Da Vinci - Payer Coverage Decision Exchange
0.1.0 - STU Ballot

This page is part of the Da Vinci Payer Coverage Decision Exchange (PCDE) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

StructureDefinition: PCDEComposition

The official URL for this profile is:

http://hl7.org/fhir/us/davinci-pcde/StructureDefinition/profile-composition

Formal Views of Profile Content

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

This structure is derived from Composition

Summary

Mandatory: 0 element (13 nested mandatory elements)
Must-Support: 29 elements
Fixed Value: 1 element
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Composition.section is sliced based on the value of value:code
  • The element Composition.section.section is sliced based on the value of value:code

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition
... status ScodeFixed Value: completed
... type SCodeableConceptBinding: PCDEDocumentCode (required)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDEDocumentCode
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: pcde
... subject S1..1Reference(US Core Patient Profile)
... date S
... author S
... title S
... event S
.... detail SReference(HRex Coverage Profile)
... section S(Slice Definition)Slice: Unordered, Open by value:code
.... ActiveTreatment S0..*
..... code S1..1CodeableConceptBinding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: activeTreatment
..... text S
..... entry 0..0
..... section S(Slice Definition)Slice: Unordered, Open by value:code
...... Treatment S1..1
....... code S1..1CodeableConceptBinding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: treatment
....... text S
....... entry S1..1Reference(PCDECarePlan)
....... section 0..0
...... PriorCoverage S0..1
....... code S1..1CodeableConceptBinding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: priorCoverage
....... text S
....... entry S1..*Reference(PASClaim | PASClaimResponse | DocumentReference)
....... section 0..0
...... SupportingInformation S0..*
....... code S1..1CodeableConceptBinding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: supportingInfo
....... text S1..1
....... entry S1..*
....... section 0..0
.... OtherDocumentation S0..*
..... code S1..1CodeableConceptBinding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: otherDocumentation
..... text S1..1
..... entry S0..*
..... section 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition I0..*A set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!SΣ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
Fixed Value: completed
... type SΣ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: PCDEDocumentCode (required)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDEDocumentCode
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: pcde
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example)
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter Σ0..1Reference(Encounter)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title SΣ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required)
... attester I0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required)
.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo I0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required)
.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(http://hl7.org/fhir/R4/composition.html)
... event SΣI0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example)
.... period Σ0..1PeriodThe period covered by the documentation
.... detail SΣ0..*Reference(HRex Coverage Profile)The event(s) being documented
... section SI(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... (All Slices) Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*Unknown reference to #Composition.section
Nested Section
.... ActiveTreatment SI0..*BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: activeTreatment
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section SI(Slice Definition)Unknown reference to #Composition.section:ActiveTreatment
Nested Section
Slice: Unordered, Open by value:code
...... Treatment SI1..1BackboneElementNested Section
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... title 0..1stringLabel for section (e.g. for ToC)
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... id0..1stringUnique id for inter-element referencing
......... extension0..*ExtensionAdditional content defined by implementations
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... version0..1stringVersion of the system - if relevant
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: treatment
......... display0..1stringRepresentation defined by the system
......... userSelected0..1booleanIf this coding was chosen directly by the user
........ text0..1stringPlain text representation of the concept
....... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
....... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
....... text SI0..1NarrativeText summary of the section, for human interpretation
....... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
....... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
....... entry SI1..1Reference(PCDECarePlan)A reference to data that supports this section
....... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
...... PriorCoverage SI0..1BackboneElementNested Section
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... title 0..1stringLabel for section (e.g. for ToC)
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... id0..1stringUnique id for inter-element referencing
......... extension0..*ExtensionAdditional content defined by implementations
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... version0..1stringVersion of the system - if relevant
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: priorCoverage
......... display0..1stringRepresentation defined by the system
......... userSelected0..1booleanIf this coding was chosen directly by the user
........ text0..1stringPlain text representation of the concept
....... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
....... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
....... text SI0..1NarrativeText summary of the section, for human interpretation
....... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
....... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
....... entry SI1..*Reference(PASClaim | PASClaimResponse | DocumentReference)A reference to data that supports this section
....... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
...... SupportingInformation SI0..*BackboneElementNested Section
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... title 0..1stringLabel for section (e.g. for ToC)
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... id0..1stringUnique id for inter-element referencing
......... extension0..*ExtensionAdditional content defined by implementations
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... version0..1stringVersion of the system - if relevant
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: supportingInfo
......... display0..1stringRepresentation defined by the system
......... userSelected0..1booleanIf this coding was chosen directly by the user
........ text0..1stringPlain text representation of the concept
....... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
....... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
....... text SI1..1NarrativeText summary of the section, for human interpretation
....... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
....... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
....... entry SI1..*Reference(Resource)A reference to data that supports this section
....... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
.... OtherDocumentation SI0..*BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: otherDocumentation
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry SI0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)

doco Documentation for this format

This structure is derived from Composition

Summary

Mandatory: 0 element (13 nested mandatory elements)
Must-Support: 29 elements
Fixed Value: 1 element
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Composition.section is sliced based on the value of value:code
  • The element Composition.section.section is sliced based on the value of value:code

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition
... status ScodeFixed Value: completed
... type SCodeableConceptBinding: PCDEDocumentCode (required)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDEDocumentCode
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: pcde
... subject S1..1Reference(US Core Patient Profile)
... date S
... author S
... title S
... event S
.... detail SReference(HRex Coverage Profile)
... section S(Slice Definition)Slice: Unordered, Open by value:code
.... ActiveTreatment S0..*
..... code S1..1CodeableConceptBinding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: activeTreatment
..... text S
..... entry 0..0
..... section S(Slice Definition)Slice: Unordered, Open by value:code
...... Treatment S1..1
....... code S1..1CodeableConceptBinding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: treatment
....... text S
....... entry S1..1Reference(PCDECarePlan)
....... section 0..0
...... PriorCoverage S0..1
....... code S1..1CodeableConceptBinding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: priorCoverage
....... text S
....... entry S1..*Reference(PASClaim | PASClaimResponse | DocumentReference)
....... section 0..0
...... SupportingInformation S0..*
....... code S1..1CodeableConceptBinding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: supportingInfo
....... text S1..1
....... entry S1..*
....... section 0..0
.... OtherDocumentation S0..*
..... code S1..1CodeableConceptBinding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: otherDocumentation
..... text S1..1
..... entry S0..*
..... section 0..0

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 Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!SΣ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
Fixed Value: completed
... type SΣ1..1CodeableConceptKind of composition (LOINC if possible)
Binding: PCDEDocumentCode (required)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDEDocumentCode
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: pcde
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example)
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the composition is about
... encounter Σ0..1Reference(Encounter)Context of the Composition
... date SΣ1..1dateTimeComposition editing time
... author SΣ1..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the composition
... title SΣ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required)
... attester I0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required)
.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo I0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required)
.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(http://hl7.org/fhir/R4/composition.html)
... event SΣI0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example)
.... period Σ0..1PeriodThe period covered by the documentation
.... detail SΣ0..*Reference(HRex Coverage Profile)The event(s) being documented
... section SI(Slice Definition)Composition is broken into sections
Slice: Unordered, Open by value:code
.... (All Slices) Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example)
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section I0..*Unknown reference to #Composition.section
Nested Section
.... ActiveTreatment SI0..*BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: activeTreatment
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
..... section SI(Slice Definition)Unknown reference to #Composition.section:ActiveTreatment
Nested Section
Slice: Unordered, Open by value:code
...... Treatment SI1..1BackboneElementNested Section
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... title 0..1stringLabel for section (e.g. for ToC)
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... id0..1stringUnique id for inter-element referencing
......... extension0..*ExtensionAdditional content defined by implementations
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... version0..1stringVersion of the system - if relevant
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: treatment
......... display0..1stringRepresentation defined by the system
......... userSelected0..1booleanIf this coding was chosen directly by the user
........ text0..1stringPlain text representation of the concept
....... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
....... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
....... text SI0..1NarrativeText summary of the section, for human interpretation
....... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
....... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
....... entry SI1..1Reference(PCDECarePlan)A reference to data that supports this section
....... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
...... PriorCoverage SI0..1BackboneElementNested Section
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... title 0..1stringLabel for section (e.g. for ToC)
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... id0..1stringUnique id for inter-element referencing
......... extension0..*ExtensionAdditional content defined by implementations
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... version0..1stringVersion of the system - if relevant
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: priorCoverage
......... display0..1stringRepresentation defined by the system
......... userSelected0..1booleanIf this coding was chosen directly by the user
........ text0..1stringPlain text representation of the concept
....... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
....... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
....... text SI0..1NarrativeText summary of the section, for human interpretation
....... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
....... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
....... entry SI1..*Reference(PASClaim | PASClaimResponse | DocumentReference)A reference to data that supports this section
....... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
...... SupportingInformation SI0..*BackboneElementNested Section
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... title 0..1stringLabel for section (e.g. for ToC)
....... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
......... id0..1stringUnique id for inter-element referencing
......... extension0..*ExtensionAdditional content defined by implementations
......... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
......... version0..1stringVersion of the system - if relevant
......... code1..1codeSymbol in syntax defined by the system
Fixed Value: supportingInfo
......... display0..1stringRepresentation defined by the system
......... userSelected0..1booleanIf this coding was chosen directly by the user
........ text0..1stringPlain text representation of the concept
....... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
....... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
....... text SI1..1NarrativeText summary of the section, for human interpretation
....... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
....... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
....... entry SI1..*Reference(Resource)A reference to data that supports this section
....... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)
.... OtherDocumentation SI0..*BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code S1..1CodeableConceptClassification of section (recommended)
Binding: PCDEDocumentSectionCode (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/us/davinci-pcde/CodeSystem/PCDESectionCode
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: otherDocumentation
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text SI1..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required)
..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred)
..... entry SI0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred)

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Constraints

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Composition.statusrequiredFixed Value: completed
Composition.typerequiredPattern: pcde
Composition.categoryexampleDocumentClassValueSet
Composition.confidentialityrequiredv3.ConfidentialityClassification
Composition.attester.moderequiredCompositionAttestationMode
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexamplev3.ActCode
Composition.section.codeexampleDocumentSectionCodes
Composition.section.moderequiredListMode
Composition.section.orderedBypreferredListOrderCodes
Composition.section.emptyReasonpreferredListEmptyReasons
Composition.section:ActiveTreatment.coderequiredPattern: activeTreatment
Composition.section:ActiveTreatment.moderequiredListMode
Composition.section:ActiveTreatment.orderedBypreferredListOrderCodes
Composition.section:ActiveTreatment.emptyReasonpreferredListEmptyReasons
Composition.section:ActiveTreatment.section:Treatment.coderequiredPattern: treatment
Composition.section:ActiveTreatment.section:Treatment.moderequiredListMode
Composition.section:ActiveTreatment.section:Treatment.orderedBypreferredListOrderCodes
Composition.section:ActiveTreatment.section:Treatment.emptyReasonpreferredListEmptyReasons
Composition.section:ActiveTreatment.section:PriorCoverage.coderequiredPattern: priorCoverage
Composition.section:ActiveTreatment.section:PriorCoverage.moderequiredListMode
Composition.section:ActiveTreatment.section:PriorCoverage.orderedBypreferredListOrderCodes
Composition.section:ActiveTreatment.section:PriorCoverage.emptyReasonpreferredListEmptyReasons
Composition.section:ActiveTreatment.section:SupportingInformation.coderequiredPattern: supportingInfo
Composition.section:ActiveTreatment.section:SupportingInformation.moderequiredListMode
Composition.section:ActiveTreatment.section:SupportingInformation.orderedBypreferredListOrderCodes
Composition.section:ActiveTreatment.section:SupportingInformation.emptyReasonpreferredListEmptyReasons
Composition.section:OtherDocumentation.coderequiredPattern: otherDocumentation
Composition.section:OtherDocumentation.moderequiredListMode
Composition.section:OtherDocumentation.orderedBypreferredListOrderCodes
Composition.section:OtherDocumentation.emptyReasonpreferredListEmptyReasons
IdPathDetailsRequirements
dom-2CompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-4CompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3CompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-6CompositionA resource should have narrative for robust management
: text.div.exists()
dom-5CompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
ele-1Composition.attesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.eventAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()