STU 1 Ballot
This page is part of the C-CDA on FHIR Implementation Guide (v1.6.0: STU 1 Ballot 1) based on FHIR v1.6.0. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "StructureDefinition",
"id" : "ccda-procedure-note-composition",
"url" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-procedure-note-composition",
"name" : "C-CDA on FHIR Procedure Note",
"status" : "draft",
"publisher" : "Lantana Consulting Group",
"contact" : [
{
"name" : "Sarah Gaunt",
"telecom" : [
{
"system" : "phone",
"value" : "+6 141-029-2506",
"use" : "work"
},
{
"system" : "email",
"value" : "sarah.gaunt@lantanagroup.com",
"use" : "work"
}
}
}
},
"date" : "2016-08-11T21:16:47+10:00",
"description" : "A Procedure Note encompasses many types of non-operative procedures including interventional cardiology, gastrointestinal endoscopy, osteopathic manipulation, and many other specialty fields. Procedure Notes are differentiated from Operative Notes because they do not involve incision or excision as the primary act.
The Procedure Note is created immediately following a non-operative procedure. It records the indications for the procedure and, when applicable, postprocedure diagnosis, pertinent events of the procedure, and the patient’s tolerance for the procedure. It should be detailed enough to justify the procedure, describe the course of the procedure, and provide continuity of care.",
"mapping" : [
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "cda",
"uri" : "http://hl7.org/v3/cda",
"name" : "CDA (R2)"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/w5",
"name" : "W5 Mapping"
}
},
"kind" : "resource",
"abstract" : false,
"type" : "Composition",
"baseDefinition" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-us-realm-header-composition",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "Composition:c-cdaonfhirprocedurenote",
"path" : "Composition",
"short" : "A set of resources composed into a single coherent clinical statement with clinical attestation",
"definition" : "A set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.",
"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.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)"
},
{
"key" : "dom-1",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression" : "contained.text.empty()",
"xpath" : "not(parent::f:contained and f:text)"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"expression" : "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
"xpath" : "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "rim",
"map" : "Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]"
},
{
"identity" : "cda",
"map" : "ClinicalDocument"
},
{
"identity" : "w5",
"map" : "infrastructure.documents"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.id",
"path" : "Composition.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"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.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "id"
}
},
"isSummary" : true
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.meta",
"path" : "Composition.meta",
"short" : "Metadata about the resource",
"definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Meta"
}
},
"isSummary" : true
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.implicitRules",
"path" : "Composition.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"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 as much as possible.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "uri"
}
},
"isModifier" : true,
"isSummary" : true
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.language",
"path" : "Composition.language",
"short" : "language",
"definition" : "SHALL contain exactly one [1..1] language (CONF:2219-146).",
"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).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "code"
}
},
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/all-languages"
}
}
},
"strength" : "extensible",
"description" : "A human language.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/languages"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.text",
"path" : "Composition.text",
"short" : "Text summary of the resource, for human interpretation",
"definition" : "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"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 in formation is added later.",
"alias" : [
"narrative",
"html",
"xhtml",
"display"
},
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"dom-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.contained",
"path" : "Composition.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"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.",
"alias" : [
"inline resources",
"anonymous resources",
"contained resources"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.extension",
"path" : "Composition.extension",
"slicing" : {
"discriminator" : [
"url"
},
"rules" : "open"
},
"short" : "Extension",
"definition" : "MAY contain zero or more [0..*] C-CDA on FHIR Authorization (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-authorization-extension) (CONF:2219-2012).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.extension:extension_slice_pos2$ccda-data-enterer-extension",
"path" : "Composition.extension",
"name" : "extension_slice_pos2",
"label" : "dataEnterer",
"short" : "dataEnterer",
"definition" : "MAY contain zero or one [0..1] C-CDA on FHIR Data Enterer (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-data-enterer-extension) (CONF:2219-1844).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-data-enterer-extension"
}
},
"condition" : [
"ele-1"
},
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "children().count() > id.count()",
"xpath" : "@value|f:*|h:div"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.extension:extension_slice_pos3$ccda-informant-extension",
"path" : "Composition.extension",
"name" : "extension_slice_pos3",
"label" : "informant",
"short" : "informant",
"definition" : "MAY contain zero or more [0..*] C-CDA on FHIR Informant (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-informant-extension) (CONF:2219-1849).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-informant-extension"
}
},
"condition" : [
"ele-1"
},
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "children().count() > id.count()",
"xpath" : "@value|f:*|h:div"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.extension:extension_slice_pos4$ccda-information-recipient-extension",
"path" : "Composition.extension",
"name" : "extension_slice_pos4",
"label" : "informationRecipient",
"short" : "informationRecipient",
"definition" : "MAY contain zero or more [0..*] C-CDA on FHIR Information Recipient (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-information-recipient-extension) (CONF:2219-1856).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-information-recipient-extension"
}
},
"condition" : [
"ele-1"
},
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "children().count() > id.count()",
"xpath" : "@value|f:*|h:div"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.extension:extension_slice_pos5$ccda-participant-extension",
"path" : "Composition.extension",
"name" : "extension_slice_pos5",
"label" : "participant",
"short" : "participant",
"definition" : "MAY contain zero or more [0..*] C-CDA on FHIR Participant (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-participant-extension) (CONF:2219-1861).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-participant-extension"
}
},
"condition" : [
"ele-1"
},
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "children().count() > id.count()",
"xpath" : "@value|f:*|h:div"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.extension:extension_slice_pos6$ccda-performer-extension",
"path" : "Composition.extension",
"name" : "extension_slice_pos6",
"label" : "performer",
"short" : "performer",
"definition" : "SHOULD contain zero or more [0..*] C-CDA on FHIR Performer (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-performer-extension) (CONF:2219-1869).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-performer-extension"
}
},
"condition" : [
"ele-1"
},
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "children().count() > id.count()",
"xpath" : "@value|f:*|h:div"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.extension:extension_slice_pos7$ccda-authorization-extension",
"path" : "Composition.extension",
"name" : "extension_slice_pos7",
"label" : "authorization",
"short" : "authorization",
"definition" : "MAY contain zero or more [0..*] C-CDA on FHIR Authorization (identifier: http://hl7.org/fhir/ccda/StructureDefinition/ccda-authorization-extension) (CONF:2219-2012).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-authorization-extension"
}
},
"condition" : [
"ele-1"
},
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "children().count() > id.count()",
"xpath" : "@value|f:*|h:div"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.modifierExtension",
"path" : "Composition.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.identifier",
"path" : "Composition.identifier",
"short" : "identifier",
"definition" : "SHALL contain exactly one [1..1] identifier (CONF:2219-147).",
"comments" : "See discussion in resource definition for how these relate.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.identifier",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "Document.id / Document.setId"
},
{
"identity" : "cda",
"map" : ".setId"
},
{
"identity" : "w5",
"map" : "id"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.date",
"path" : "Composition.date",
"short" : "date",
"definition" : "SHALL contain exactly one [1..1] date (CONF:2219-148).",
"comments" : "US Realm Datetime",
"requirements" : "dateTime is used for tracking, organizing versions and searching.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.date",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".effectiveTime[type="TS"]"
},
{
"identity" : "cda",
"map" : ".effectiveTime"
},
{
"identity" : "w5",
"map" : "when.done"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.type",
"path" : "Composition.type",
"label" : "Procedure Note",
"short" : "Procedure Note",
"definition" : "SHALL contain exactly one [1..1] type, which SHALL be selected from ValueSet ProcedureNoteDocumentTypeCodes urn:oid:2.16.840.1.113883.11.20.6.1 DYNAMIC (CONF:2219-1604).",
"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.",
"requirements" : "Key metadata element describing the composition, used in searching/filtering.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.type",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"isSummary" : true,
"binding" : {
"strength" : "required",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.6.1",
"display" : "ProcedureNoteDocumentTypeCodes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.class",
"path" : "Composition.class",
"short" : "Categorization of Composition",
"definition" : "A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.",
"comments" : "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).",
"requirements" : "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.class",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"isSummary" : true,
"binding" : {
"strength" : "example",
"description" : "High-level kind of a clinical document at a macro level.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-classcodes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.title",
"path" : "Composition.title",
"label" : "Document Title",
"short" : "Document Title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-150).",
"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.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.title",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.status",
"path" : "Composition.status",
"short" : "status",
"definition" : "SHALL contain exactly one [1..1] status (CONF:2219-1048).",
"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 "withdrawn" is why this element is labeled as a modifier of other elements. Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.",
"requirements" : "Need to be able to mark interim, amended, or withdrawn compositions or documents.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.status",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The workflow/clinical status of the composition.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/composition-status"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete""
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "status"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.confidentiality",
"path" : "Composition.confidentiality",
"short" : "confidentiality",
"definition" : "SHALL contain exactly one [1..1] confidentiality, which SHALL be selected from ValueSet HL7 BasicConfidentialityKind urn:oid:2.16.840.1.113883.1.11.16926 STATIC (CONF:2219-151).",
"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).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.confidentiality",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.1.11.16926",
"display" : "HL7 BasicConfidentialityKind"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".confidentialityCode"
},
{
"identity" : "cda",
"map" : ".confidentialityCode"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.subject",
"path" : "Composition.subject",
"label" : "recordTarget",
"short" : "recordTarget",
"definition" : "SHALL contain exactly one [1..1] U.S. DAF Core Patient Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-patient) (CONF:2219-152).",
"comments" : "U.S. DAF Core Patient",
"alias" : [
"SubjectOfCare Client Resident"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.subject",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-patient"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "rim",
"map" : "Patient[classCode=PAT]"
},
{
"identity" : "cda",
"map" : "ClinicalDocument.recordTarget.patientRole"
},
{
"identity" : "w5",
"map" : "administrative.individual"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.author",
"path" : "Composition.author",
"label" : "author",
"short" : "author",
"definition" : "SHALL contain at least one [1..*] U.S. DAF Core Practitioner Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract) or daf-core-Core-Device (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-core-device) (CONF:2219-153).",
"comments" : "U.S. DAF Core Practitioner",
"requirements" : "Identifies who is responsible for the content.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Composition.author",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract"
},
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-core-device"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".participation[typeCode="AUT"].role[classCode="ASSIGNED"]"
},
{
"identity" : "cda",
"map" : ".author.assignedAuthor"
},
{
"identity" : "w5",
"map" : "who.author"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester",
"path" : "Composition.attester",
"slicing" : {
"discriminator" : [
"Composition.attester.mode"
},
"rules" : "open"
},
"short" : "Attests to accuracy of composition",
"definition" : "MAY contain zero or more [0..*] attester (CONF:2219-2083) such that it",
"comments" : "Only list each attester once.",
"requirements" : "Identifies responsibility for the accuracy of the composition content.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.attester",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]"
},
{
"identity" : "cda",
"map" : ".authenticator/.legalAuthenticator"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos16",
"path" : "Composition.attester",
"name" : "attester_slice_pos16",
"label" : "legalAuthenticator",
"short" : "legalAuthenticator",
"definition" : "SHOULD contain zero or more [0..*] attester (CONF:2219-2082) such that it",
"comments" : "Only list each attester once.",
"requirements" : "Identifies responsibility for the accuracy of the composition content.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.attester",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]"
},
{
"identity" : "cda",
"map" : ".authenticator/.legalAuthenticator"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos16.id",
"path" : "Composition.attester.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos16.extension",
"path" : "Composition.attester.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos16.modifierExtension",
"path" : "Composition.attester.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos16.mode:attester_slice_pos16",
"path" : "Composition.attester.mode",
"name" : "attester_slice_pos16",
"short" : "mode",
"definition" : "SHALL contain at least one [1..*] mode="legal" (CodeSystem: FHIR CompositionAttestationMode http://hl7.org/fhir/composition-attestation-mode) (CONF:2219-2084).",
"comments" : "Use more than one code where a single attester has more than one mode (professional and legal are often paired).",
"requirements" : "Indicates the level of authority of the attestation.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Composition.attester.mode",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "code"
}
},
"fixedString" : "legal",
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The way in which a person authenticated a composition.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/composition-attestation-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "unique(./modeCode)"
},
{
"identity" : "cda",
"map" : "implied by .authenticator/.legalAuthenticator"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos16.time",
"path" : "Composition.attester.time",
"short" : "When composition attested",
"definition" : "When composition was attested by the party.",
"requirements" : "Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.attester.time",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "./time[type="TS" and isNormalDatatype()]"
},
{
"identity" : "cda",
"map" : ".authenticator.time"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos16.party:attester_slice_pos16",
"path" : "Composition.attester.party",
"name" : "attester_slice_pos16",
"short" : "party",
"definition" : "MAY contain zero or one [0..1] U.S. DAF Core Practitioner Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract) (CONF:2219-2085).",
"comments" : "Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?",
"alias" : [
"Provider"
},
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.attester.party",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "v2",
"map" : "PRD (as one example)"
},
{
"identity" : "rim",
"map" : "Role"
},
{
"identity" : "servd",
"map" : "Provider"
},
{
"identity" : "w5",
"map" : "administrative.individual"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos17",
"path" : "Composition.attester",
"name" : "attester_slice_pos17",
"label" : "authenticator",
"short" : "authenticator",
"definition" : "MAY contain zero or more [0..*] attester (CONF:2219-2083) such that it",
"comments" : "Only list each attester once.",
"requirements" : "Identifies responsibility for the accuracy of the composition content.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.attester",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]"
},
{
"identity" : "cda",
"map" : ".authenticator/.legalAuthenticator"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos17.id",
"path" : "Composition.attester.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos17.extension",
"path" : "Composition.attester.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos17.modifierExtension",
"path" : "Composition.attester.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos17.mode:attester_slice_pos17",
"path" : "Composition.attester.mode",
"name" : "attester_slice_pos17",
"short" : "mode",
"definition" : "SHALL contain at least one [1..*] mode (CONF:2219-2086).",
"comments" : "Use more than one code where a single attester has more than one mode (professional and legal are often paired).",
"requirements" : "Indicates the level of authority of the attestation.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Composition.attester.mode",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "code"
}
},
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The way in which a person authenticated a composition.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/composition-attestation-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "unique(./modeCode)"
},
{
"identity" : "cda",
"map" : "implied by .authenticator/.legalAuthenticator"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos17.time",
"path" : "Composition.attester.time",
"short" : "When composition attested",
"definition" : "When composition was attested by the party.",
"requirements" : "Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.attester.time",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "./time[type="TS" and isNormalDatatype()]"
},
{
"identity" : "cda",
"map" : ".authenticator.time"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.attester:attester_slice_pos17.party:attester_slice_pos17",
"path" : "Composition.attester.party",
"name" : "attester_slice_pos17",
"short" : "party",
"definition" : "MAY contain zero or one [0..1] U.S. DAF Core Practitioner Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract) (CONF:2219-2087).",
"comments" : "Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?",
"alias" : [
"Provider"
},
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.attester.party",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "v2",
"map" : "PRD (as one example)"
},
{
"identity" : "rim",
"map" : "Role"
},
{
"identity" : "servd",
"map" : "Provider"
},
{
"identity" : "w5",
"map" : "administrative.individual"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.custodian",
"path" : "Composition.custodian",
"label" : "custodian",
"short" : "custodian",
"definition" : "SHALL contain exactly one [1..1] U.S. DAF Core Organization Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-organization) (CONF:2219-154).",
"comments" : "U.S. DAF Core Organization",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.custodian",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-organization"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "v2",
"map" : "(also see master files messages)"
},
{
"identity" : "rim",
"map" : "Organization(classCode=ORG, determinerCode=INST)"
},
{
"identity" : "servd",
"map" : "Organization"
},
{
"identity" : "w5",
"map" : "administrative.group"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event",
"path" : "Composition.event",
"label" : "serviceEvent",
"short" : "serviceEvent",
"definition" : "SHALL contain at least one [1..*] event (CONF:2219-1605).",
"comments" : "The event needs to be consistent with the type element, though can provide further information if desired.",
"requirements" : "Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Composition.event",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']"
},
{
"identity" : "cda",
"map" : ".documentationOf.serviceEvent"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.id",
"path" : "Composition.event.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.extension",
"path" : "Composition.event.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.modifierExtension",
"path" : "Composition.event.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.code",
"path" : "Composition.event.code",
"short" : "Code(s) that apply to the event being documented",
"definition" : "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.",
"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.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.event.code",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"isSummary" : true,
"binding" : {
"strength" : "example",
"description" : "This list of codes represents the main clinical acts being documented.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/v3-ActCode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.period",
"path" : "Composition.event.period",
"short" : "period",
"definition" : "Such events SHALL contain exactly one [1..1] period (CONF:2219-1606).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.event.period",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Period"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".effectiveTime"
},
{
"identity" : "cda",
"map" : ".effectiveTime"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.period.id",
"path" : "Composition.event.period.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.period.extension",
"path" : "Composition.event.period.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.period.start",
"path" : "Composition.event.period.start",
"short" : "start",
"definition" : "This period SHALL contain exactly one [1..1] start (CONF:2219-1607).",
"comments" : "If the low element is missing, the meaning is that the low boundary is not known.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Period.start",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
},
"condition" : [
"per-1"
},
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "DR.1"
},
{
"identity" : "rim",
"map" : "./low"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.period.end",
"path" : "Composition.event.period.end",
"short" : "end",
"definition" : "This period SHALL contain exactly one [1..1] end (CONF:2219-1608).",
"comments" : "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Period.end",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
},
"meaningWhenMissing" : "If the end of the period is missing, it means that the period is ongoing",
"condition" : [
"per-1"
},
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "DR.2"
},
{
"identity" : "rim",
"map" : "./high"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.detail",
"path" : "Composition.event.detail",
"short" : "The event(s) being documented",
"definition" : "The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.event.detail",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode="SUBJ"].target"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.encounter",
"path" : "Composition.encounter",
"label" : "encompassingEncounter",
"short" : "encompassingEncounter",
"definition" : "SHALL contain exactly one [1..1] U.S. DAF Core Encounter Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-encounter) (CONF:2219-1525).",
"comments" : "U.S. DAF Core Encounter",
"requirements" : "Provides context for the composition and supports searching.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.encounter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-encounter"
}
},
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])"
},
{
"identity" : "cda",
"map" : ".componentOf.encompassingEncounter"
},
{
"identity" : "w5",
"map" : "context"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"slicing" : {
"discriminator" : [
"Composition.section.code"
},
"rules" : "open"
},
"short" : "Composition is broken into sections",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1735) such that it",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos4",
"label" : "Allergies and Intolerances Section",
"short" : "Allergies and Intolerances Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1499) such that it",
"comments" : "Allergies and Intolerances Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.title:section_slice_pos4",
"path" : "Composition.section.title",
"name" : "section_slice_pos4",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1526).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.code:section_slice_pos4",
"path" : "Composition.section.code",
"name" : "section_slice_pos4",
"label" : "Allergies and/or adverse reactions",
"short" : "Allergies and/or adverse reactions",
"definition" : "SHALL contain exactly one [1..1] code="48765-2" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1527).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "48765-2"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.text:section_slice_pos4",
"path" : "Composition.section.text",
"name" : "section_slice_pos4",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1528).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.entry:section_slice_pos4",
"path" : "Composition.section.entry",
"name" : "section_slice_pos4",
"short" : "entry",
"definition" : "SHOULD contain zero or more [0..*] U.S. DAF Core AllergyIntolerance Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-allergyintolerance) (CONF:2219-2434).",
"comments" : "Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.",
"alias" : [
"Allergy",
"Intolerance",
"Adverse Reaction"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-allergyintolerance"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "rim",
"map" : "Observation[classCode=OBS, moodCode=EVN]"
},
{
"identity" : "w5",
"map" : "clinical.general"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos5",
"label" : "Complications Section",
"short" : "Complications Section",
"definition" : "SHALL contain exactly one [1..1] section (CONF:2219-1671) such that it",
"comments" : "Complications Section",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.title:section_slice_pos5",
"path" : "Composition.section.title",
"name" : "section_slice_pos5",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1672).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.code:section_slice_pos5",
"path" : "Composition.section.code",
"name" : "section_slice_pos5",
"label" : "Complications",
"short" : "Complications",
"definition" : "SHALL contain exactly one [1..1] code="55109-3" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1673).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "55109-3"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.text:section_slice_pos5",
"path" : "Composition.section.text",
"name" : "section_slice_pos5",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1674).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.entry:section_slice_pos5",
"path" : "Composition.section.entry",
"name" : "section_slice_pos5",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core Condition Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition) (CONF:2219-2435).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "v2",
"map" : "PPR message"
},
{
"identity" : "rim",
"map" : "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"
},
{
"identity" : "w5",
"map" : "clinical.general"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos6",
"label" : "Procedure Description Section",
"short" : "Procedure Description Section",
"definition" : "SHALL contain exactly one [1..1] section (CONF:2219-1675) such that it",
"comments" : "Procedure Description Section",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.title:section_slice_pos6",
"path" : "Composition.section.title",
"name" : "section_slice_pos6",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1677).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.code:section_slice_pos6",
"path" : "Composition.section.code",
"name" : "section_slice_pos6",
"label" : "Procedure description",
"short" : "Procedure description",
"definition" : "SHALL contain exactly one [1..1] code="29554-3" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1678).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "29554-3"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.text:section_slice_pos6",
"path" : "Composition.section.text",
"name" : "section_slice_pos6",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1679).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos7",
"label" : "Procedure Indications Section",
"short" : "Procedure Indications Section",
"definition" : "SHALL contain exactly one [1..1] section (CONF:2219-1676) such that it",
"comments" : "Procedure Indications Section",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.title:section_slice_pos7",
"path" : "Composition.section.title",
"name" : "section_slice_pos7",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1680).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.code:section_slice_pos7",
"path" : "Composition.section.code",
"name" : "section_slice_pos7",
"label" : "Procedure indications",
"short" : "Procedure indications",
"definition" : "SHALL contain exactly one [1..1] code="59768-2" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1681).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59768-2"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.text:section_slice_pos7",
"path" : "Composition.section.text",
"name" : "section_slice_pos7",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1682).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos8",
"label" : "Postprocedure Diagnosis Section",
"short" : "Postprocedure Diagnosis Section",
"definition" : "SHALL contain exactly one [1..1] section (CONF:2219-1683) such that it",
"comments" : "Postprocedure Diagnosis Section",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.title:section_slice_pos8",
"path" : "Composition.section.title",
"name" : "section_slice_pos8",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1684).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.code:section_slice_pos8",
"path" : "Composition.section.code",
"name" : "section_slice_pos8",
"label" : "Postprocedure diagnosis",
"short" : "Postprocedure diagnosis",
"definition" : "SHALL contain exactly one [1..1] code="59769-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1685).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59769-0"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.text:section_slice_pos8",
"path" : "Composition.section.text",
"name" : "section_slice_pos8",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1686).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos9",
"label" : "Assessment Section",
"short" : "Assessment Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1687) such that it",
"comments" : "Assessment Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.title:section_slice_pos9",
"path" : "Composition.section.title",
"name" : "section_slice_pos9",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1688).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.code:section_slice_pos9",
"path" : "Composition.section.code",
"name" : "section_slice_pos9",
"label" : "Assessments",
"short" : "Assessments",
"definition" : "SHALL contain exactly one [1..1] code="51848-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1689).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "51848-0"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.text:section_slice_pos9",
"path" : "Composition.section.text",
"name" : "section_slice_pos9",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1690).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos10",
"label" : "Assessment and Plan Section",
"short" : "Assessment and Plan Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1691) such that it",
"comments" : "Assessment and Plan Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.title:section_slice_pos10",
"path" : "Composition.section.title",
"name" : "section_slice_pos10",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1692).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.code:section_slice_pos10",
"path" : "Composition.section.code",
"name" : "section_slice_pos10",
"label" : "Assessment and plan",
"short" : "Assessment and plan",
"definition" : "SHALL contain exactly one [1..1] code="51847-2" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1693).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "51847-2"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.text:section_slice_pos10",
"path" : "Composition.section.text",
"name" : "section_slice_pos10",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1694).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos11",
"label" : "Anesthesia Section",
"short" : "Anesthesia Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1695) such that it",
"comments" : "Anesthesia Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.title:section_slice_pos11",
"path" : "Composition.section.title",
"name" : "section_slice_pos11",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1696).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.code:section_slice_pos11",
"path" : "Composition.section.code",
"name" : "section_slice_pos11",
"label" : "Anesthesia",
"short" : "Anesthesia",
"definition" : "SHALL contain exactly one [1..1] code="59774-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1697).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59774-0"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.text:section_slice_pos11",
"path" : "Composition.section.text",
"name" : "section_slice_pos11",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1698).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.entry:section_slice_pos11",
"path" : "Composition.section.entry",
"name" : "section_slice_pos11",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core MedicationStatement Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationstatement) or U.S. DAF Core Procedure Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-procedure) (CONF:2219-2437).",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationstatement"
},
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-procedure"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos12",
"label" : "Medical (General) History Section",
"short" : "Medical (General) History Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1699) such that it",
"comments" : "Medical (General) History Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.title:section_slice_pos12",
"path" : "Composition.section.title",
"name" : "section_slice_pos12",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1700).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.code:section_slice_pos12",
"path" : "Composition.section.code",
"name" : "section_slice_pos12",
"label" : "Medical (general) history",
"short" : "Medical (general) history",
"definition" : "SHALL contain exactly one [1..1] code="11329-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1701).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "11329-0"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.text:section_slice_pos12",
"path" : "Composition.section.text",
"name" : "section_slice_pos12",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1702).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos13",
"label" : "Medications Section",
"short" : "Medications Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1703) such that it",
"comments" : "Medications Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.title:section_slice_pos13",
"path" : "Composition.section.title",
"name" : "section_slice_pos13",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1704).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.code:section_slice_pos13",
"path" : "Composition.section.code",
"name" : "section_slice_pos13",
"label" : "History of medication use",
"short" : "History of medication use",
"definition" : "SHALL contain exactly one [1..1] code="10160-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1705).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "10160-0"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.text:section_slice_pos13",
"path" : "Composition.section.text",
"name" : "section_slice_pos13",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1706).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.entry:section_slice_pos13",
"path" : "Composition.section.entry",
"name" : "section_slice_pos13",
"short" : "entry",
"definition" : "SHOULD contain zero or more [0..*] U.S. DAF Core MedicationStatement Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationstatement) (CONF:2219-2438).",
"comments" : "The WG will be updating the MedicationStatement resource to adjust each affected resource to align with the workflow pattern (see workflow.html).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationstatement"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "rim",
"map" : "SubstanceAdministration"
},
{
"identity" : "w5",
"map" : "clinical.medication"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos14",
"label" : "Medications Administered Section",
"short" : "Medications Administered Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1707) such that it",
"comments" : "Medications Administered Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.title:section_slice_pos14",
"path" : "Composition.section.title",
"name" : "section_slice_pos14",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1708).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.code:section_slice_pos14",
"path" : "Composition.section.code",
"name" : "section_slice_pos14",
"label" : "Medications administered",
"short" : "Medications administered",
"definition" : "SHALL contain exactly one [1..1] code="29549-3" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1709).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "29549-3"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.text:section_slice_pos14",
"path" : "Composition.section.text",
"name" : "section_slice_pos14",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1710).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.entry:section_slice_pos14",
"path" : "Composition.section.entry",
"name" : "section_slice_pos14",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core MedicationAdministration Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationadministration) (CONF:2219-2439).",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationadministration"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos15",
"label" : "Physical Exam Section",
"short" : "Physical Exam Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1711) such that it",
"comments" : "Physical Exam Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.title:section_slice_pos15",
"path" : "Composition.section.title",
"name" : "section_slice_pos15",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1712).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.code:section_slice_pos15",
"path" : "Composition.section.code",
"name" : "section_slice_pos15",
"label" : "Physical findings",
"short" : "Physical findings",
"definition" : "SHALL contain exactly one [1..1] code="29545-1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1713).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "29545-1"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.text:section_slice_pos15",
"path" : "Composition.section.text",
"name" : "section_slice_pos15",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1714).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos16",
"label" : "Planned Procedure Section",
"short" : "Planned Procedure Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1715) such that it",
"comments" : "Planned Procedure Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.title:section_slice_pos16",
"path" : "Composition.section.title",
"name" : "section_slice_pos16",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1716).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.code:section_slice_pos16",
"path" : "Composition.section.code",
"name" : "section_slice_pos16",
"label" : "Planned procedure",
"short" : "Planned procedure",
"definition" : "SHALL contain exactly one [1..1] code="59772-4" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1717).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59772-4"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.text:section_slice_pos16",
"path" : "Composition.section.text",
"name" : "section_slice_pos16",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1718).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos17",
"label" : "Procedure Disposition Section",
"short" : "Procedure Disposition Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1719) such that it",
"comments" : "Procedure Disposition Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.title:section_slice_pos17",
"path" : "Composition.section.title",
"name" : "section_slice_pos17",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1720).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.code:section_slice_pos17",
"path" : "Composition.section.code",
"name" : "section_slice_pos17",
"label" : "Procedure disposition",
"short" : "Procedure disposition",
"definition" : "SHALL contain exactly one [1..1] code="59775-7" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1721).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59775-7"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.text:section_slice_pos17",
"path" : "Composition.section.text",
"name" : "section_slice_pos17",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1722).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos18",
"label" : "Procedure Estimated Blood Loss Section",
"short" : "Procedure Estimated Blood Loss Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1723) such that it",
"comments" : "Procedure Estimated Blood Loss Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.title:section_slice_pos18",
"path" : "Composition.section.title",
"name" : "section_slice_pos18",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1724).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.code:section_slice_pos18",
"path" : "Composition.section.code",
"name" : "section_slice_pos18",
"label" : "Procedure estimated blood loss",
"short" : "Procedure estimated blood loss",
"definition" : "SHALL contain exactly one [1..1] code="59770-8" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1725).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59770-8"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.text:section_slice_pos18",
"path" : "Composition.section.text",
"name" : "section_slice_pos18",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1726).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos19",
"label" : "Procedure Findings Section",
"short" : "Procedure Findings Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1727) such that it",
"comments" : "Procedure Findings Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.title:section_slice_pos19",
"path" : "Composition.section.title",
"name" : "section_slice_pos19",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1728).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.code:section_slice_pos19",
"path" : "Composition.section.code",
"name" : "section_slice_pos19",
"label" : "Procedure findings",
"short" : "Procedure findings",
"definition" : "SHALL contain exactly one [1..1] code="59776-5" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1729).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59776-5"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.text:section_slice_pos19",
"path" : "Composition.section.text",
"name" : "section_slice_pos19",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1730).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.entry:section_slice_pos19",
"path" : "Composition.section.entry",
"name" : "section_slice_pos19",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core Condition Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition) (CONF:2219-2440).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "v2",
"map" : "PPR message"
},
{
"identity" : "rim",
"map" : "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"
},
{
"identity" : "w5",
"map" : "clinical.general"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos20",
"label" : "Procedure Implants Section",
"short" : "Procedure Implants Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1731) such that it",
"comments" : "Procedure Implants Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.title:section_slice_pos20",
"path" : "Composition.section.title",
"name" : "section_slice_pos20",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1732).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.code:section_slice_pos20",
"path" : "Composition.section.code",
"name" : "section_slice_pos20",
"label" : "Procedure implants",
"short" : "Procedure implants",
"definition" : "SHALL contain exactly one [1..1] code="59771-6" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1733).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59771-6"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.text:section_slice_pos20",
"path" : "Composition.section.text",
"name" : "section_slice_pos20",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1734).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos21",
"label" : "Procedure Specimens Taken Section",
"short" : "Procedure Specimens Taken Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1735) such that it",
"comments" : "Procedure Specimens Taken Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.title:section_slice_pos21",
"path" : "Composition.section.title",
"name" : "section_slice_pos21",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1736).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.code:section_slice_pos21",
"path" : "Composition.section.code",
"name" : "section_slice_pos21",
"label" : "Procedure specimens taken",
"short" : "Procedure specimens taken",
"definition" : "SHALL contain exactly one [1..1] code="59773-2" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1737).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59773-2"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.text:section_slice_pos21",
"path" : "Composition.section.text",
"name" : "section_slice_pos21",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1738).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos22",
"label" : "Chief Complaint and Reason for Visit Section",
"short" : "Chief Complaint and Reason for Visit Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1502) such that it",
"comments" : "Chief Complaint and Reason for Visit Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.title:section_slice_pos22",
"path" : "Composition.section.title",
"name" : "section_slice_pos22",
"label" : "Chief complaint and reason for visit",
"short" : "Chief complaint and reason for visit",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1535).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.code:section_slice_pos22",
"path" : "Composition.section.code",
"name" : "section_slice_pos22",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="46239-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1536).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "46239-0"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.text:section_slice_pos22",
"path" : "Composition.section.text",
"name" : "section_slice_pos22",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1537).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos23",
"label" : "Chief Complaint Section",
"short" : "Chief Complaint Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1503) such that it",
"comments" : "Chief Complaint Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.title:section_slice_pos23",
"path" : "Composition.section.title",
"name" : "section_slice_pos23",
"label" : "Chief complaint",
"short" : "Chief complaint",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1538).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.code:section_slice_pos23",
"path" : "Composition.section.code",
"name" : "section_slice_pos23",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="10154-3" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1539).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "10154-3"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.text:section_slice_pos23",
"path" : "Composition.section.text",
"name" : "section_slice_pos23",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1540).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos24",
"label" : "Family History Section",
"short" : "Family History Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1504) such that it",
"comments" : "Family History Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.title:section_slice_pos24",
"path" : "Composition.section.title",
"name" : "section_slice_pos24",
"label" : "Family history",
"short" : "Family history",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1541).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.code:section_slice_pos24",
"path" : "Composition.section.code",
"name" : "section_slice_pos24",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="10157-6" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1542).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "10157-6"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.text:section_slice_pos24",
"path" : "Composition.section.text",
"name" : "section_slice_pos24",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1543).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.entry:section_slice_pos24",
"path" : "Composition.section.entry",
"name" : "section_slice_pos24",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core FamilyMemberHistory Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-familyMemberHistory) (CONF:2219-2441).",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-familyMemberHistory"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos25",
"label" : "History of Past Illness Section",
"short" : "History of Past Illness Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1507) such that it",
"comments" : "History of Past Illness Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.title:section_slice_pos25",
"path" : "Composition.section.title",
"name" : "section_slice_pos25",
"label" : "History of past illness",
"short" : "History of past illness",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1550).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.code:section_slice_pos25",
"path" : "Composition.section.code",
"name" : "section_slice_pos25",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="11348-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1551).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "11348-0"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.text:section_slice_pos25",
"path" : "Composition.section.text",
"name" : "section_slice_pos25",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1552).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.entry:section_slice_pos25",
"path" : "Composition.section.entry",
"name" : "section_slice_pos25",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core Condition Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition) (CONF:2219-2442).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "v2",
"map" : "PPR message"
},
{
"identity" : "rim",
"map" : "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"
},
{
"identity" : "w5",
"map" : "clinical.general"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos26",
"label" : "History of Present Illness Section",
"short" : "History of Present Illness Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1508) such that it",
"comments" : "History of Present Illness Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.title:section_slice_pos26",
"path" : "Composition.section.title",
"name" : "section_slice_pos26",
"label" : "History of present illness",
"short" : "History of present illness",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1553).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.code:section_slice_pos26",
"path" : "Composition.section.code",
"name" : "section_slice_pos26",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="10164-2" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1554).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "10164-2"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.text:section_slice_pos26",
"path" : "Composition.section.text",
"name" : "section_slice_pos26",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1555).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos27",
"label" : "Plan of Treatment Section",
"short" : "Plan of Treatment Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1512) such that it",
"comments" : "Plan of Treatment Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.title:section_slice_pos27",
"path" : "Composition.section.title",
"name" : "section_slice_pos27",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1565).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.code:section_slice_pos27",
"path" : "Composition.section.code",
"name" : "section_slice_pos27",
"label" : "Plan of treatment",
"short" : "Plan of treatment",
"definition" : "SHALL contain exactly one [1..1] code="18776-5" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1566).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "18776-5"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.text:section_slice_pos27",
"path" : "Composition.section.text",
"name" : "section_slice_pos27",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1567).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos28",
"label" : "Procedures Section",
"short" : "Procedures Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1514) such that it",
"comments" : "Procedures Section (entries optional)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.title:section_slice_pos28",
"path" : "Composition.section.title",
"name" : "section_slice_pos28",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1571).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.code:section_slice_pos28",
"path" : "Composition.section.code",
"name" : "section_slice_pos28",
"label" : "History of procedures",
"short" : "History of procedures",
"definition" : "SHALL contain exactly one [1..1] code="47519-4" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1572).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "47519-4"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.text:section_slice_pos28",
"path" : "Composition.section.text",
"name" : "section_slice_pos28",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1573).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.entry:section_slice_pos28",
"path" : "Composition.section.entry",
"name" : "section_slice_pos28",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core Procedure Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-procedure) (CONF:2219-2443).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-procedure"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "rim",
"map" : "Procedure[moodCode=EVN]"
},
{
"identity" : "w5",
"map" : "clinical.general"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos29",
"label" : "Reason for Visit Section",
"short" : "Reason for Visit Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1515) such that it",
"comments" : "Reason for Visit Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.title:section_slice_pos29",
"path" : "Composition.section.title",
"name" : "section_slice_pos29",
"label" : "Reason for visit",
"short" : "Reason for visit",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1574).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.code:section_slice_pos29",
"path" : "Composition.section.code",
"name" : "section_slice_pos29",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="29299-5" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1575).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "29299-5"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.text:section_slice_pos29",
"path" : "Composition.section.text",
"name" : "section_slice_pos29",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1576).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos30",
"label" : "Review of Systems Section",
"short" : "Review of Systems Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1517) such that it",
"comments" : "Review of Systems Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.title:section_slice_pos30",
"path" : "Composition.section.title",
"name" : "section_slice_pos30",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1580).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.code:section_slice_pos30",
"path" : "Composition.section.code",
"name" : "section_slice_pos30",
"label" : "Review of systems",
"short" : "Review of systems",
"definition" : "SHALL contain exactly one [1..1] code="10187-3" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1581).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "10187-3"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.text:section_slice_pos30",
"path" : "Composition.section.text",
"name" : "section_slice_pos30",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1582).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.entry",
"path" : "Composition.section.entry",
"short" : "A reference to data that supports this section",
"definition" : "A reference to the actual resource from which the narrative in the section is derived.",
"comments" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
},
{
"identity" : "cda",
"map" : ".entry"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "Section"
}
},
"path" : "Composition.section",
"name" : "section_slice_pos31",
"label" : "Social History Section",
"short" : "Social History Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1518) such that it",
"comments" : "Social History Section",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
},
"constraint" : [
{
"key" : "cmp-1",
"severity" : "error",
"human" : "A section must at least one of text, entries, or sub-sections",
"expression" : "text.exists() or entry.exists() or section.exists()",
"xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
},
{
"key" : "cmp-2",
"severity" : "error",
"human" : "A section can only have an emptyReason if it is empty",
"expression" : "emptyReason.empty() or entry.empty()",
"xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.structuredBody.component.section"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.id",
"path" : "Composition.section.id",
"representation" : [
"xmlAttr"
},
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.extension",
"path" : "Composition.section.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : [
"extensions",
"user content"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.modifierExtension",
"path" : "Composition.section.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"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.",
"alias" : [
"extensions",
"user content",
"modifiers"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
},
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.title:section_slice_pos31",
"path" : "Composition.section.title",
"name" : "section_slice_pos31",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1583).",
"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.",
"requirements" : "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias" : [
"header",
"label",
"caption"
},
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./title"
},
{
"identity" : "cda",
"map" : ".title"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.code:section_slice_pos31",
"path" : "Composition.section.code",
"name" : "section_slice_pos31",
"label" : "Social history",
"short" : "Social history",
"definition" : "SHALL contain exactly one [1..1] code="29762-2" (CONF:2219-1584).",
"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.",
"requirements" : "Provides computable standardized labels to topics within the document.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"code" : "29762-2"
}
}
},
"binding" : {
"strength" : "example",
"description" : "Classification of a section of a composition/document.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "cda",
"map" : ".code"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.text:section_slice_pos31",
"path" : "Composition.section.text",
"name" : "section_slice_pos31",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1585).",
"comments" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Composition.section.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
},
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : ".text"
},
{
"identity" : "cda",
"map" : ".text"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.mode",
"path" : "Composition.section.mode",
"short" : "working | snapshot | changes",
"definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.mode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
},
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "The processing mode that applies to this section.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-mode"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value"
},
{
"identity" : "cda",
"map" : "n/a"
},
{
"identity" : "w5",
"map" : "class"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.orderedBy",
"path" : "Composition.section.orderedBy",
"short" : "Order of section entries",
"definition" : "Specifies the order applied to the items in the 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.",
"requirements" : "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.orderedBy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "preferred",
"description" : "What order applies to the items in the entry.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-order"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.entry:section_slice_pos31",
"path" : "Composition.section.entry",
"name" : "section_slice_pos31",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core SmokingStatus Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-smokingstatus) (CONF:2219-2445).",
"comments" : "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as lab reports, etc.",
"alias" : [
"Vital Signs",
"Measurement",
"Results",
"Tests",
"Obs"
},
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.entry",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-smokingstatus"
}
},
"condition" : [
"cmp-2"
},
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "v2",
"map" : "OBX"
},
{
"identity" : "rim",
"map" : "Observation[classCode=OBS, moodCode=EVN]"
},
{
"identity" : "w5",
"map" : "clinical.diagnostics"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.emptyReason",
"path" : "Composition.section.emptyReason",
"short" : "Why the section is empty",
"definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"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.",
"requirements" : "Allows capturing things like "none exist" or "not asked" which can be important for most lists.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Composition.section.emptyReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
},
"condition" : [
"cmp-2"
},
"binding" : {
"strength" : "preferred",
"description" : "If a section is empty, why it is empty.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
},
{
"identity" : "cda",
"map" : "n/a"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.section",
"path" : "Composition.section.section",
"short" : "Nested Section",
"definition" : "A nested sub-section within this section.",
"comments" : "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Composition.section.section",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31",
"condition" : [
"cmp-1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]"
},
{
"identity" : "cda",
"map" : ".component.section"
}
}
}
}
},
"differential" : {
"element" : [
{
"id" : "Composition:c-cdaonfhirprocedurenote",
"path" : "Composition"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.type",
"path" : "Composition.type",
"label" : "Procedure Note",
"short" : "Procedure Note",
"definition" : "SHALL contain exactly one [1..1] type, which SHALL be selected from ValueSet ProcedureNoteDocumentTypeCodes urn:oid:2.16.840.1.113883.11.20.6.1 DYNAMIC (CONF:2219-1604).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"binding" : {
"strength" : "required",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.6.1",
"display" : "ProcedureNoteDocumentTypeCodes"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event",
"path" : "Composition.event",
"label" : "serviceEvent",
"short" : "serviceEvent",
"definition" : "SHALL contain at least one [1..*] event (CONF:2219-1605).",
"min" : 1,
"max" : "*"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.period",
"path" : "Composition.event.period",
"short" : "period",
"definition" : "Such events SHALL contain exactly one [1..1] period (CONF:2219-1606).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.period.start",
"path" : "Composition.event.period.start",
"short" : "start",
"definition" : "This period SHALL contain exactly one [1..1] start (CONF:2219-1607).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.event.period.end",
"path" : "Composition.event.period.end",
"short" : "end",
"definition" : "This period SHALL contain exactly one [1..1] end (CONF:2219-1608).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.encounter",
"path" : "Composition.encounter",
"label" : "encompassingEncounter",
"short" : "encompassingEncounter",
"definition" : "SHALL contain exactly one [1..1] U.S. DAF Core Encounter Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-encounter) (CONF:2219-1525).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-encounter"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section",
"path" : "Composition.section",
"slicing" : {
"discriminator" : [
"Composition.section.code"
},
"rules" : "open"
},
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1735) such that it"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4",
"path" : "Composition.section",
"name" : "section_slice_pos4",
"label" : "Allergies and Intolerances Section",
"short" : "Allergies and Intolerances Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1499) such that it",
"comments" : "Allergies and Intolerances Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.title:section_slice_pos4",
"path" : "Composition.section.title",
"name" : "section_slice_pos4",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1526).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.code:section_slice_pos4",
"path" : "Composition.section.code",
"name" : "section_slice_pos4",
"label" : "Allergies and/or adverse reactions",
"short" : "Allergies and/or adverse reactions",
"definition" : "SHALL contain exactly one [1..1] code="48765-2" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1527).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "48765-2"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.text:section_slice_pos4",
"path" : "Composition.section.text",
"name" : "section_slice_pos4",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1528).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos4.entry:section_slice_pos4",
"path" : "Composition.section.entry",
"name" : "section_slice_pos4",
"short" : "entry",
"definition" : "SHOULD contain zero or more [0..*] U.S. DAF Core AllergyIntolerance Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-allergyintolerance) (CONF:2219-2434).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-allergyintolerance"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5",
"path" : "Composition.section",
"name" : "section_slice_pos5",
"label" : "Complications Section",
"short" : "Complications Section",
"definition" : "SHALL contain exactly one [1..1] section (CONF:2219-1671) such that it",
"comments" : "Complications Section",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.title:section_slice_pos5",
"path" : "Composition.section.title",
"name" : "section_slice_pos5",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1672).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.code:section_slice_pos5",
"path" : "Composition.section.code",
"name" : "section_slice_pos5",
"label" : "Complications",
"short" : "Complications",
"definition" : "SHALL contain exactly one [1..1] code="55109-3" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1673).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "55109-3"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.text:section_slice_pos5",
"path" : "Composition.section.text",
"name" : "section_slice_pos5",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1674).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos5.entry:section_slice_pos5",
"path" : "Composition.section.entry",
"name" : "section_slice_pos5",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core Condition Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition) (CONF:2219-2435).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6",
"path" : "Composition.section",
"name" : "section_slice_pos6",
"label" : "Procedure Description Section",
"short" : "Procedure Description Section",
"definition" : "SHALL contain exactly one [1..1] section (CONF:2219-1675) such that it",
"comments" : "Procedure Description Section",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.title:section_slice_pos6",
"path" : "Composition.section.title",
"name" : "section_slice_pos6",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1677).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.code:section_slice_pos6",
"path" : "Composition.section.code",
"name" : "section_slice_pos6",
"label" : "Procedure description",
"short" : "Procedure description",
"definition" : "SHALL contain exactly one [1..1] code="29554-3" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1678).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "29554-3"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos6.text:section_slice_pos6",
"path" : "Composition.section.text",
"name" : "section_slice_pos6",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1679).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7",
"path" : "Composition.section",
"name" : "section_slice_pos7",
"label" : "Procedure Indications Section",
"short" : "Procedure Indications Section",
"definition" : "SHALL contain exactly one [1..1] section (CONF:2219-1676) such that it",
"comments" : "Procedure Indications Section",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.title:section_slice_pos7",
"path" : "Composition.section.title",
"name" : "section_slice_pos7",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1680).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.code:section_slice_pos7",
"path" : "Composition.section.code",
"name" : "section_slice_pos7",
"label" : "Procedure indications",
"short" : "Procedure indications",
"definition" : "SHALL contain exactly one [1..1] code="59768-2" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1681).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59768-2"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos7.text:section_slice_pos7",
"path" : "Composition.section.text",
"name" : "section_slice_pos7",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1682).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8",
"path" : "Composition.section",
"name" : "section_slice_pos8",
"label" : "Postprocedure Diagnosis Section",
"short" : "Postprocedure Diagnosis Section",
"definition" : "SHALL contain exactly one [1..1] section (CONF:2219-1683) such that it",
"comments" : "Postprocedure Diagnosis Section",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.title:section_slice_pos8",
"path" : "Composition.section.title",
"name" : "section_slice_pos8",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1684).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.code:section_slice_pos8",
"path" : "Composition.section.code",
"name" : "section_slice_pos8",
"label" : "Postprocedure diagnosis",
"short" : "Postprocedure diagnosis",
"definition" : "SHALL contain exactly one [1..1] code="59769-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1685).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59769-0"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos8.text:section_slice_pos8",
"path" : "Composition.section.text",
"name" : "section_slice_pos8",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1686).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9",
"path" : "Composition.section",
"name" : "section_slice_pos9",
"label" : "Assessment Section",
"short" : "Assessment Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1687) such that it",
"comments" : "Assessment Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.title:section_slice_pos9",
"path" : "Composition.section.title",
"name" : "section_slice_pos9",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1688).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.code:section_slice_pos9",
"path" : "Composition.section.code",
"name" : "section_slice_pos9",
"label" : "Assessments",
"short" : "Assessments",
"definition" : "SHALL contain exactly one [1..1] code="51848-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1689).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "51848-0"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos9.text:section_slice_pos9",
"path" : "Composition.section.text",
"name" : "section_slice_pos9",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1690).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10",
"path" : "Composition.section",
"name" : "section_slice_pos10",
"label" : "Assessment and Plan Section",
"short" : "Assessment and Plan Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1691) such that it",
"comments" : "Assessment and Plan Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.title:section_slice_pos10",
"path" : "Composition.section.title",
"name" : "section_slice_pos10",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1692).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.code:section_slice_pos10",
"path" : "Composition.section.code",
"name" : "section_slice_pos10",
"label" : "Assessment and plan",
"short" : "Assessment and plan",
"definition" : "SHALL contain exactly one [1..1] code="51847-2" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1693).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "51847-2"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos10.text:section_slice_pos10",
"path" : "Composition.section.text",
"name" : "section_slice_pos10",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1694).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11",
"path" : "Composition.section",
"name" : "section_slice_pos11",
"label" : "Anesthesia Section",
"short" : "Anesthesia Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1695) such that it",
"comments" : "Anesthesia Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.title:section_slice_pos11",
"path" : "Composition.section.title",
"name" : "section_slice_pos11",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1696).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.code:section_slice_pos11",
"path" : "Composition.section.code",
"name" : "section_slice_pos11",
"label" : "Anesthesia",
"short" : "Anesthesia",
"definition" : "SHALL contain exactly one [1..1] code="59774-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1697).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59774-0"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.text:section_slice_pos11",
"path" : "Composition.section.text",
"name" : "section_slice_pos11",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1698).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos11.entry:section_slice_pos11",
"path" : "Composition.section.entry",
"name" : "section_slice_pos11",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core MedicationStatement Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationstatement) or U.S. DAF Core Procedure Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-procedure) (CONF:2219-2437).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationstatement"
},
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-procedure"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12",
"path" : "Composition.section",
"name" : "section_slice_pos12",
"label" : "Medical (General) History Section",
"short" : "Medical (General) History Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1699) such that it",
"comments" : "Medical (General) History Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.title:section_slice_pos12",
"path" : "Composition.section.title",
"name" : "section_slice_pos12",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1700).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.code:section_slice_pos12",
"path" : "Composition.section.code",
"name" : "section_slice_pos12",
"label" : "Medical (general) history",
"short" : "Medical (general) history",
"definition" : "SHALL contain exactly one [1..1] code="11329-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1701).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "11329-0"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos12.text:section_slice_pos12",
"path" : "Composition.section.text",
"name" : "section_slice_pos12",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1702).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13",
"path" : "Composition.section",
"name" : "section_slice_pos13",
"label" : "Medications Section",
"short" : "Medications Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1703) such that it",
"comments" : "Medications Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.title:section_slice_pos13",
"path" : "Composition.section.title",
"name" : "section_slice_pos13",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1704).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.code:section_slice_pos13",
"path" : "Composition.section.code",
"name" : "section_slice_pos13",
"label" : "History of medication use",
"short" : "History of medication use",
"definition" : "SHALL contain exactly one [1..1] code="10160-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1705).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "10160-0"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.text:section_slice_pos13",
"path" : "Composition.section.text",
"name" : "section_slice_pos13",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1706).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos13.entry:section_slice_pos13",
"path" : "Composition.section.entry",
"name" : "section_slice_pos13",
"short" : "entry",
"definition" : "SHOULD contain zero or more [0..*] U.S. DAF Core MedicationStatement Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationstatement) (CONF:2219-2438).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationstatement"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14",
"path" : "Composition.section",
"name" : "section_slice_pos14",
"label" : "Medications Administered Section",
"short" : "Medications Administered Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1707) such that it",
"comments" : "Medications Administered Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.title:section_slice_pos14",
"path" : "Composition.section.title",
"name" : "section_slice_pos14",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1708).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.code:section_slice_pos14",
"path" : "Composition.section.code",
"name" : "section_slice_pos14",
"label" : "Medications administered",
"short" : "Medications administered",
"definition" : "SHALL contain exactly one [1..1] code="29549-3" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1709).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "29549-3"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.text:section_slice_pos14",
"path" : "Composition.section.text",
"name" : "section_slice_pos14",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1710).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos14.entry:section_slice_pos14",
"path" : "Composition.section.entry",
"name" : "section_slice_pos14",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core MedicationAdministration Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationadministration) (CONF:2219-2439).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-medicationadministration"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15",
"path" : "Composition.section",
"name" : "section_slice_pos15",
"label" : "Physical Exam Section",
"short" : "Physical Exam Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1711) such that it",
"comments" : "Physical Exam Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.title:section_slice_pos15",
"path" : "Composition.section.title",
"name" : "section_slice_pos15",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1712).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.code:section_slice_pos15",
"path" : "Composition.section.code",
"name" : "section_slice_pos15",
"label" : "Physical findings",
"short" : "Physical findings",
"definition" : "SHALL contain exactly one [1..1] code="29545-1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1713).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "29545-1"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos15.text:section_slice_pos15",
"path" : "Composition.section.text",
"name" : "section_slice_pos15",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1714).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16",
"path" : "Composition.section",
"name" : "section_slice_pos16",
"label" : "Planned Procedure Section",
"short" : "Planned Procedure Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1715) such that it",
"comments" : "Planned Procedure Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.title:section_slice_pos16",
"path" : "Composition.section.title",
"name" : "section_slice_pos16",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1716).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.code:section_slice_pos16",
"path" : "Composition.section.code",
"name" : "section_slice_pos16",
"label" : "Planned procedure",
"short" : "Planned procedure",
"definition" : "SHALL contain exactly one [1..1] code="59772-4" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1717).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59772-4"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos16.text:section_slice_pos16",
"path" : "Composition.section.text",
"name" : "section_slice_pos16",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1718).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17",
"path" : "Composition.section",
"name" : "section_slice_pos17",
"label" : "Procedure Disposition Section",
"short" : "Procedure Disposition Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1719) such that it",
"comments" : "Procedure Disposition Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.title:section_slice_pos17",
"path" : "Composition.section.title",
"name" : "section_slice_pos17",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1720).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.code:section_slice_pos17",
"path" : "Composition.section.code",
"name" : "section_slice_pos17",
"label" : "Procedure disposition",
"short" : "Procedure disposition",
"definition" : "SHALL contain exactly one [1..1] code="59775-7" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1721).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59775-7"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos17.text:section_slice_pos17",
"path" : "Composition.section.text",
"name" : "section_slice_pos17",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1722).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18",
"path" : "Composition.section",
"name" : "section_slice_pos18",
"label" : "Procedure Estimated Blood Loss Section",
"short" : "Procedure Estimated Blood Loss Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1723) such that it",
"comments" : "Procedure Estimated Blood Loss Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.title:section_slice_pos18",
"path" : "Composition.section.title",
"name" : "section_slice_pos18",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1724).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.code:section_slice_pos18",
"path" : "Composition.section.code",
"name" : "section_slice_pos18",
"label" : "Procedure estimated blood loss",
"short" : "Procedure estimated blood loss",
"definition" : "SHALL contain exactly one [1..1] code="59770-8" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1725).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59770-8"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos18.text:section_slice_pos18",
"path" : "Composition.section.text",
"name" : "section_slice_pos18",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1726).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19",
"path" : "Composition.section",
"name" : "section_slice_pos19",
"label" : "Procedure Findings Section",
"short" : "Procedure Findings Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1727) such that it",
"comments" : "Procedure Findings Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.title:section_slice_pos19",
"path" : "Composition.section.title",
"name" : "section_slice_pos19",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1728).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.code:section_slice_pos19",
"path" : "Composition.section.code",
"name" : "section_slice_pos19",
"label" : "Procedure findings",
"short" : "Procedure findings",
"definition" : "SHALL contain exactly one [1..1] code="59776-5" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1729).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59776-5"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.text:section_slice_pos19",
"path" : "Composition.section.text",
"name" : "section_slice_pos19",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1730).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos19.entry:section_slice_pos19",
"path" : "Composition.section.entry",
"name" : "section_slice_pos19",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core Condition Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition) (CONF:2219-2440).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20",
"path" : "Composition.section",
"name" : "section_slice_pos20",
"label" : "Procedure Implants Section",
"short" : "Procedure Implants Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1731) such that it",
"comments" : "Procedure Implants Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.title:section_slice_pos20",
"path" : "Composition.section.title",
"name" : "section_slice_pos20",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1732).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.code:section_slice_pos20",
"path" : "Composition.section.code",
"name" : "section_slice_pos20",
"label" : "Procedure implants",
"short" : "Procedure implants",
"definition" : "SHALL contain exactly one [1..1] code="59771-6" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1733).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59771-6"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos20.text:section_slice_pos20",
"path" : "Composition.section.text",
"name" : "section_slice_pos20",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1734).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21",
"path" : "Composition.section",
"name" : "section_slice_pos21",
"label" : "Procedure Specimens Taken Section",
"short" : "Procedure Specimens Taken Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1735) such that it",
"comments" : "Procedure Specimens Taken Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.title:section_slice_pos21",
"path" : "Composition.section.title",
"name" : "section_slice_pos21",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1736).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.code:section_slice_pos21",
"path" : "Composition.section.code",
"name" : "section_slice_pos21",
"label" : "Procedure specimens taken",
"short" : "Procedure specimens taken",
"definition" : "SHALL contain exactly one [1..1] code="59773-2" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1737).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "59773-2"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos21.text:section_slice_pos21",
"path" : "Composition.section.text",
"name" : "section_slice_pos21",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1738).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22",
"path" : "Composition.section",
"name" : "section_slice_pos22",
"label" : "Chief Complaint and Reason for Visit Section",
"short" : "Chief Complaint and Reason for Visit Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1502) such that it",
"comments" : "Chief Complaint and Reason for Visit Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.title:section_slice_pos22",
"path" : "Composition.section.title",
"name" : "section_slice_pos22",
"label" : "Chief complaint and reason for visit",
"short" : "Chief complaint and reason for visit",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1535).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.code:section_slice_pos22",
"path" : "Composition.section.code",
"name" : "section_slice_pos22",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="46239-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1536).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "46239-0"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos22.text:section_slice_pos22",
"path" : "Composition.section.text",
"name" : "section_slice_pos22",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1537).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23",
"path" : "Composition.section",
"name" : "section_slice_pos23",
"label" : "Chief Complaint Section",
"short" : "Chief Complaint Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1503) such that it",
"comments" : "Chief Complaint Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.title:section_slice_pos23",
"path" : "Composition.section.title",
"name" : "section_slice_pos23",
"label" : "Chief complaint",
"short" : "Chief complaint",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1538).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.code:section_slice_pos23",
"path" : "Composition.section.code",
"name" : "section_slice_pos23",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="10154-3" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1539).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "10154-3"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos23.text:section_slice_pos23",
"path" : "Composition.section.text",
"name" : "section_slice_pos23",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1540).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24",
"path" : "Composition.section",
"name" : "section_slice_pos24",
"label" : "Family History Section",
"short" : "Family History Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1504) such that it",
"comments" : "Family History Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.title:section_slice_pos24",
"path" : "Composition.section.title",
"name" : "section_slice_pos24",
"label" : "Family history",
"short" : "Family history",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1541).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.code:section_slice_pos24",
"path" : "Composition.section.code",
"name" : "section_slice_pos24",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="10157-6" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1542).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "10157-6"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.text:section_slice_pos24",
"path" : "Composition.section.text",
"name" : "section_slice_pos24",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1543).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos24.entry:section_slice_pos24",
"path" : "Composition.section.entry",
"name" : "section_slice_pos24",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core FamilyMemberHistory Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-familyMemberHistory) (CONF:2219-2441).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-familyMemberHistory"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25",
"path" : "Composition.section",
"name" : "section_slice_pos25",
"label" : "History of Past Illness Section",
"short" : "History of Past Illness Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1507) such that it",
"comments" : "History of Past Illness Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.title:section_slice_pos25",
"path" : "Composition.section.title",
"name" : "section_slice_pos25",
"label" : "History of past illness",
"short" : "History of past illness",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1550).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.code:section_slice_pos25",
"path" : "Composition.section.code",
"name" : "section_slice_pos25",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="11348-0" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1551).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "11348-0"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.text:section_slice_pos25",
"path" : "Composition.section.text",
"name" : "section_slice_pos25",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1552).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos25.entry:section_slice_pos25",
"path" : "Composition.section.entry",
"name" : "section_slice_pos25",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core Condition Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition) (CONF:2219-2442).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-condition"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26",
"path" : "Composition.section",
"name" : "section_slice_pos26",
"label" : "History of Present Illness Section",
"short" : "History of Present Illness Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1508) such that it",
"comments" : "History of Present Illness Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.title:section_slice_pos26",
"path" : "Composition.section.title",
"name" : "section_slice_pos26",
"label" : "History of present illness",
"short" : "History of present illness",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1553).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.code:section_slice_pos26",
"path" : "Composition.section.code",
"name" : "section_slice_pos26",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="10164-2" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1554).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "10164-2"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos26.text:section_slice_pos26",
"path" : "Composition.section.text",
"name" : "section_slice_pos26",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1555).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27",
"path" : "Composition.section",
"name" : "section_slice_pos27",
"label" : "Plan of Treatment Section",
"short" : "Plan of Treatment Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1512) such that it",
"comments" : "Plan of Treatment Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.title:section_slice_pos27",
"path" : "Composition.section.title",
"name" : "section_slice_pos27",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1565).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.code:section_slice_pos27",
"path" : "Composition.section.code",
"name" : "section_slice_pos27",
"label" : "Plan of treatment",
"short" : "Plan of treatment",
"definition" : "SHALL contain exactly one [1..1] code="18776-5" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1566).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "18776-5"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos27.text:section_slice_pos27",
"path" : "Composition.section.text",
"name" : "section_slice_pos27",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1567).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28",
"path" : "Composition.section",
"name" : "section_slice_pos28",
"label" : "Procedures Section",
"short" : "Procedures Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1514) such that it",
"comments" : "Procedures Section (entries optional)",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.title:section_slice_pos28",
"path" : "Composition.section.title",
"name" : "section_slice_pos28",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1571).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.code:section_slice_pos28",
"path" : "Composition.section.code",
"name" : "section_slice_pos28",
"label" : "History of procedures",
"short" : "History of procedures",
"definition" : "SHALL contain exactly one [1..1] code="47519-4" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1572).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "47519-4"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.text:section_slice_pos28",
"path" : "Composition.section.text",
"name" : "section_slice_pos28",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1573).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos28.entry:section_slice_pos28",
"path" : "Composition.section.entry",
"name" : "section_slice_pos28",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core Procedure Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-procedure) (CONF:2219-2443).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-procedure"
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29",
"path" : "Composition.section",
"name" : "section_slice_pos29",
"label" : "Reason for Visit Section",
"short" : "Reason for Visit Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1515) such that it",
"comments" : "Reason for Visit Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.title:section_slice_pos29",
"path" : "Composition.section.title",
"name" : "section_slice_pos29",
"label" : "Reason for visit",
"short" : "Reason for visit",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1574).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.code:section_slice_pos29",
"path" : "Composition.section.code",
"name" : "section_slice_pos29",
"short" : "code",
"definition" : "SHALL contain exactly one [1..1] code="29299-5" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1575).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "29299-5"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos29.text:section_slice_pos29",
"path" : "Composition.section.text",
"name" : "section_slice_pos29",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1576).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30",
"path" : "Composition.section",
"name" : "section_slice_pos30",
"label" : "Review of Systems Section",
"short" : "Review of Systems Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1517) such that it",
"comments" : "Review of Systems Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.title:section_slice_pos30",
"path" : "Composition.section.title",
"name" : "section_slice_pos30",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1580).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.code:section_slice_pos30",
"path" : "Composition.section.code",
"name" : "section_slice_pos30",
"label" : "Review of systems",
"short" : "Review of systems",
"definition" : "SHALL contain exactly one [1..1] code="10187-3" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1581).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.6.1",
"code" : "10187-3"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos30.text:section_slice_pos30",
"path" : "Composition.section.text",
"name" : "section_slice_pos30",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1582).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31",
"path" : "Composition.section",
"name" : "section_slice_pos31",
"label" : "Social History Section",
"short" : "Social History Section",
"definition" : "MAY contain zero or one [0..1] section (CONF:2219-1518) such that it",
"comments" : "Social History Section",
"min" : 0,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.title:section_slice_pos31",
"path" : "Composition.section.title",
"name" : "section_slice_pos31",
"short" : "title",
"definition" : "SHALL contain exactly one [1..1] title (CONF:2219-1583).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.code:section_slice_pos31",
"path" : "Composition.section.code",
"name" : "section_slice_pos31",
"label" : "Social history",
"short" : "Social history",
"definition" : "SHALL contain exactly one [1..1] code="29762-2" (CONF:2219-1584).",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
},
"fixedCodeableConcept" : {
"coding" : [
{
"code" : "29762-2"
}
}
}
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.text:section_slice_pos31",
"path" : "Composition.section.text",
"name" : "section_slice_pos31",
"short" : "text",
"definition" : "SHALL contain exactly one [1..1] text (CONF:2219-1585).",
"min" : 1,
"max" : "1"
},
{
"id" : "Composition:c-cdaonfhirprocedurenote.section:section_slice_pos31.entry:section_slice_pos31",
"path" : "Composition.section.entry",
"name" : "section_slice_pos31",
"short" : "entry",
"definition" : "MAY contain zero or more [0..*] U.S. DAF Core SmokingStatus Profile (identifier: http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-smokingstatus) (CONF:2219-2445).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"profile" : "http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-smokingstatus"
}
}
}
}
}
}
© HL7.org 2011+. CCDA on FHIR STU 1 Ballot (v1.6.0-9635) generated on Thu, Aug 11, 2016 21:16+1000. QA Page
Links: Search |
Version History |
Table of Contents |
|
Propose a change