Current Build

This page is part of the C-CDA on FHIR Implementation Guide (v1.8.0: STU 1 Ballot 2) based on FHIR v1.8.0. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

D.4.1 StructureDefinition: CCDA-on-FHIR-Continuity-of-Care-Document

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is: 

http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Continuity-of-Care-Document

This profile was originally based on the Continuity of Care Document (CCD) Release 1.1 which itself was derived from HITSP C32 and CCD Release 1.0.

The Continuity of Care Document (CCD) profile represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to another to support the continuity of care.

The primary use case for the CCD is to provide a snapshot in time containing the germane clinical, demographic, and administrative data for a specific patient. The key characteristic of a CCD is that the Composition.event.code is constrained to "PCPR". This means it does not function to report new services associated with performing care. It reports on care that has already been provided. The CCD provides a historical tally of the care over a range of time and is not a record of new services delivered.

More specific use cases, such as a Discharge Summary, Transfer Summary, Referral Note, Consultation Note, or Progress Note, are available as alternative profiles.

This profile builds on C-CDA on FHIR US Realm Header.

This profile was published on Thu Dec 08 06:39:19 AEDT 2016 as a draft by Lantana Consulting Group.

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

Example for: C-CDA on FHIR Continuity of Care Document.

This structure is derived from C-CDA on FHIR US Realm Header

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*
... type 1..1CodeableConceptSummary of episode note
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"34133-9"}]}
... event 1..1BackboneElementserviceEvent
.... code 0..*CodeableConceptcode
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.5.6","code":"PCPR","display":"Care Provision"}]}
.... period 1..1Periodperiod
..... start 1..1dateTimestart
..... end 1..1dateTimeend
... section BackboneElementSlice: Unordered, Open, by Composition.section.code
... section 1..1BackboneElementAllergies and Intolerances Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptAllergies and adverse reactions
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48765-2"}]}
.... text 1..1Narrativetext
.... entry Reference(Resource)Slice: Unordered, Open, by Composition.status, Composition.code
.... entry 0..*Reference(US Core Allergies Profile)entry
... section 1..1BackboneElementMedications Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of medication use
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10160-0"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Medication Statement Profile)entry
... section 1..1BackboneElementProblem Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptProblem list
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11450-4"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Condition Profile)entry
... section 0..1BackboneElementProcedures Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of procedures
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47519-4"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Procedure Profile)entry
... section 1..1BackboneElementResults Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptRelevant diagnostic tests and laboratory data
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"30954-2"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Result Observation)entry
... section 0..1BackboneElementAdvance Directives Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptAdvance directives
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"42348-3"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementEncounters Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptEncounters
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46240-8"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementFamily History Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of family member diseases
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10157-6"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementFunctional Status Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptFunctional status assessment
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47420-5"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementImmunizations Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of immunization
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11369-6"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Immunization Profile)entry
... section 0..1BackboneElementNutrition Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptDiet and nutrition
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"61144-2"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementMental Status Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptMental status
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10190-7"}]}
.... text 1..1Narrativetext
... section 1..1BackboneElementVital Signs Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptVital signs
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"8716-3"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Vital Signs Profile)entry
... section 1..1BackboneElementSocial History Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptSocial history
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"29762-2"}]}
.... text 1..1Narrativetext
.... entry 0..1Reference(US Core Smoking Status Observation Profile)entry
... section 0..1BackboneElementPlan of Treatment Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptPlan of treatment
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"18776-5"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementPayers Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptPayers
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48768-6"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementMedical Equipment Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptMedical equipment
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46264-8"}]}
.... text 1..1Narrativetext

doco Documentation for this format

This structure is derived from C-CDA on FHIR US Realm Header

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition I0..*A set of resources composed into a single coherent clinical statement with clinical attestation
... id ∑0..1idLogical id of this artifact
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?!∑0..1uriA set of rules under which this content was created
... language 1..1codelanguage
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension ExtensionExtension
Slice: Unordered, Open, by Composition.url
... CCDA-on-FHIR-Data-Enterer 0..1Reference(US Core Practitioner)dataEnterer
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Data-Enterer
... CCDA-on-FHIR-Informant 0..*Reference(US Core Practitioner)informant
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Informant
... CCDA-on-FHIR-Information-Recipient 0..*Reference(US Core Practitioner)informationRecipient
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Information-Recipient
... CCDA-on-FHIR-Participant 0..*Reference(RelatedPerson)participant
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Participant
... CCDA-on-FHIR-Performer 0..*Reference(US Core Practitioner)performer
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Performer
... CCDA-on-FHIR-Authorization 0..*Reference(C-CDA on FHIR Consent)authorization
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Authorization
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑1..1Identifieridentifier
... date ∑1..1dateTimedate
... type ∑1..1CodeableConceptSummary of episode note
Binding: FHIR Document Type Codes (preferred)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"34133-9"}]}
... class ∑0..1CodeableConceptCategorization of Composition
Binding: FHIR Document Class Codes (example)
... title ∑1..1stringDocument Title
... status ?!∑1..1codestatus
Binding: CompositionStatus (required)
... confidentiality ?!∑1..1codeconfidentiality
Binding: ConfidentialityClassification (required)
... subject ∑1..1Reference(US Core Patient Profile)recordTarget
... author ∑1..*Reference(US Core Practitioner), Reference(Device)author
... attester ∑IBackboneElementAttests to accuracy of composition
Slice: Unordered, Open, by Composition.attester.mode
... attester ∑I0..1BackboneElementattester
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... mode ∑1..1codemode
Binding: CompositionAttestationMode (required)
Required Pattern: legal
.... time ∑0..1dateTimeWhen composition attested
.... party ∑0..1Reference(US Core Practitioner)party
... attester ∑I0..*BackboneElementattester
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... mode ∑1..*codemode
Binding: CompositionAttestationMode (required)
.... time ∑0..1dateTimeWhen composition attested
.... party ∑0..1Reference(US Core Practitioner)party
... custodian ∑1..1Reference(US Core Organization Profile)custodian
... event ∑I1..1BackboneElementserviceEvent
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... code ∑0..*CodeableConceptcode
Binding: v3 Code System ActCode (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.5.6","code":"PCPR","display":"Care Provision"}]}
.... period ∑1..1Periodperiod
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... start ∑I1..1dateTimestart
..... end ∑I1..1dateTimeend
.... detail ∑0..*Reference(Resource)The event(s) being documented
... encounter ∑0..1Reference(Encounter)Context of the Composition
... section IBackboneElementComposition is broken into sections
Slice: Unordered, Open, by Composition.section.code
... section I1..1BackboneElementAllergies and Intolerances Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptAllergies and adverse reactions
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48765-2"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry IReference(Resource)A reference to data that supports this section
Slice: Unordered, Open, by Composition.status, Composition.code
.... entry I0..*Reference(US Core Allergies Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos3
Nested Section
... section I1..1BackboneElementMedications Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of medication use
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10160-0"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Medication Statement Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos4
Nested Section
... section I1..1BackboneElementProblem Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptProblem list
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11450-4"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Condition Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos5
Nested Section
... section I0..1BackboneElementProcedures Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of procedures
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47519-4"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Procedure Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos6
Nested Section
... section I1..1BackboneElementResults Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptRelevant diagnostic tests and laboratory data
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"30954-2"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Result Observation)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos7
Nested Section
... section I0..1BackboneElementAdvance Directives Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptAdvance directives
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"42348-3"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos8
Nested Section
... section I0..1BackboneElementEncounters Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptEncounters
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46240-8"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos9
Nested Section
... section I0..1BackboneElementFamily History Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of family member diseases
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10157-6"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos10
Nested Section
... section I0..1BackboneElementFunctional Status Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptFunctional status assessment
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47420-5"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos11
Nested Section
... section I0..1BackboneElementImmunizations Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of immunization
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11369-6"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Immunization Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos12
Nested Section
... section I0..1BackboneElementNutrition Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptDiet and nutrition
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"61144-2"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos13
Nested Section
... section I0..1BackboneElementMental Status Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptMental status
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10190-7"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos14
Nested Section
... section I1..1BackboneElementVital Signs Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptVital signs
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"8716-3"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Vital Signs Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos15
Nested Section
... section I1..1BackboneElementSocial History Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptSocial history
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"29762-2"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..1Reference(US Core Smoking Status Observation Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos16
Nested Section
... section I0..1BackboneElementPlan of Treatment Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptPlan of treatment
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"18776-5"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos17
Nested Section
... section I0..1BackboneElementPayers Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptPayers
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48768-6"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos18
Nested Section
... section I0..1BackboneElementMedical Equipment Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptMedical equipment
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46264-8"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos19
Nested Section

doco Documentation for this format

Differential View

This structure is derived from C-CDA on FHIR US Realm Header

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*
... type 1..1CodeableConceptSummary of episode note
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"34133-9"}]}
... event 1..1BackboneElementserviceEvent
.... code 0..*CodeableConceptcode
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.5.6","code":"PCPR","display":"Care Provision"}]}
.... period 1..1Periodperiod
..... start 1..1dateTimestart
..... end 1..1dateTimeend
... section BackboneElementSlice: Unordered, Open, by Composition.section.code
... section 1..1BackboneElementAllergies and Intolerances Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptAllergies and adverse reactions
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48765-2"}]}
.... text 1..1Narrativetext
.... entry Reference(Resource)Slice: Unordered, Open, by Composition.status, Composition.code
.... entry 0..*Reference(US Core Allergies Profile)entry
... section 1..1BackboneElementMedications Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of medication use
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10160-0"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Medication Statement Profile)entry
... section 1..1BackboneElementProblem Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptProblem list
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11450-4"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Condition Profile)entry
... section 0..1BackboneElementProcedures Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of procedures
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47519-4"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Procedure Profile)entry
... section 1..1BackboneElementResults Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptRelevant diagnostic tests and laboratory data
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"30954-2"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Result Observation)entry
... section 0..1BackboneElementAdvance Directives Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptAdvance directives
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"42348-3"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementEncounters Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptEncounters
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46240-8"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementFamily History Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of family member diseases
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10157-6"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementFunctional Status Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptFunctional status assessment
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47420-5"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementImmunizations Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of immunization
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11369-6"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Immunization Profile)entry
... section 0..1BackboneElementNutrition Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptDiet and nutrition
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"61144-2"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementMental Status Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptMental status
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10190-7"}]}
.... text 1..1Narrativetext
... section 1..1BackboneElementVital Signs Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptVital signs
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"8716-3"}]}
.... text 1..1Narrativetext
.... entry 0..*Reference(US Core Vital Signs Profile)entry
... section 1..1BackboneElementSocial History Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptSocial history
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"29762-2"}]}
.... text 1..1Narrativetext
.... entry 0..1Reference(US Core Smoking Status Observation Profile)entry
... section 0..1BackboneElementPlan of Treatment Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptPlan of treatment
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"18776-5"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementPayers Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptPayers
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48768-6"}]}
.... text 1..1Narrativetext
... section 0..1BackboneElementMedical Equipment Section
.... title 1..1stringtitle
.... code 1..1CodeableConceptMedical equipment
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46264-8"}]}
.... text 1..1Narrativetext

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition I0..*A set of resources composed into a single coherent clinical statement with clinical attestation
... id ∑0..1idLogical id of this artifact
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?!∑0..1uriA set of rules under which this content was created
... language 1..1codelanguage
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension ExtensionExtension
Slice: Unordered, Open, by Composition.url
... CCDA-on-FHIR-Data-Enterer 0..1Reference(US Core Practitioner)dataEnterer
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Data-Enterer
... CCDA-on-FHIR-Informant 0..*Reference(US Core Practitioner)informant
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Informant
... CCDA-on-FHIR-Information-Recipient 0..*Reference(US Core Practitioner)informationRecipient
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Information-Recipient
... CCDA-on-FHIR-Participant 0..*Reference(RelatedPerson)participant
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Participant
... CCDA-on-FHIR-Performer 0..*Reference(US Core Practitioner)performer
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Performer
... CCDA-on-FHIR-Authorization 0..*Reference(C-CDA on FHIR Consent)authorization
URL: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Authorization
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑1..1Identifieridentifier
... date ∑1..1dateTimedate
... type ∑1..1CodeableConceptSummary of episode note
Binding: FHIR Document Type Codes (preferred)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"34133-9"}]}
... class ∑0..1CodeableConceptCategorization of Composition
Binding: FHIR Document Class Codes (example)
... title ∑1..1stringDocument Title
... status ?!∑1..1codestatus
Binding: CompositionStatus (required)
... confidentiality ?!∑1..1codeconfidentiality
Binding: ConfidentialityClassification (required)
... subject ∑1..1Reference(US Core Patient Profile)recordTarget
... author ∑1..*Reference(US Core Practitioner), Reference(Device)author
... attester ∑IBackboneElementAttests to accuracy of composition
Slice: Unordered, Open, by Composition.attester.mode
... attester ∑I0..1BackboneElementattester
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... mode ∑1..1codemode
Binding: CompositionAttestationMode (required)
Required Pattern: legal
.... time ∑0..1dateTimeWhen composition attested
.... party ∑0..1Reference(US Core Practitioner)party
... attester ∑I0..*BackboneElementattester
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... mode ∑1..*codemode
Binding: CompositionAttestationMode (required)
.... time ∑0..1dateTimeWhen composition attested
.... party ∑0..1Reference(US Core Practitioner)party
... custodian ∑1..1Reference(US Core Organization Profile)custodian
... event ∑I1..1BackboneElementserviceEvent
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... code ∑0..*CodeableConceptcode
Binding: v3 Code System ActCode (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.5.6","code":"PCPR","display":"Care Provision"}]}
.... period ∑1..1Periodperiod
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... start ∑I1..1dateTimestart
..... end ∑I1..1dateTimeend
.... detail ∑0..*Reference(Resource)The event(s) being documented
... encounter ∑0..1Reference(Encounter)Context of the Composition
... section IBackboneElementComposition is broken into sections
Slice: Unordered, Open, by Composition.section.code
... section I1..1BackboneElementAllergies and Intolerances Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptAllergies and adverse reactions
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48765-2"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry IReference(Resource)A reference to data that supports this section
Slice: Unordered, Open, by Composition.status, Composition.code
.... entry I0..*Reference(US Core Allergies Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos3
Nested Section
... section I1..1BackboneElementMedications Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of medication use
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10160-0"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Medication Statement Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos4
Nested Section
... section I1..1BackboneElementProblem Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptProblem list
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11450-4"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Condition Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos5
Nested Section
... section I0..1BackboneElementProcedures Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of procedures
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47519-4"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Procedure Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos6
Nested Section
... section I1..1BackboneElementResults Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptRelevant diagnostic tests and laboratory data
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"30954-2"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Result Observation)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos7
Nested Section
... section I0..1BackboneElementAdvance Directives Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptAdvance directives
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"42348-3"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos8
Nested Section
... section I0..1BackboneElementEncounters Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptEncounters
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46240-8"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos9
Nested Section
... section I0..1BackboneElementFamily History Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of family member diseases
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10157-6"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos10
Nested Section
... section I0..1BackboneElementFunctional Status Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptFunctional status assessment
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"47420-5"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos11
Nested Section
... section I0..1BackboneElementImmunizations Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptHistory of immunization
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"11369-6"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Immunization Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos12
Nested Section
... section I0..1BackboneElementNutrition Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptDiet and nutrition
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"61144-2"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos13
Nested Section
... section I0..1BackboneElementMental Status Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptMental status
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"10190-7"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos14
Nested Section
... section I1..1BackboneElementVital Signs Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptVital signs
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"8716-3"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(US Core Vital Signs Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos15
Nested Section
... section I1..1BackboneElementSocial History Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptSocial history
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"29762-2"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..1Reference(US Core Smoking Status Observation Profile)entry
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos16
Nested Section
... section I0..1BackboneElementPlan of Treatment Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptPlan of treatment
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"18776-5"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos17
Nested Section
... section I0..1BackboneElementPayers Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptPayers
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"48768-6"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos18
Nested Section
... section I0..1BackboneElementMedical Equipment Section
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... title 1..1stringtitle
.... code 1..1CodeableConceptMedical equipment
Binding: Document Section Codes (example)
Required Pattern: {"coding":[{"system":"urn:oid:2.16.840.1.113883.6.1","code":"46264-8"}]}
.... text I1..1Narrativetext
.... mode ?!∑0..1codeworking | snapshot | changes
Binding: ListMode (required)
.... orderedBy 0..1CodeableConceptOrder of section entries
Binding: List Order Codes (preferred)
.... entry I0..*Reference(Resource)A reference to data that supports this section
.... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: List Empty Reasons (preferred)
.... section I0..*Unknown reference to #Composition:c-cdaonfhircontinuityofcaredocument.section:section_slice_pos19
Nested Section

doco Documentation for this format

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D.4.1.2 Terminology Bindings

Terminology Bindings

PathNameConformanceValueSet
Composition.languageCommon LanguagesextensibleCommon Languages
Composition.typeFHIR Document Type CodespreferredFHIR Document Type Codes
Composition.classFHIR Document Class CodesexampleFHIR Document Class Codes
Composition.statusCompositionStatusrequiredCompositionStatus
Composition.confidentialityConfidentialityClassificationrequiredConfidentialityClassification
Composition.attester.modeCompositionAttestationModerequiredCompositionAttestationMode
Composition.attester.modeCompositionAttestationModerequiredCompositionAttestationMode
Composition.event.codev3 Code System ActCodeexamplev3 Code System ActCode
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons
Composition.section.codeDocument Section CodesexampleDocument Section Codes
Composition.section.modeListModerequiredListMode
Composition.section.orderedByList Order CodespreferredList Order Codes
Composition.section.emptyReasonList Empty ReasonspreferredList Empty Reasons

D.4.1.3 Constraints

Constraints

IdPathDetailsRequirements
dom-2CompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
XPath: not(parent::f:contained and f:contained)
dom-1CompositionIf the resource is contained in another resource, it SHALL NOT contain any narrative
XPath: not(parent::f:contained and f:text)
dom-4CompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
XPath: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
dom-3CompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
XPath: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
ele-1Composition.attesterAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
ele-1Composition.attesterAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
ele-1Composition.attesterAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
ele-1Composition.eventAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
ele-1Composition.sectionAll FHIR elements must have a @value or children
XPath: @value|f:*|h:div
cmp-1Composition.sectionA section must at least one of text, entries, or sub-sections
XPath: exists(f:text) or exists(f:entry) or exists(f:section)
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
XPath: not(exists(f:emptyReason) and exists(f:entry))
.