acknowledgement signed by father |
Control | 0..1 |
Type | Reference(Observation - Paternity Acknowledgement Signed) |
Must Support | true |
136. Composition.section:fatherInformation.entry:fathersEducation | |
Slice Name | fathersEducation |
Definition | Father's education |
Short | Father's education |
Control | 0..1 |
Type | Reference(Observation - Parent Education Level - Vital Records) |
Must Support | true |
138. Composition.section:EditFlags | |
Slice Name | EditFlags |
Definition | This section contains the edit flags that specify whether the originally provided data passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on edit criteria in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death. |
Short | Edit Flags Section |
Control | 1..1 |
Must Support | true |
140. Composition.section:EditFlags.code | |
Short | Edit flags section |
Control | 1..? |
Must Support | true |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92012-4"/><br/> </coding><br/></valueCodeableConcept><br/> |
142. Composition.section:EditFlags.entry | |
Control | 12..12 |
Must Support | true |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
144. Composition.section:EditFlags.entry:editFlagBirthweight | |
Slice Name | editFlagBirthweight |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Birthweight) |
146. Composition.section:EditFlags.entry:editFlagEstimateOfGestation | |
Slice Name | editFlagEstimateOfGestation |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Estimate of Gestation) |
148. Composition.section:EditFlags.entry:editFlagFathersDateOfBirth | |
Slice Name | editFlagFathersDateOfBirth |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Father's Date of Birth) |
150. Composition.section:EditFlags.entry:editFlagFathersEducation | |
Slice Name | editFlagFathersEducation |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Father's Education) |
152. Composition.section:EditFlags.entry:editFlagMothersDateOfBirth | |
Slice Name | editFlagMothersDateOfBirth |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Mother's Date of Birth) |
154. Composition.section:EditFlags.entry:editFlagMothersDeliveryWeight | |
Slice Name | editFlagMothersDeliveryWeight |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Mother's Delivery Weight) |
156. Composition.section:EditFlags.entry:editFlagMothersEducation | |
Slice Name | editFlagMothersEducation |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Mother's Education) |
158. Composition.section:EditFlags.entry:editFlagMothersHeight | |
Slice Name | editFlagMothersHeight |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Mother's Height) |
160. Composition.section:EditFlags.entry:editFlagMothersPrepregnancyWeight | |
Slice Name | editFlagMothersPrepregnancyWeight |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Mother's Prepregnancy Weight) |
162. Composition.section:EditFlags.entry:editFlagNumberPrenatalCareVisits | |
Slice Name | editFlagNumberPrenatalCareVisits |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Number Prenatal Care Visits) |
164. Composition.section:EditFlags.entry:editFlagNumberPreviousCesareans | |
Slice Name | editFlagNumberPreviousCesareans |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Number of Previous Cesareans) |
166. Composition.section:EditFlags.entry:editFlagPlurality | |
Slice Name | editFlagPlurality |
Control | 1..1 |
Type | Reference(Observation - Edit Flag Plurality) |
Guidance on how to interpret the contents of this table can be found here
0. Composition | |
Definition | A set of healthcare-related information that is assembled together into a single logical package 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. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.). |
Short | Jurisdiction Live Birth ReportA set of resources composed into a single coherent clinical statement with clinical attestation |
Comments | 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. |
Control | 0..* |
Is Modifier | false |
Summary | false |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) |
2. Composition.implicitRules | |
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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Short | A set of rules under which this content was created |
Comments | 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
4. Composition.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional content defined by implementations |
Comments | 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. |
Control | 20..* |
Type | Extension |
Is Modifier | false |
Must Support | true |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on Composition.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
6. Composition.extension:liveBirthCertificateNumber | |
Slice Name | liveBirthCertificateNumber |
Definition | An Extension |
Short | Birth Number |
Control | 1..1 This element is affected by the following invariants: ele-1 |
Type | Extension(Extension - Live Birth Certificate Number) (Extension Type: Identifier) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
8. Composition.extension:liveBirthLocalFileNumber | |
Slice Name | liveBirthLocalFileNumber |
Definition | An Extension |
Short | Local File No. |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(Extension - Live Birth Local File Number) (Extension Type: Identifier) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
10. Composition.extension:dateFiledByRegistrar | |
Slice Name | dateFiledByRegistrar |
Definition | An Extension |
Short | Date filed by registrar |
Control | 1..1 This element is affected by the following invariants: ele-1 |
Type | Extension(Extension - Date Filed by Registrar) (Extension Type: dateTime) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
12. Composition.extension:replacementStatus | |
Slice Name | replacementStatus |
Definition | An Extension |
Short | Extension |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(Extension - Replacement Status) (Extension Type: CodeableConcept) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
14. Composition.modifierExtension | |
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored |
Comments | 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
16. Composition.status | |
Definition | In the case of a live birth sent in error, a status of 'entered-in-error' must be set. The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document. |
Short | In the case of a live birth sent in error, a status of 'entered-in-error' must be set.preliminary | final | amended | entered-in-error |
Comments | 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. |
Control | 1..1 |
Binding | The codes SHALL be taken from CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 The workflow/clinical status of the composition. |
Type | code |
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | Need to be able to mark interim, amended, or withdrawn compositions or documents. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
18. Composition.type | |
Definition | Jurisdiction live birth report Document 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. |
Short | Jurisdiction live birth report DocumentKind of composition (LOINC if possible) |
Comments | 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. |
Control | 1..1 |
Binding | The codes SHOULD be taken from FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes Type of a composition. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Key metadata element describing the composition, used in searching/filtering. |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92011-6"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
20. Composition.subject | |
Definition | The subject of the composition as a whole is the newborn baby. Different sections in the composition have different focus (e.g.: the mother). 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). |
Short | The subject of the composition is the newborn babyWho and/or what the composition is about |
Comments | For clinical documents, this is usually the patient. |
Control | 10..1 |
Type | Reference(Patient - Child - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
22. Composition.encounter | |
Definition | The Encounter for the Composition is the newborn's birth encounter. This Encounter links to the mother's encounter by the Encounter.partOf data element. Describes the clinical encounter or type of care this documentation is associated with. |
Short | The Encounter for the Composition is the newborn's birth encounter.Context of the Composition |
Control | 0..1 |
Type | Reference(Encounter - Birth, Encounter) |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Provides context for the composition and supports searching. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
24. Composition.encounter.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Extension |
Comments | 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. |
Control | 0..1 |
Type | Extension(Extension - Encounter Maternity Reference) (Extension Type: Reference(Encounter - Maternity)) |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
26. Composition.date | |
Definition | The composition editing time, when the composition was last logically changed by the author. |
Short | Date report completedComposition editing time |
Comments | The Last Modified Date on the composition may be after the date of the document was attested without being changed. |
Control | 1..1 |
Type | dateTime |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
28. Composition.author | |
Definition | The author is the jurisdictional Vital Records Office. Identifies who is responsible for the information in the composition, not necessarily who typed it in. |
Short | The author is the jurisdictional Vital Records Office.Who and/or what authored the composition |
Control | 1..1* |
Type | Reference(US Core Organization Profile, Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization) |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Identifies who is responsible for the content. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
30. Composition.title | |
Definition | Official human-readable label for the composition. |
Short | Human Readable name/title |
Comments | 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. |
Control | 1..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
32. Composition.section | |
Definition | The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Various administrative and demographic data in the Birth Certificate are contained in other locations in the Composition, such as the Patient and Encounter profiles. The root of the sections that make up the composition. |
Short | The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate.Composition is broken into sections |
Control | 10..* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty()) |
Slicing | This element introduces a set of slices on Composition.section . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
34. Composition.section.modifierExtension | |
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
36. Composition.section:motherPrenatal | |
Slice Name | motherPrenatal |
Definition | This section contains items from the Mother (prenatal) on theLive Birth Certificate. The root of the sections that make up the composition. |
Short | Mother (prenatal) section on the Live Birth CertificateComposition is broken into sections |
Control | 0..1* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty()) |
38. Composition.section:motherPrenatal.modifierExtension | |
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
40. Composition.section:motherPrenatal.code | |
Definition | Prenatal records A code identifying the kind of content contained within the section. This must be consistent with the section title. |
Short | Prenatal recordsClassification of section (recommended) |
Comments | 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. |
Control | 10..1 |
Binding | For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes Classification of a section of a composition/document. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Provides computable standardized labels to topics within the document. |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="57073-9"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
42. Composition.section:motherPrenatal.focus | |
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the mother. The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources). |
Short | The focus of this section is the motherWho/what the section is about, when it is not about the subject of composition |
Comments | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. |
Control | 10..1 |
Type | Reference(Patient - Mother - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
44. Composition.section:motherPrenatal.entry | |
Definition | Entries that are contained in the Mother Prenatal section A reference to the actual resource from which the narrative in the section is derived. |
Short | Entries that are contained in the Mother Prenatal sectionA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..* This element is affected by the following invariants: cmp-2 |
Type | Reference(Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
46. Composition.section:motherPrenatal.entry:plannedToDeliverAtHome | |
Slice Name | plannedToDeliverAtHome |
Definition | Planned to deliver at home A reference to the actual resource from which the narrative in the section is derived. |
Short | Planned to deliver at homeA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Planned to Deliver at Home, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
48. Composition.section:motherPrenatal.entry:firstPrenatalCareVisit | |
Slice Name | firstPrenatalCareVisit |
Definition | Date that mother had her first prenatal care visit. A reference to the actual resource from which the narrative in the section is derived. |
Short | First prenatal care visitA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Date of First Prenatal Care Visit, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
50. Composition.section:motherPrenatal.entry:numberPrenatalCareVisits | |
Slice Name | numberPrenatalCareVisits |
Definition | Those visits which are listed in the mother's prenatal care and/or facility records. A reference to the actual resource from which the narrative in the section is derived. |
Short | Number of prenatal care visitsA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Number of Prenatal Visits - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
52. Composition.section:motherPrenatal.entry:dateLastNormalMenses | |
Slice Name | dateLastNormalMenses |
Definition | Date that the mother's last normal menses began. This item is used to compute the gestational age of the infant. A reference to the actual resource from which the narrative in the section is derived. |
Short | Date last normal menses beganA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Last Menstrual Period - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
54. Composition.section:motherPrenatal.entry:numberNowLiving | |
Slice Name | numberNowLiving |
Definition | The pregnancy history of the mother with respect to previous children born alive A reference to the actual resource from which the narrative in the section is derived. |
Short | Number of previous live births now livingA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Number of Births Now Living - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
56. Composition.section:motherPrenatal.entry:numberNowDead | |
Slice Name | numberNowDead |
Definition | The pregnancy history of the mother with respect to previous children born alive A reference to the actual resource from which the narrative in the section is derived. |
Short | Number of previous live births now deadA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Number of Births Now Dead - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
58. Composition.section:motherPrenatal.entry:dateLastLiveBirth | |
Slice Name | dateLastLiveBirth |
Definition | The pregnancy history of the mother with respect to previous children born alive A reference to the actual resource from which the narrative in the section is derived. |
Short | Date of last live birthA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Date of Last Live Birth, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
60. Composition.section:motherPrenatal.entry:numberOtherOutcomes | |
Slice Name | numberOtherOutcomes |
Definition | The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies). A reference to the actual resource from which the narrative in the section is derived. |
Short | Number of other pregnancy outcomesA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
62. Composition.section:motherPrenatal.entry:dateLastOtherOutcome | |
Slice Name | dateLastOtherOutcome |
Definition | The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies). A reference to the actual resource from which the narrative in the section is derived. |
Short | Date of last other pregnancy outcomeA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Date of Last Other Pregnancy Outcome, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
64. Composition.section:motherPrenatal.entry:principalSourceOfPayment | |
Slice Name | principalSourceOfPayment |
Definition | The principal payer for this delivery A reference to the actual resource from which the narrative in the section is derived. |
Short | Principal source of payment for this deliveryA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Coverage - Principal Payer for Delivery, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
66. Composition.section:motherPrenatal.entry:mothersWeightAtDelivery | |
Slice Name | mothersWeightAtDelivery |
Definition | The mother's weight at the time of delivery A reference to the actual resource from which the narrative in the section is derived. |
Short | Mother's weight at deliveryA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Mother Delivery Weight - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
68. Composition.section:motherPrenatal.entry:mothersHeight | |
Slice Name | mothersHeight |
Definition | The mother's height A reference to the actual resource from which the narrative in the section is derived. |
Short | Mother's heightA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Mother Height - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
70. Composition.section:motherPrenatal.entry:mothersPrepregnancyWeight | |
Slice Name | mothersPrepregnancyWeight |
Definition | The mother's prepregnancy weight A reference to the actual resource from which the narrative in the section is derived. |
Short | Mother's prepregnancy weightA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Mother Prepregnancy Weight - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
72. Composition.section:motherPrenatal.entry:motherReceivedWICFood | |
Slice Name | motherReceivedWICFood |
Definition | Use of the Women, Infant's, and Children (WIC) nutritional program by the mother during the pregnancy. A reference to the actual resource from which the narrative in the section is derived. |
Short | Use of the WIC nutritional program by the motherA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Mother Recieved WIC Food, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
74. Composition.section:motherPrenatal.entry:cigaretteSmokingBeforeDuringPregnancy | |
Slice Name | cigaretteSmokingBeforeDuringPregnancy |
Definition | The number of cigarettes or packs of cigarettes the mother smoked 3 months before and at various intervals during the pregnancy A reference to the actual resource from which the narrative in the section is derived. |
Short | Cigarettes smoked by the mother before and during the pregnancyA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..4* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Cigarette Smoking Before and During Pregnancy, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
76. Composition.section:medicalHealthInformation | |
Slice Name | medicalHealthInformation |
Definition | This section contains items from the Medical and Health Information section on the Live Birth Certificate. The root of the sections that make up the composition. |
Short | Medical and Health Information section on the Live Birth CertificateComposition is broken into sections |
Control | 0..1* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty()) |
78. Composition.section:medicalHealthInformation.modifierExtension | |
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
80. Composition.section:medicalHealthInformation.code | |
Definition | Clinical information A code identifying the kind of content contained within the section. This must be consistent with the section title. |
Short | Clinical informationClassification of section (recommended) |
Comments | 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. |
Control | 10..1 |
Binding | For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes Classification of a section of a composition/document. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Provides computable standardized labels to topics within the document. |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="55752-0"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
82. Composition.section:medicalHealthInformation.focus | |
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the mother. The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources). |
Short | The focus of this section is the motherWho/what the section is about, when it is not about the subject of composition |
Comments | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. |
Control | 10..1 |
Type | Reference(Patient - Mother - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
84. Composition.section:medicalHealthInformation.entry | |
Definition | Entries that are contained in the medical and health information section A reference to the actual resource from which the narrative in the section is derived. |
Short | Entries that are contained in the medical and health information sectionA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..* This element is affected by the following invariants: cmp-2 |
Type | Reference(Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
86. Composition.section:medicalHealthInformation.entry:pregnancyRiskFactors | |
Slice Name | pregnancyRiskFactors |
Definition | Selected medical risk factors of the mother during this pregnancy A reference to the actual resource from which the narrative in the section is derived. |
Short | Risk factors in this pregnancyA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..* This element is affected by the following invariants: cmp-2 |
Type | Reference(Condition - Prepregnancy Diabetes - Vital Records, Condition - Gestational Diabetes - Vital Records, Condition - Prepregnancy Hypertension - Vital Records, Condition - Gestational Hypertension - Vital Records, Condition - Eclampsia Hypertension - Vital Records, Observation - Previous Preterm Birth - Vital Records, Procedure - Infertility Treatment - Vital Records, Procedure - Artificial Insemination - Vital Records, Procedure - Assisted Fertilization - Vital Records, Observation - Previous Cesarean - Vital Records, Observation - None Of Specified Pregnancy Risk Factors - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
88. Composition.section:medicalHealthInformation.entry:numberPreviousCesareans | |
Slice Name | numberPreviousCesareans |
Definition | Number of previous cesarean deliveries. A reference to the actual resource from which the narrative in the section is derived. |
Short | If mother had a previous cesarean delivery, how manyA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Number of Previous Cesareans - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
90. Composition.section:medicalHealthInformation.entry:infectionsDuringPregnancy | |
Slice Name | infectionsDuringPregnancy |
Definition | Selected infections that the mother had or was treated for during the course of this pregnancy A reference to the actual resource from which the narrative in the section is derived. |
Short | Infections present and/or treated during this pregnancyA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..* This element is affected by the following invariants: cmp-2 |
Type | Reference(Condition - Infection Present During Pregnancy, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
92. Composition.section:medicalHealthInformation.entry:obstetricProcedures | |
Slice Name | obstetricProcedures |
Definition | Selected medical treatments or invasive/manipulative procedures performed during this pregnancy specifically for management of labor and delivery A reference to the actual resource from which the narrative in the section is derived. |
Short | Obstetric proceduresA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Procedure - Obstetric, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
94. Composition.section:medicalHealthInformation.entry:characteristicsLaborDelivery | |
Slice Name | characteristicsLaborDelivery |
Definition | Information about the course of labor and delivery A reference to the actual resource from which the narrative in the section is derived. |
Short | Characteristics of labor and deliveryA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..* This element is affected by the following invariants: cmp-2 |
Type | Reference(Procedure - Induction of Labor, Procedure - Augmentation of Labor, Observation - Administration of Steroids for Fetal Lung Maturation, Observation - Antibiotics Administered During Labor, Condition - Chorioamnionitis, Procedure - Epidural or Spinal Anesthesia, Observation - None Of Specified Characteristics of Labor and Delivery, Resource) |
Is Modifier | false |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
96. Composition.section:medicalHealthInformation.entry:fetalPresentation | |
Slice Name | fetalPresentation |
Definition | Fetal presentation at birth A reference to the actual resource from which the narrative in the section is derived. |
Short | Fetal presentation at birthA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Fetal Presentation at Birth/Delivery, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
98. Composition.section:medicalHealthInformation.entry:finalRouteMethodDelivery | |
Slice Name | finalRouteMethodDelivery |
Definition | Final route and method of delivery A reference to the actual resource from which the narrative in the section is derived. |
Short | Final route and method of deliveryA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Procedure - Final Route and Method of Delivery, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
100. Composition.section:medicalHealthInformation.entry:maternalMorbidity | |
Slice Name | maternalMorbidity |
Definition | Serious complications experienced by the mother associated with labor and delivery A reference to the actual resource from which the narrative in the section is derived. |
Short | Maternal morbidity (complications associated with labor and delivery)A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..* This element is affected by the following invariants: cmp-2 |
Type | Reference(Procedure - Blood Transfusion, Condition - Perineal Laceration, Condition - Ruptured Uterus, Procedure - Unplanned Hysterectomy, Observation - ICU Admission, Observation - None Of Specified Maternal Morbidities, Resource) |
Is Modifier | false |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
102. Composition.section:newbornInformation | |
Slice Name | newbornInformation |
Definition | This section contains items from the newborn section on the Live Birth Certificate. The root of the sections that make up the composition. |
Short | Newborn section on the Live Birth CertificateComposition is broken into sections |
Control | 0..1* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty()) |
104. Composition.section:newbornInformation.modifierExtension | |
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
106. Composition.section:newbornInformation.code | |
Definition | Newborn delivery information A code identifying the kind of content contained within the section. This must be consistent with the section title. |
Short | Newborn delivery informationClassification of section (recommended) |
Comments | 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. |
Control | 10..1 |
Binding | For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes Classification of a section of a composition/document. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Provides computable standardized labels to topics within the document. |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="57075-4"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
108. Composition.section:newbornInformation.entry | |
Definition | Entries that are contained in the newborn section A reference to the actual resource from which the narrative in the section is derived. |
Short | Entries that are contained in the newborn sectionA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..* This element is affected by the following invariants: cmp-2 |
Type | Reference(Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
110. Composition.section:newbornInformation.entry:birthWeight | |
Slice Name | birthWeight |
Definition | The weight of the infant/fetus at birth/delivery A reference to the actual resource from which the narrative in the section is derived. |
Short | BirthweightA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Birth Weight - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
112. Composition.section:newbornInformation.entry:gestationalAgeAtDelivery | |
Slice Name | gestationalAgeAtDelivery |
Definition | The obstetric estimate of the infant’s gestation in completed weeks based on the birth/delivery attendant’s final estimate of gestation which should be determined by all perinatal factors and assessments such as ultrasound, but not the neonatal exam A reference to the actual resource from which the narrative in the section is derived. |
Short | Obstetric estimate of gestationA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Gestational Age at Delivery - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
114. Composition.section:newbornInformation.entry:ApgarScore | |
Slice Name | ApgarScore |
Definition | The Apgar Score for the child. A reference to the actual resource from which the narrative in the section is derived. |
Short | Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used.A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..2* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Apgar Score - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
116. Composition.section:newbornInformation.entry:numberLiveBirthsThisDelivery | |
Slice Name | numberLiveBirthsThisDelivery |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | Number of live births this deliveryA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Number of Live Births This Delivery - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
118. Composition.section:newbornInformation.entry:abnormalConditionsNewborn | |
Slice Name | abnormalConditionsNewborn |
Definition | Disorders or significant morbidity experienced by the newborn infant A reference to the actual resource from which the narrative in the section is derived. |
Short | Abnormal conditions of the newbornA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..* This element is affected by the following invariants: cmp-2 |
Type | Reference(Procedure - Assisted Ventilation Following Delivery, Procedure - Assisted Ventilation More Than Six Hours, Observation - NICU Admission, Procedure - Surfactant Replacement Therapy, Procedure - Antibiotic for Suspected Neonatal Sepsis, Condition - Seizure, Observation - None Of Specified Abnormal Conditions of Newborn, Resource) |
Is Modifier | false |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
120. Composition.section:newbornInformation.entry:congenitalAnomaliesNewborn | |
Slice Name | congenitalAnomaliesNewborn |
Definition | Malformations of the newborn diagnosed prenatally or after delivery A reference to the actual resource from which the narrative in the section is derived. |
Short | Congenital anomolies of the newbornA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..* This element is affected by the following invariants: cmp-2 |
Type | Reference(Condition - Congenital Anomaly of Newborn, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
122. Composition.section:newbornInformation.entry:infantLiving | |
Slice Name | infantLiving |
Definition | Information on the infant's survival A reference to the actual resource from which the narrative in the section is derived. |
Short | Is infant living at time of report?A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Infant Living - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
124. Composition.section:newbornInformation.entry:infantBreastfedAtDischarge | |
Slice Name | infantBreastfedAtDischarge |
Definition | Information on whether the infant is being breastfed at discharge from the hospital A reference to the actual resource from which the narrative in the section is derived. |
Short | Is infant being breastfed at discharge?A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Infant Breastfed at Discharge, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
126. Composition.section:motherInformation | |
Slice Name | motherInformation |
Definition | This section contains items from the Mother administrative section on the Live Birth Certificate. The root of the sections that make up the composition. |
Short | Mother administrative section on the Live Birth CertificateComposition is broken into sections |
Control | 0..1* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty()) |
128. Composition.section:motherInformation.modifierExtension | |
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
130. Composition.section:motherInformation.code | |
Definition | Mother's administrative information A code identifying the kind of content contained within the section. This must be consistent with the section title. |
Short | Mother's administrative informationClassification of section (recommended) |
Comments | 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. |
Control | 10..1 |
Binding | For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes Classification of a section of a composition/document. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Provides computable standardized labels to topics within the document. |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92014-0"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
132. Composition.section:motherInformation.focus | |
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the mother. The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources). |
Short | The focus of this section is the motherWho/what the section is about, when it is not about the subject of composition |
Comments | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. |
Control | 10..1 |
Type | Reference(Patient - Mother - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
134. Composition.section:motherInformation.entry | |
Definition | Entries that are contained in the motherInformation section A reference to the actual resource from which the narrative in the section is derived. |
Short | Entries that are contained in the motherInformation sectionA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..* This element is affected by the following invariants: cmp-2 |
Type | Reference(Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
136. Composition.section:motherInformation.entry:marriedDuringPregnancy | |
Slice Name | marriedDuringPregnancy |
Definition | Was mother married at conception, at the time of birth, or at any time between conception and giving birth? A reference to the actual resource from which the narrative in the section is derived. |
Short | Mother married during pregnancyA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Mother Married During Pregnancy, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
138. Composition.section:motherInformation.entry:ssnRequestedForChild | |
Slice Name | ssnRequestedForChild |
Definition | Was social security number requested for the child A reference to the actual resource from which the narrative in the section is derived. |
Short | Was social security number requested for the childA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Social Security Number Requested For Child, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
140. Composition.section:motherInformation.entry:mothersEducation | |
Slice Name | mothersEducation |
Definition | Mother's education A reference to the actual resource from which the narrative in the section is derived. |
Short | Mother's educationA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Parent Education Level - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
142. Composition.section:fatherInformation | |
Slice Name | fatherInformation |
Definition | This section contains items from the father section on the Live Birth Certificate. The root of the sections that make up the composition. |
Short | Father section on the Live Birth CertificateComposition is broken into sections |
Control | 0..1* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty()) |
144. Composition.section:fatherInformation.modifierExtension | |
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
146. Composition.section:fatherInformation.code | |
Definition | Father's administrative information A code identifying the kind of content contained within the section. This must be consistent with the section title. |
Short | Father's administrative informationClassification of section (recommended) |
Comments | 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. |
Control | 10..1 |
Binding | For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes Classification of a section of a composition/document. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Provides computable standardized labels to topics within the document. |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92013-2"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
148. Composition.section:fatherInformation.focus | |
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the father. The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources). |
Short | The focus of this section is the fatherWho/what the section is about, when it is not about the subject of composition |
Comments | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. |
Control | 10..1 |
Type | Reference(RelatedPerson - Father Natural - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
150. Composition.section:fatherInformation.entry | |
Definition | Entries that are contained in the fatherInformation section A reference to the actual resource from which the narrative in the section is derived. |
Short | Entries that are contained in the fatherInformation sectionA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..* This element is affected by the following invariants: cmp-2 |
Type | Reference(Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
152. Composition.section:fatherInformation.entry:paternityAcknowledgementSigned | |
Slice Name | paternityAcknowledgementSigned |
Definition | Whether or not a paternity acknowledgement was signed by the father if the mother was not married at conception, at the time of birth, or at any time between conception and giving birth. A reference to the actual resource from which the narrative in the section is derived. |
Short | Paternity acknowledgement signed by fatherA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Paternity Acknowledgement Signed, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
154. Composition.section:fatherInformation.entry:fathersEducation | |
Slice Name | fathersEducation |
Definition | Father's education A reference to the actual resource from which the narrative in the section is derived. |
Short | Father's educationA reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 0..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Parent Education Level - Vital Records, Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
156. Composition.section:EditFlags | |
Slice Name | EditFlags |
Definition | This section contains the edit flags that specify whether the originally provided data passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on edit criteria in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death. The root of the sections that make up the composition. |
Short | Edit Flags SectionComposition is broken into sections |
Control | 10..1* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty()) |
158. Composition.section:EditFlags.modifierExtension | |
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
160. Composition.section:EditFlags.code | |
Definition | A code identifying the kind of content contained within the section. This must be consistent with the section title. |
Short | Edit flags sectionClassification of section (recommended) |
Comments | 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. |
Control | 10..1 |
Binding | For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes Classification of a section of a composition/document. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Provides computable standardized labels to topics within the document. |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92012-4"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
162. Composition.section:EditFlags.entry | |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 120..12* This element is affected by the following invariants: cmp-2 |
Type | Reference(Resource) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
164. Composition.section:EditFlags.entry:editFlagBirthweight | |
Slice Name | editFlagBirthweight |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Birthweight, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
166. Composition.section:EditFlags.entry:editFlagEstimateOfGestation | |
Slice Name | editFlagEstimateOfGestation |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Estimate of Gestation, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
168. Composition.section:EditFlags.entry:editFlagFathersDateOfBirth | |
Slice Name | editFlagFathersDateOfBirth |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Father's Date of Birth, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
170. Composition.section:EditFlags.entry:editFlagFathersEducation | |
Slice Name | editFlagFathersEducation |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Father's Education, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
172. Composition.section:EditFlags.entry:editFlagMothersDateOfBirth | |
Slice Name | editFlagMothersDateOfBirth |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Mother's Date of Birth, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
174. Composition.section:EditFlags.entry:editFlagMothersDeliveryWeight | |
Slice Name | editFlagMothersDeliveryWeight |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Mother's Delivery Weight, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
176. Composition.section:EditFlags.entry:editFlagMothersEducation | |
Slice Name | editFlagMothersEducation |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Mother's Education, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
178. Composition.section:EditFlags.entry:editFlagMothersHeight | |
Slice Name | editFlagMothersHeight |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Mother's Height, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
180. Composition.section:EditFlags.entry:editFlagMothersPrepregnancyWeight | |
Slice Name | editFlagMothersPrepregnancyWeight |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Mother's Prepregnancy Weight, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
182. Composition.section:EditFlags.entry:editFlagNumberPrenatalCareVisits | |
Slice Name | editFlagNumberPrenatalCareVisits |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Number Prenatal Care Visits, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
184. Composition.section:EditFlags.entry:editFlagNumberPreviousCesareans | |
Slice Name | editFlagNumberPreviousCesareans |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Number of Previous Cesareans, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
186. Composition.section:EditFlags.entry:editFlagPlurality | |
Slice Name | editFlagPlurality |
Definition | A reference to the actual resource from which the narrative in the section is derived. |
Short | A reference to data that supports this section |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Control | 10..1* This element is affected by the following invariants: cmp-2 |
Type | Reference(Observation - Edit Flag Plurality, Resource) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. Composition | |||||
Definition | A set of healthcare-related information that is assembled together into a single logical package 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. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.). | ||||
Short | Jurisdiction Live Birth Report | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() ) | ||||
2. Composition.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. Composition.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. Composition.implicitRules | |||||
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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. Composition.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | 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). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages: A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. Composition.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can 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. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | 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 information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. Composition.contained | |||||
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. | ||||
Short | Contained, inline Resources | ||||
Comments | 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. Composition.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 2..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Composition.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
16. Composition.extension:liveBirthCertificateNumber | |||||
Slice Name | liveBirthCertificateNumber | ||||
Definition | An Extension | ||||
Short | Birth Number | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Extension - Live Birth Certificate Number) (Extension Type: Identifier) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. Composition.extension:liveBirthLocalFileNumber | |||||
Slice Name | liveBirthLocalFileNumber | ||||
Definition | An Extension | ||||
Short | Local File No. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Extension - Live Birth Local File Number) (Extension Type: Identifier) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
20. Composition.extension:dateFiledByRegistrar | |||||
Slice Name | dateFiledByRegistrar | ||||
Definition | An Extension | ||||
Short | Date filed by registrar | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Extension - Date Filed by Registrar) (Extension Type: dateTime) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
22. Composition.extension:replacementStatus | |||||
Slice Name | replacementStatus | ||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Extension - Replacement Status) (Extension Type: CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
24. Composition.modifierExtension | |||||
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. | ||||
Short | Extensions that cannot be ignored | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
26. Composition.identifier | |||||
Definition | A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time. | ||||
Short | Version-independent identifier for the Composition | ||||
Comments | Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
28. Composition.status | |||||
Definition | In the case of a live birth sent in error, a status of 'entered-in-error' must be set. | ||||
Short | In the case of a live birth sent in error, a status of 'entered-in-error' must be set. | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from CompositionStatus: The workflow/clinical status of the composition. | ||||
Type | code | ||||
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Need to be able to mark interim, amended, or withdrawn compositions or documents. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
30. Composition.type | |||||
Definition | Jurisdiction live birth report Document | ||||
Short | Jurisdiction live birth report Document | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Binding | The codes SHOULD be taken from FHIRDocumentTypeCodes: Type of a composition. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Key metadata element describing the composition, used in searching/filtering. | ||||
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92011-6"/><br/> </coding><br/></valueCodeableConcept><br/> | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
32. Composition.category | |||||
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. | ||||
Short | Categorization of Composition | ||||
Comments | This is a metadata field from XDS/MHD. | ||||
Control | 0..* | ||||
Binding | For example codes, see DocumentClassValueSet: High-level kind of a clinical document at a macro level. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
34. Composition.subject | |||||
Definition | The subject of the composition as a whole is the newborn baby. Different sections in the composition have different focus (e.g.: the mother). | ||||
Short | The subject of the composition is the newborn baby | ||||
Comments | For clinical documents, this is usually the patient. | ||||
Control | 1..1 | ||||
Type | Reference(Patient - Child - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
36. Composition.encounter | |||||
Definition | The Encounter for the Composition is the newborn's birth encounter. This Encounter links to the mother's encounter by the Encounter.partOf data element. | ||||
Short | The Encounter for the Composition is the newborn's birth encounter. | ||||
Control | 0..1 | ||||
Type | Reference(Encounter - Birth) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Provides context for the composition and supports searching. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
38. Composition.encounter.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
40. Composition.encounter.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..1 | ||||
Type | Extension(Extension - Encounter Maternity Reference) (Extension Type: Reference(Encounter - Maternity)) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
42. Composition.encounter.reference | |||||
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. | ||||
Short | Literal reference, Relative, internal or absolute URL | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
44. Composition.encounter.type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. | ||||
Short | Type the reference refers to (e.g. "Patient") | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ResourceType: Aa resource (or, for logical models, the URI of the logical model). | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
46. Composition.encounter.identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents 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. | ||||
Short | Logical reference, when literal reference is not known | ||||
Comments | 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. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
48. Composition.encounter.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
50. Composition.date | |||||
Definition | The composition editing time, when the composition was last logically changed by the author. | ||||
Short | Date report completed | ||||
Comments | The Last Modified Date on the composition may be after the date of the document was attested without being changed. | ||||
Control | 1..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. Composition.author | |||||
Definition | The author is the jurisdictional Vital Records Office. | ||||
Short | The author is the jurisdictional Vital Records Office. | ||||
Control | 1..1 | ||||
Type | Reference(US Core Organization Profile) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Identifies who is responsible for the content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. Composition.title | |||||
Definition | Official human-readable label for the composition. | ||||
Short | Human Readable name/title | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. Composition.confidentiality | |||||
Definition | The code specifying the level of confidentiality of the Composition. | ||||
Short | As defined by affinity domain | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from v3.ConfidentialityClassification (2014-03-26): Codes specifying the level of confidentiality of the composition. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. Composition.attester | |||||
Definition | A participant who has attested to the accuracy of the composition/document. | ||||
Short | Attests to accuracy of composition | ||||
Comments | Only list each attester once. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Identifies responsibility for the accuracy of the composition content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
60. Composition.attester.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
62. Composition.attester.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
64. Composition.attester.modifierExtension | |||||
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
66. Composition.attester.mode | |||||
Definition | The type of attestation the authenticator offers. | ||||
Short | personal | professional | legal | official | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from CompositionAttestationMode: The way in which a person authenticated a composition. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Indicates the level of authority of the attestation. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. Composition.attester.time | |||||
Definition | When the composition was attested by the party. | ||||
Short | When the composition was attested | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Identifies when the information in the composition was deemed accurate. (Things may have changed since then.). | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. Composition.attester.party | |||||
Definition | Who attested the composition in the specified way. | ||||
Short | Who attested the composition | ||||
Control | 0..1 | ||||
Type | Reference(Patient, RelatedPerson, Practitioner, PractitionerRole, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Identifies who has taken on the responsibility for accuracy of the composition content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. Composition.custodian | |||||
Definition | Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information. | ||||
Short | Organization which maintains the composition | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Identifies where to go to find the current version, where to report issues, etc. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
74. Composition.relatesTo | |||||
Definition | Relationships that this composition has with other compositions or documents that already exist. | ||||
Short | Relationships to other compositions/documents | ||||
Comments | A document is a version specific composition. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
76. Composition.relatesTo.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
78. Composition.relatesTo.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
80. Composition.relatesTo.modifierExtension | |||||
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
82. Composition.relatesTo.code | |||||
Definition | The type of relationship that this composition has with anther composition or document. | ||||
Short | replaces | transforms | signs | appends | ||||
Comments | If this document appends another document, then the document cannot be fully understood without also accessing the referenced document. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from DocumentRelationshipType: The type of relationship between documents. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
84. Composition.relatesTo.target[x] | |||||
Definition | The target composition/document of this relationship. | ||||
Short | Target of the relationship | ||||
Control | 1..1 | ||||
Type | Choice of: Identifier, Reference(Composition) | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
86. Composition.event | |||||
Definition | The clinical service, such as a colonoscopy or an appendectomy, being documented. | ||||
Short | The clinical service(s) being documented | ||||
Comments | The event needs to be consistent with the type element, though can provide further information if desired. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
88. Composition.event.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
90. Composition.event.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
92. Composition.event.modifierExtension | |||||
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
94. Composition.event.code | |||||
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. | ||||
Short | Code(s) that apply to the event being documented | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Binding | For example codes, see v3 Code System ActCode: This list of codes represents the main clinical acts being documented. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
96. Composition.event.period | |||||
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. | ||||
Short | The period covered by the documentation | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
98. Composition.event.detail | |||||
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. | ||||
Short | The event(s) being documented | ||||
Control | 0..* | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
100. Composition.section | |||||
Definition | The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. Various administrative and demographic data in the Birth Certificate are contained in other locations in the Composition, such as the Patient and Encounter profiles. | ||||
Short | The Composition is broken into sections that, where possible, align with the sections in the Live Birth Certificate. | ||||
Control | 1..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children ( hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Composition.section . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
102. Composition.section.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
104. Composition.section.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
106. Composition.section.modifierExtension | |||||
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
108. Composition.section.title | |||||
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. | ||||
Short | Label for section (e.g. for ToC) | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized. | ||||
Alternate Names | header, label, caption | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
110. Composition.section.code | |||||
Definition | A code identifying the kind of content contained within the section. This must be consistent with the section title. | ||||
Short | Classification of section (recommended) | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Binding | For example codes, see DocumentSectionCodes: Classification of a section of a composition/document. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Provides computable standardized labels to topics within the document. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
112. Composition.section.author | |||||
Definition | Identifies who is responsible for the information in this section, not necessarily who typed it in. | ||||
Short | Who and/or what authored the section | ||||
Control | 0..* | ||||
Type | Reference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Identifies who is responsible for the content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
114. Composition.section.focus | |||||
Definition | The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources). | ||||
Short | Who/what the section is about, when it is not about the subject of composition | ||||
Comments | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. | ||||
Control | 0..1 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
116. Composition.section.text | |||||
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. | ||||
Short | Text summary of the section, for human interpretation | ||||
Comments | Document profiles may define what content should be represented in the narrative to ensure clinical safety. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
118. Composition.section.mode | |||||
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. | ||||
Short | working | snapshot | changes | ||||
Comments | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from ListMode: The processing mode that applies to this section. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Sections are used in various ways, and it must be known in what way it is safe to use the entries in them. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
120. Composition.section.orderedBy | |||||
Definition | Specifies the order applied to the items in the section entries. | ||||
Short | Order of section entries | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from ListOrderCodes: What order applies to the items in the entry. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
122. Composition.section.entry | |||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
124. Composition.section.emptyReason | |||||
Definition | If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason. | ||||
Short | Why the section is empty | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Binding | The codes SHOULD be taken from ListEmptyReasons: If a section is empty, why it is empty. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Allows capturing things like "none exist" or "not asked" which can be important for most lists. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
126. Composition.section.section | |||||
Definition | A nested sub-section within this section. | ||||
Short | Nested Section | ||||
Comments | Nested sections are primarily used to help human readers navigate to particular portions of the document. | ||||
Control | 0..* This element is affected by the following invariants: cmp-1 | ||||
Type | See ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
128. Composition.section:motherPrenatal | |||||
Slice Name | motherPrenatal | ||||
Definition | This section contains items from the Mother (prenatal) on theLive Birth Certificate. | ||||
Short | Mother (prenatal) section on the Live Birth Certificate | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children ( hasValue() or (children().count() > id.count()) ) | ||||
130. Composition.section:motherPrenatal.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
132. Composition.section:motherPrenatal.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
134. Composition.section:motherPrenatal.modifierExtension | |||||
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
136. Composition.section:motherPrenatal.title | |||||
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. | ||||
Short | Label for section (e.g. for ToC) | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized. | ||||
Alternate Names | header, label, caption | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
138. Composition.section:motherPrenatal.code | |||||
Definition | Prenatal records | ||||
Short | Prenatal records | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Binding | For example codes, see DocumentSectionCodes: Classification of a section of a composition/document. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Provides computable standardized labels to topics within the document. | ||||
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="57073-9"/><br/> </coding><br/></valueCodeableConcept><br/> | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
140. Composition.section:motherPrenatal.author | |||||
Definition | Identifies who is responsible for the information in this section, not necessarily who typed it in. | ||||
Short | Who and/or what authored the section | ||||
Control | 0..* | ||||
Type | Reference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Identifies who is responsible for the content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
142. Composition.section:motherPrenatal.focus | |||||
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the mother. | ||||
Short | The focus of this section is the mother | ||||
Comments | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. | ||||
Control | 1..1 | ||||
Type | Reference(Patient - Mother - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
144. Composition.section:motherPrenatal.text | |||||
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. | ||||
Short | Text summary of the section, for human interpretation | ||||
Comments | Document profiles may define what content should be represented in the narrative to ensure clinical safety. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
146. Composition.section:motherPrenatal.mode | |||||
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. | ||||
Short | working | snapshot | changes | ||||
Comments | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from ListMode: The processing mode that applies to this section. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Sections are used in various ways, and it must be known in what way it is safe to use the entries in them. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
148. Composition.section:motherPrenatal.orderedBy | |||||
Definition | Specifies the order applied to the items in the section entries. | ||||
Short | Order of section entries | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from ListOrderCodes: What order applies to the items in the entry. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
150. Composition.section:motherPrenatal.entry | |||||
Definition | Entries that are contained in the Mother Prenatal section | ||||
Short | Entries that are contained in the Mother Prenatal section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
152. Composition.section:motherPrenatal.entry:plannedToDeliverAtHome | |||||
Slice Name | plannedToDeliverAtHome | ||||
Definition | Planned to deliver at home | ||||
Short | Planned to deliver at home | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Planned to Deliver at Home) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
154. Composition.section:motherPrenatal.entry:firstPrenatalCareVisit | |||||
Slice Name | firstPrenatalCareVisit | ||||
Definition | Date that mother had her first prenatal care visit. | ||||
Short | First prenatal care visit | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Date of First Prenatal Care Visit) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
156. Composition.section:motherPrenatal.entry:numberPrenatalCareVisits | |||||
Slice Name | numberPrenatalCareVisits | ||||
Definition | Those visits which are listed in the mother's prenatal care and/or facility records. | ||||
Short | Number of prenatal care visits | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Number of Prenatal Visits - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
158. Composition.section:motherPrenatal.entry:dateLastNormalMenses | |||||
Slice Name | dateLastNormalMenses | ||||
Definition | Date that the mother's last normal menses began. This item is used to compute the gestational age of the infant. | ||||
Short | Date last normal menses began | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Last Menstrual Period - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
160. Composition.section:motherPrenatal.entry:numberNowLiving | |||||
Slice Name | numberNowLiving | ||||
Definition | The pregnancy history of the mother with respect to previous children born alive | ||||
Short | Number of previous live births now living | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Number of Births Now Living - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
162. Composition.section:motherPrenatal.entry:numberNowDead | |||||
Slice Name | numberNowDead | ||||
Definition | The pregnancy history of the mother with respect to previous children born alive | ||||
Short | Number of previous live births now dead | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Number of Births Now Dead - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
164. Composition.section:motherPrenatal.entry:dateLastLiveBirth | |||||
Slice Name | dateLastLiveBirth | ||||
Definition | The pregnancy history of the mother with respect to previous children born alive | ||||
Short | Date of last live birth | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Date of Last Live Birth) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
166. Composition.section:motherPrenatal.entry:numberOtherOutcomes | |||||
Slice Name | numberOtherOutcomes | ||||
Definition | The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies). | ||||
Short | Number of other pregnancy outcomes | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Number of Other Pregnancy Outcomes - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
168. Composition.section:motherPrenatal.entry:dateLastOtherOutcome | |||||
Slice Name | dateLastOtherOutcome | ||||
Definition | The pregnancy history of the mother with respect to other pregnancy outcomes (included pregnancy losses of any gestational age, e.g., spontaneous or induced losses or ectopic pregnancies). | ||||
Short | Date of last other pregnancy outcome | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Date of Last Other Pregnancy Outcome) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
170. Composition.section:motherPrenatal.entry:principalSourceOfPayment | |||||
Slice Name | principalSourceOfPayment | ||||
Definition | The principal payer for this delivery | ||||
Short | Principal source of payment for this delivery | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Coverage - Principal Payer for Delivery) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
172. Composition.section:motherPrenatal.entry:mothersWeightAtDelivery | |||||
Slice Name | mothersWeightAtDelivery | ||||
Definition | The mother's weight at the time of delivery | ||||
Short | Mother's weight at delivery | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Mother Delivery Weight - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
174. Composition.section:motherPrenatal.entry:mothersHeight | |||||
Slice Name | mothersHeight | ||||
Definition | The mother's height | ||||
Short | Mother's height | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Mother Height - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
176. Composition.section:motherPrenatal.entry:mothersPrepregnancyWeight | |||||
Slice Name | mothersPrepregnancyWeight | ||||
Definition | The mother's prepregnancy weight | ||||
Short | Mother's prepregnancy weight | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Mother Prepregnancy Weight - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
178. Composition.section:motherPrenatal.entry:motherReceivedWICFood | |||||
Slice Name | motherReceivedWICFood | ||||
Definition | Use of the Women, Infant's, and Children (WIC) nutritional program by the mother during the pregnancy. | ||||
Short | Use of the WIC nutritional program by the mother | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Mother Recieved WIC Food) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
180. Composition.section:motherPrenatal.entry:cigaretteSmokingBeforeDuringPregnancy | |||||
Slice Name | cigaretteSmokingBeforeDuringPregnancy | ||||
Definition | The number of cigarettes or packs of cigarettes the mother smoked 3 months before and at various intervals during the pregnancy | ||||
Short | Cigarettes smoked by the mother before and during the pregnancy | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..4 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Cigarette Smoking Before and During Pregnancy) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
182. Composition.section:motherPrenatal.emptyReason | |||||
Definition | If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason. | ||||
Short | Why the section is empty | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Binding | The codes SHOULD be taken from ListEmptyReasons: If a section is empty, why it is empty. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Allows capturing things like "none exist" or "not asked" which can be important for most lists. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
184. Composition.section:motherPrenatal.section | |||||
Definition | A nested sub-section within this section. | ||||
Short | Nested Section | ||||
Comments | Nested sections are primarily used to help human readers navigate to particular portions of the document. | ||||
Control | 0..* This element is affected by the following invariants: cmp-1 | ||||
Type | See ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
186. Composition.section:medicalHealthInformation | |||||
Slice Name | medicalHealthInformation | ||||
Definition | This section contains items from the Medical and Health Information section on the Live Birth Certificate. | ||||
Short | Medical and Health Information section on the Live Birth Certificate | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children ( hasValue() or (children().count() > id.count()) ) | ||||
188. Composition.section:medicalHealthInformation.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
190. Composition.section:medicalHealthInformation.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
192. Composition.section:medicalHealthInformation.modifierExtension | |||||
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
194. Composition.section:medicalHealthInformation.title | |||||
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. | ||||
Short | Label for section (e.g. for ToC) | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized. | ||||
Alternate Names | header, label, caption | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
196. Composition.section:medicalHealthInformation.code | |||||
Definition | Clinical information | ||||
Short | Clinical information | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Binding | For example codes, see DocumentSectionCodes: Classification of a section of a composition/document. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Provides computable standardized labels to topics within the document. | ||||
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="55752-0"/><br/> </coding><br/></valueCodeableConcept><br/> | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
198. Composition.section:medicalHealthInformation.author | |||||
Definition | Identifies who is responsible for the information in this section, not necessarily who typed it in. | ||||
Short | Who and/or what authored the section | ||||
Control | 0..* | ||||
Type | Reference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Identifies who is responsible for the content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
200. Composition.section:medicalHealthInformation.focus | |||||
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the mother. | ||||
Short | The focus of this section is the mother | ||||
Comments | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. | ||||
Control | 1..1 | ||||
Type | Reference(Patient - Mother - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
202. Composition.section:medicalHealthInformation.text | |||||
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. | ||||
Short | Text summary of the section, for human interpretation | ||||
Comments | Document profiles may define what content should be represented in the narrative to ensure clinical safety. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
204. Composition.section:medicalHealthInformation.mode | |||||
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. | ||||
Short | working | snapshot | changes | ||||
Comments | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from ListMode: The processing mode that applies to this section. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Sections are used in various ways, and it must be known in what way it is safe to use the entries in them. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
206. Composition.section:medicalHealthInformation.orderedBy | |||||
Definition | Specifies the order applied to the items in the section entries. | ||||
Short | Order of section entries | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from ListOrderCodes: What order applies to the items in the entry. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
208. Composition.section:medicalHealthInformation.entry | |||||
Definition | Entries that are contained in the medical and health information section | ||||
Short | Entries that are contained in the medical and health information section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
210. Composition.section:medicalHealthInformation.entry:pregnancyRiskFactors | |||||
Slice Name | pregnancyRiskFactors | ||||
Definition | Selected medical risk factors of the mother during this pregnancy | ||||
Short | Risk factors in this pregnancy | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Condition - Prepregnancy Diabetes - Vital Records, Condition - Gestational Diabetes - Vital Records, Condition - Prepregnancy Hypertension - Vital Records, Condition - Gestational Hypertension - Vital Records, Condition - Eclampsia Hypertension - Vital Records, Observation - Previous Preterm Birth - Vital Records, Procedure - Infertility Treatment - Vital Records, Procedure - Artificial Insemination - Vital Records, Procedure - Assisted Fertilization - Vital Records, Observation - Previous Cesarean - Vital Records, Observation - None Of Specified Pregnancy Risk Factors - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
212. Composition.section:medicalHealthInformation.entry:numberPreviousCesareans | |||||
Slice Name | numberPreviousCesareans | ||||
Definition | Number of previous cesarean deliveries. | ||||
Short | If mother had a previous cesarean delivery, how many | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Number of Previous Cesareans - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
214. Composition.section:medicalHealthInformation.entry:infectionsDuringPregnancy | |||||
Slice Name | infectionsDuringPregnancy | ||||
Definition | Selected infections that the mother had or was treated for during the course of this pregnancy | ||||
Short | Infections present and/or treated during this pregnancy | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Condition - Infection Present During Pregnancy) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
216. Composition.section:medicalHealthInformation.entry:obstetricProcedures | |||||
Slice Name | obstetricProcedures | ||||
Definition | Selected medical treatments or invasive/manipulative procedures performed during this pregnancy specifically for management of labor and delivery | ||||
Short | Obstetric procedures | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Procedure - Obstetric) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
218. Composition.section:medicalHealthInformation.entry:characteristicsLaborDelivery | |||||
Slice Name | characteristicsLaborDelivery | ||||
Definition | Information about the course of labor and delivery | ||||
Short | Characteristics of labor and delivery | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Procedure - Induction of Labor, Procedure - Augmentation of Labor, Observation - Administration of Steroids for Fetal Lung Maturation, Observation - Antibiotics Administered During Labor, Condition - Chorioamnionitis, Procedure - Epidural or Spinal Anesthesia, Observation - None Of Specified Characteristics of Labor and Delivery) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
220. Composition.section:medicalHealthInformation.entry:fetalPresentation | |||||
Slice Name | fetalPresentation | ||||
Definition | Fetal presentation at birth | ||||
Short | Fetal presentation at birth | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Fetal Presentation at Birth/Delivery) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
222. Composition.section:medicalHealthInformation.entry:finalRouteMethodDelivery | |||||
Slice Name | finalRouteMethodDelivery | ||||
Definition | Final route and method of delivery | ||||
Short | Final route and method of delivery | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Procedure - Final Route and Method of Delivery) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
224. Composition.section:medicalHealthInformation.entry:maternalMorbidity | |||||
Slice Name | maternalMorbidity | ||||
Definition | Serious complications experienced by the mother associated with labor and delivery | ||||
Short | Maternal morbidity (complications associated with labor and delivery) | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Procedure - Blood Transfusion, Condition - Perineal Laceration, Condition - Ruptured Uterus, Procedure - Unplanned Hysterectomy, Observation - ICU Admission, Observation - None Of Specified Maternal Morbidities) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
226. Composition.section:medicalHealthInformation.emptyReason | |||||
Definition | If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason. | ||||
Short | Why the section is empty | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Binding | The codes SHOULD be taken from ListEmptyReasons: If a section is empty, why it is empty. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Allows capturing things like "none exist" or "not asked" which can be important for most lists. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
228. Composition.section:medicalHealthInformation.section | |||||
Definition | A nested sub-section within this section. | ||||
Short | Nested Section | ||||
Comments | Nested sections are primarily used to help human readers navigate to particular portions of the document. | ||||
Control | 0..* This element is affected by the following invariants: cmp-1 | ||||
Type | See ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
230. Composition.section:newbornInformation | |||||
Slice Name | newbornInformation | ||||
Definition | This section contains items from the newborn section on the Live Birth Certificate. | ||||
Short | Newborn section on the Live Birth Certificate | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children ( hasValue() or (children().count() > id.count()) ) | ||||
232. Composition.section:newbornInformation.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
234. Composition.section:newbornInformation.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
236. Composition.section:newbornInformation.modifierExtension | |||||
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
238. Composition.section:newbornInformation.title | |||||
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. | ||||
Short | Label for section (e.g. for ToC) | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized. | ||||
Alternate Names | header, label, caption | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
240. Composition.section:newbornInformation.code | |||||
Definition | Newborn delivery information | ||||
Short | Newborn delivery information | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Binding | For example codes, see DocumentSectionCodes: Classification of a section of a composition/document. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Provides computable standardized labels to topics within the document. | ||||
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="57075-4"/><br/> </coding><br/></valueCodeableConcept><br/> | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
242. Composition.section:newbornInformation.author | |||||
Definition | Identifies who is responsible for the information in this section, not necessarily who typed it in. | ||||
Short | Who and/or what authored the section | ||||
Control | 0..* | ||||
Type | Reference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Identifies who is responsible for the content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
244. Composition.section:newbornInformation.focus | |||||
Definition | The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources). | ||||
Short | Who/what the section is about, when it is not about the subject of composition | ||||
Comments | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. | ||||
Control | 0..1 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
246. Composition.section:newbornInformation.text | |||||
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. | ||||
Short | Text summary of the section, for human interpretation | ||||
Comments | Document profiles may define what content should be represented in the narrative to ensure clinical safety. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
248. Composition.section:newbornInformation.mode | |||||
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. | ||||
Short | working | snapshot | changes | ||||
Comments | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from ListMode: The processing mode that applies to this section. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Sections are used in various ways, and it must be known in what way it is safe to use the entries in them. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
250. Composition.section:newbornInformation.orderedBy | |||||
Definition | Specifies the order applied to the items in the section entries. | ||||
Short | Order of section entries | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from ListOrderCodes: What order applies to the items in the entry. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
252. Composition.section:newbornInformation.entry | |||||
Definition | Entries that are contained in the newborn section | ||||
Short | Entries that are contained in the newborn section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
254. Composition.section:newbornInformation.entry:birthWeight | |||||
Slice Name | birthWeight | ||||
Definition | The weight of the infant/fetus at birth/delivery | ||||
Short | Birthweight | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Birth Weight - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
256. Composition.section:newbornInformation.entry:gestationalAgeAtDelivery | |||||
Slice Name | gestationalAgeAtDelivery | ||||
Definition | The obstetric estimate of the infant’s gestation in completed weeks based on the birth/delivery attendant’s final estimate of gestation which should be determined by all perinatal factors and assessments such as ultrasound, but not the neonatal exam | ||||
Short | Obstetric estimate of gestation | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Gestational Age at Delivery - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
258. Composition.section:newbornInformation.entry:ApgarScore | |||||
Slice Name | ApgarScore | ||||
Definition | The Apgar Score for the child. | ||||
Short | Apgar Score - while the Apgar timing value set contains 3 possible values, 5 and 10 are the only scores used. | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..2 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Apgar Score - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
260. Composition.section:newbornInformation.entry:numberLiveBirthsThisDelivery | |||||
Slice Name | numberLiveBirthsThisDelivery | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | Number of live births this delivery | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Number of Live Births This Delivery - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
262. Composition.section:newbornInformation.entry:abnormalConditionsNewborn | |||||
Slice Name | abnormalConditionsNewborn | ||||
Definition | Disorders or significant morbidity experienced by the newborn infant | ||||
Short | Abnormal conditions of the newborn | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Procedure - Assisted Ventilation Following Delivery, Procedure - Assisted Ventilation More Than Six Hours, Observation - NICU Admission, Procedure - Surfactant Replacement Therapy, Procedure - Antibiotic for Suspected Neonatal Sepsis, Condition - Seizure, Observation - None Of Specified Abnormal Conditions of Newborn) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
264. Composition.section:newbornInformation.entry:congenitalAnomaliesNewborn | |||||
Slice Name | congenitalAnomaliesNewborn | ||||
Definition | Malformations of the newborn diagnosed prenatally or after delivery | ||||
Short | Congenital anomolies of the newborn | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Condition - Congenital Anomaly of Newborn) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
266. Composition.section:newbornInformation.entry:infantLiving | |||||
Slice Name | infantLiving | ||||
Definition | Information on the infant's survival | ||||
Short | Is infant living at time of report? | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Infant Living - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
268. Composition.section:newbornInformation.entry:infantBreastfedAtDischarge | |||||
Slice Name | infantBreastfedAtDischarge | ||||
Definition | Information on whether the infant is being breastfed at discharge from the hospital | ||||
Short | Is infant being breastfed at discharge? | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Infant Breastfed at Discharge) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
270. Composition.section:newbornInformation.emptyReason | |||||
Definition | If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason. | ||||
Short | Why the section is empty | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Binding | The codes SHOULD be taken from ListEmptyReasons: If a section is empty, why it is empty. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Allows capturing things like "none exist" or "not asked" which can be important for most lists. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
272. Composition.section:newbornInformation.section | |||||
Definition | A nested sub-section within this section. | ||||
Short | Nested Section | ||||
Comments | Nested sections are primarily used to help human readers navigate to particular portions of the document. | ||||
Control | 0..* This element is affected by the following invariants: cmp-1 | ||||
Type | See ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
274. Composition.section:motherInformation | |||||
Slice Name | motherInformation | ||||
Definition | This section contains items from the Mother administrative section on the Live Birth Certificate. | ||||
Short | Mother administrative section on the Live Birth Certificate | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children ( hasValue() or (children().count() > id.count()) ) | ||||
276. Composition.section:motherInformation.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
278. Composition.section:motherInformation.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
280. Composition.section:motherInformation.modifierExtension | |||||
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
282. Composition.section:motherInformation.title | |||||
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. | ||||
Short | Label for section (e.g. for ToC) | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized. | ||||
Alternate Names | header, label, caption | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
284. Composition.section:motherInformation.code | |||||
Definition | Mother's administrative information | ||||
Short | Mother's administrative information | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Binding | For example codes, see DocumentSectionCodes: Classification of a section of a composition/document. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Provides computable standardized labels to topics within the document. | ||||
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92014-0"/><br/> </coding><br/></valueCodeableConcept><br/> | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
286. Composition.section:motherInformation.author | |||||
Definition | Identifies who is responsible for the information in this section, not necessarily who typed it in. | ||||
Short | Who and/or what authored the section | ||||
Control | 0..* | ||||
Type | Reference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Identifies who is responsible for the content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
288. Composition.section:motherInformation.focus | |||||
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the mother. | ||||
Short | The focus of this section is the mother | ||||
Comments | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. | ||||
Control | 1..1 | ||||
Type | Reference(Patient - Mother - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
290. Composition.section:motherInformation.text | |||||
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. | ||||
Short | Text summary of the section, for human interpretation | ||||
Comments | Document profiles may define what content should be represented in the narrative to ensure clinical safety. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
292. Composition.section:motherInformation.mode | |||||
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. | ||||
Short | working | snapshot | changes | ||||
Comments | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from ListMode: The processing mode that applies to this section. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Sections are used in various ways, and it must be known in what way it is safe to use the entries in them. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
294. Composition.section:motherInformation.orderedBy | |||||
Definition | Specifies the order applied to the items in the section entries. | ||||
Short | Order of section entries | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from ListOrderCodes: What order applies to the items in the entry. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
296. Composition.section:motherInformation.entry | |||||
Definition | Entries that are contained in the motherInformation section | ||||
Short | Entries that are contained in the motherInformation section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
298. Composition.section:motherInformation.entry:marriedDuringPregnancy | |||||
Slice Name | marriedDuringPregnancy | ||||
Definition | Was mother married at conception, at the time of birth, or at any time between conception and giving birth? | ||||
Short | Mother married during pregnancy | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Mother Married During Pregnancy) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
300. Composition.section:motherInformation.entry:ssnRequestedForChild | |||||
Slice Name | ssnRequestedForChild | ||||
Definition | Was social security number requested for the child | ||||
Short | Was social security number requested for the child | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Social Security Number Requested For Child) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
302. Composition.section:motherInformation.entry:mothersEducation | |||||
Slice Name | mothersEducation | ||||
Definition | Mother's education | ||||
Short | Mother's education | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Parent Education Level - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
304. Composition.section:motherInformation.emptyReason | |||||
Definition | If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason. | ||||
Short | Why the section is empty | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Binding | The codes SHOULD be taken from ListEmptyReasons: If a section is empty, why it is empty. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Allows capturing things like "none exist" or "not asked" which can be important for most lists. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
306. Composition.section:motherInformation.section | |||||
Definition | A nested sub-section within this section. | ||||
Short | Nested Section | ||||
Comments | Nested sections are primarily used to help human readers navigate to particular portions of the document. | ||||
Control | 0..* This element is affected by the following invariants: cmp-1 | ||||
Type | See ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
308. Composition.section:fatherInformation | |||||
Slice Name | fatherInformation | ||||
Definition | This section contains items from the father section on the Live Birth Certificate. | ||||
Short | Father section on the Live Birth Certificate | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children ( hasValue() or (children().count() > id.count()) ) | ||||
310. Composition.section:fatherInformation.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
312. Composition.section:fatherInformation.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
314. Composition.section:fatherInformation.modifierExtension | |||||
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
316. Composition.section:fatherInformation.title | |||||
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. | ||||
Short | Label for section (e.g. for ToC) | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized. | ||||
Alternate Names | header, label, caption | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
318. Composition.section:fatherInformation.code | |||||
Definition | Father's administrative information | ||||
Short | Father's administrative information | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Binding | For example codes, see DocumentSectionCodes: Classification of a section of a composition/document. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Provides computable standardized labels to topics within the document. | ||||
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92013-2"/><br/> </coding><br/></valueCodeableConcept><br/> | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
320. Composition.section:fatherInformation.author | |||||
Definition | Identifies who is responsible for the information in this section, not necessarily who typed it in. | ||||
Short | Who and/or what authored the section | ||||
Control | 0..* | ||||
Type | Reference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Identifies who is responsible for the content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
322. Composition.section:fatherInformation.focus | |||||
Definition | The subject of the composition as a whole is the newborn baby. The focus of this section in the composition is the father. | ||||
Short | The focus of this section is the father | ||||
Comments | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. | ||||
Control | 1..1 | ||||
Type | Reference(RelatedPerson - Father Natural - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
324. Composition.section:fatherInformation.text | |||||
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. | ||||
Short | Text summary of the section, for human interpretation | ||||
Comments | Document profiles may define what content should be represented in the narrative to ensure clinical safety. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
326. Composition.section:fatherInformation.mode | |||||
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. | ||||
Short | working | snapshot | changes | ||||
Comments | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from ListMode: The processing mode that applies to this section. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Sections are used in various ways, and it must be known in what way it is safe to use the entries in them. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
328. Composition.section:fatherInformation.orderedBy | |||||
Definition | Specifies the order applied to the items in the section entries. | ||||
Short | Order of section entries | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from ListOrderCodes: What order applies to the items in the entry. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
330. Composition.section:fatherInformation.entry | |||||
Definition | Entries that are contained in the fatherInformation section | ||||
Short | Entries that are contained in the fatherInformation section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..* This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
332. Composition.section:fatherInformation.entry:paternityAcknowledgementSigned | |||||
Slice Name | paternityAcknowledgementSigned | ||||
Definition | Whether or not a paternity acknowledgement was signed by the father if the mother was not married at conception, at the time of birth, or at any time between conception and giving birth. | ||||
Short | Paternity acknowledgement signed by father | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Paternity Acknowledgement Signed) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
334. Composition.section:fatherInformation.entry:fathersEducation | |||||
Slice Name | fathersEducation | ||||
Definition | Father's education | ||||
Short | Father's education | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Parent Education Level - Vital Records) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
336. Composition.section:fatherInformation.emptyReason | |||||
Definition | If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason. | ||||
Short | Why the section is empty | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Binding | The codes SHOULD be taken from ListEmptyReasons: If a section is empty, why it is empty. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Allows capturing things like "none exist" or "not asked" which can be important for most lists. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
338. Composition.section:fatherInformation.section | |||||
Definition | A nested sub-section within this section. | ||||
Short | Nested Section | ||||
Comments | Nested sections are primarily used to help human readers navigate to particular portions of the document. | ||||
Control | 0..* This element is affected by the following invariants: cmp-1 | ||||
Type | See ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
340. Composition.section:EditFlags | |||||
Slice Name | EditFlags | ||||
Definition | This section contains the edit flags that specify whether the originally provided data passed validation checks. These validation checks are done at the jurisdiction prior to sending to the National Statistical Agency and are based on edit criteria in the Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth and the Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death. | ||||
Short | Edit Flags Section | ||||
Control | 1..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists() )cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty() )ele-1: All FHIR elements must have a @value or children ( hasValue() or (children().count() > id.count()) ) | ||||
342. Composition.section:EditFlags.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
344. Composition.section:EditFlags.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
346. Composition.section:EditFlags.modifierExtension | |||||
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
348. Composition.section:EditFlags.title | |||||
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. | ||||
Short | Label for section (e.g. for ToC) | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized. | ||||
Alternate Names | header, label, caption | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
350. Composition.section:EditFlags.code | |||||
Definition | A code identifying the kind of content contained within the section. This must be consistent with the section title. | ||||
Short | Edit flags section | ||||
Comments | 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. | ||||
Control | 1..1 | ||||
Binding | For example codes, see DocumentSectionCodes: Classification of a section of a composition/document. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Provides computable standardized labels to topics within the document. | ||||
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://loinc.org"/><br/> <code value="92012-4"/><br/> </coding><br/></valueCodeableConcept><br/> | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
352. Composition.section:EditFlags.author | |||||
Definition | Identifies who is responsible for the information in this section, not necessarily who typed it in. | ||||
Short | Who and/or what authored the section | ||||
Control | 0..* | ||||
Type | Reference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Identifies who is responsible for the content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
354. Composition.section:EditFlags.focus | |||||
Definition | The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources). | ||||
Short | Who/what the section is about, when it is not about the subject of composition | ||||
Comments | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. | ||||
Control | 0..1 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
356. Composition.section:EditFlags.text | |||||
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. | ||||
Short | Text summary of the section, for human interpretation | ||||
Comments | Document profiles may define what content should be represented in the narrative to ensure clinical safety. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
358. Composition.section:EditFlags.mode | |||||
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. | ||||
Short | working | snapshot | changes | ||||
Comments | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from ListMode: The processing mode that applies to this section. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Sections are used in various ways, and it must be known in what way it is safe to use the entries in them. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
360. Composition.section:EditFlags.orderedBy | |||||
Definition | Specifies the order applied to the items in the section entries. | ||||
Short | Order of section entries | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from ListOrderCodes: What order applies to the items in the entry. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
362. Composition.section:EditFlags.entry | |||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 12..12 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Composition.section.entry . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
364. Composition.section:EditFlags.entry:editFlagBirthweight | |||||
Slice Name | editFlagBirthweight | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Birthweight) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
366. Composition.section:EditFlags.entry:editFlagEstimateOfGestation | |||||
Slice Name | editFlagEstimateOfGestation | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Estimate of Gestation) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
368. Composition.section:EditFlags.entry:editFlagFathersDateOfBirth | |||||
Slice Name | editFlagFathersDateOfBirth | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Father's Date of Birth) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
370. Composition.section:EditFlags.entry:editFlagFathersEducation | |||||
Slice Name | editFlagFathersEducation | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Father's Education) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
372. Composition.section:EditFlags.entry:editFlagMothersDateOfBirth | |||||
Slice Name | editFlagMothersDateOfBirth | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Mother's Date of Birth) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
374. Composition.section:EditFlags.entry:editFlagMothersDeliveryWeight | |||||
Slice Name | editFlagMothersDeliveryWeight | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Mother's Delivery Weight) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
376. Composition.section:EditFlags.entry:editFlagMothersEducation | |||||
Slice Name | editFlagMothersEducation | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Mother's Education) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
378. Composition.section:EditFlags.entry:editFlagMothersHeight | |||||
Slice Name | editFlagMothersHeight | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Mother's Height) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
380. Composition.section:EditFlags.entry:editFlagMothersPrepregnancyWeight | |||||
Slice Name | editFlagMothersPrepregnancyWeight | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Mother's Prepregnancy Weight) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
382. Composition.section:EditFlags.entry:editFlagNumberPrenatalCareVisits | |||||
Slice Name | editFlagNumberPrenatalCareVisits | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Number Prenatal Care Visits) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
384. Composition.section:EditFlags.entry:editFlagNumberPreviousCesareans | |||||
Slice Name | editFlagNumberPreviousCesareans | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Number of Previous Cesareans) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
386. Composition.section:EditFlags.entry:editFlagPlurality | |||||
Slice Name | editFlagPlurality | ||||
Definition | A reference to the actual resource from which the narrative in the section is derived. | ||||
Short | A reference to data that supports this section | ||||
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
Control | 1..1 This element is affected by the following invariants: cmp-2 | ||||
Type | Reference(Observation - Edit Flag Plurality) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
388. Composition.section:EditFlags.emptyReason | |||||
Definition | If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason. | ||||
Short | Why the section is empty | ||||
Comments | 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. | ||||
Control | 0..1 This element is affected by the following invariants: cmp-2 | ||||
Binding | The codes SHOULD be taken from ListEmptyReasons: If a section is empty, why it is empty. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Allows capturing things like "none exist" or "not asked" which can be important for most lists. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
390. Composition.section:EditFlags.section | |||||
Definition | A nested sub-section within this section. | ||||
Short | Nested Section | ||||
Comments | Nested sections are primarily used to help human readers navigate to particular portions of the document. | ||||
Control | 0..* This element is affected by the following invariants: cmp-1 | ||||
Type | See ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |