NDHM (R4), Published and maintained by NRCeS for NHA.
This version is based on the NDHM Health Data Interchange Specifications 1.0 and updated periodically.
StructureDefinition-WellnessRecord
This profile sets minimum expectations for the WellnessRecord to record, search, and fetch the details of daily observations such as vital signs, body measurements, physical activities, etc. collected via various healthcare devices by a patient. It identifies the mandatory core elements, vocabularies, and value sets which SHALL be present in the Composition resource when using this profile.
Examples
Formal Views of Profile Content
Description of Profiles, Differentials, and Snapshots.
The official URL for this profile is:
https://nrces.in/ndhm/fhir/r4/StructureDefinition/WellnessRecord
This profile builds on Composition
Summary
Mandatory: 3 elements (15 nested mandatory elements)
Must-Support: 20 elements
Fixed Value: 9 elements
Structures
This structure refers to these other structures:
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationVitalSigns
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationBodyMeasurement
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationPhysicalActivity
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationGeneralAssessment
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationWomenHealth
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationLifestyle
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
Slices
This structure defines the following Slices:
- The element Composition.section is sliced based on the value of value:title (Open at End)
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
  status | S | 1..1 | code | preliminary | final | amended | entered-in-error |
| type | S | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) |
  text | S | 0..1 | string | Plain text representation of the concept Fixed Value: Wellness Record |
 subject | S | 1..1 | Reference(Patient) | Who and/or what the composition is about |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| encounter | 0..1 | Reference(Encounter) | Context of the Composition | |
| date | S | 1..1 | dateTime | Composition editing time |
| author | S | 1..* | Reference(Device | RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Who and/or what authored the composition |
| title | S | 1..1 | string | Human Readable name/title |
| attester | S | 0..* | BackboneElement | Attests to accuracy of composition |
| party | 0..1 | Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Who attested the composition | |
| custodian | 0..1 | Reference(Organization) | Organization which maintains the composition | |
 section | S | 1..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Open At End by value:title |
   section:VitalSigns | 0..1 | BackboneElement | Composition is broken into sections | |
  title | S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Vital Signs |
 entry | S | 0..* | Reference(ObservationVitalSigns) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:BodyMeasurement | 0..1 | BackboneElement | Composition is broken into sections | |
| title | S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Body Measurement |
| entry | S | 0..* | Reference(ObservationBodyMeasurement) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:PhysicalActivity | 0..1 | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Physical Activity | |
| entry | S | 0..* | Reference(ObservationPhysicalActivity) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:GeneralAssessment | 0..1 | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: General Assessment | |
| entry | S | 0..* | Reference(ObservationGeneralAssessment) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:WomenHealth | 0..1 | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Women Health | |
| entry | S | 0..* | Reference(ObservationWomenHealth) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:Lifestyle | 0..1 | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Lifestyle | |
| entry | S | 0..* | Reference(ObservationLifestyle) | A reference to data that supports this section |
| section:OtherObservations | 0..1 | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Other Observations | |
| entry | S | 0..* | Reference(Observation | Condition) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
 section:DocumentReference | 0..1 | BackboneElement | Composition is broken into sections | |
| title | S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Document Reference |
| entry | S | 0..* | Reference(DocumentReference) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | I | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation |
 id | Σ | 0..1 | string | Logical id of this artifact |
 meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | I | 0..* | Extension | Additional content defined by implementations |
 modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..1 | Identifier | Version-independent identifier for the Composition |
| status | ?!SΣI | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
| type | SΣI | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | Coding | Code defined by a terminology system |
| text | SΣI | 0..1 | string | Plain text representation of the concept Fixed Value: Wellness Record |
| category | ΣI | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example) |
| subject | SΣI | 1..1 | Reference(Patient) | Who and/or what the composition is about |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| encounter | ΣI | 0..1 | Reference(Encounter) | Context of the Composition |
| date | SΣI | 1..1 | dateTime | Composition editing time |
| author | SΣI | 1..* | Reference(Device | RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Who and/or what authored the composition |
| title | SΣI | 1..1 | string | Human Readable name/title |
| confidentiality | ΣI | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required) |
| attester | SI | 0..* | BackboneElement | Attests to accuracy of composition |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | I | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required) |
| time | I | 0..1 | dateTime | When the composition was attested |
| party | I | 0..1 | Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Who attested the composition |
| custodian | ΣI | 0..1 | Reference(Organization) | Organization which maintains the composition |
| relatesTo | I | 0..* | BackboneElement | Relationships to other compositions/documents |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required) |
 target[x] | I | 1..1 | Target of the relationship | |
| targetIdentifier | Identifier | |||
| targetReference | Reference(Composition) | |||
| event | ΣI | 0..* | BackboneElement | The clinical service(s) being documented |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣI | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example) |
| period | ΣI | 0..1 | Period | The period covered by the documentation |
| detail | ΣI | 0..* | Reference(Resource) | The event(s) being documented |
| section | SI | 1..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Open At End by value:title |
| section:All Slices | Content/Rules for all slices | |||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | I | 0..* | Reference(Resource) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:VitalSigns | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | SI | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Vital Signs |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationVitalSigns) | A reference to data that supports this section |
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:BodyMeasurement | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | SI | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Body Measurement |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationBodyMeasurement) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:PhysicalActivity | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Physical Activity |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationPhysicalActivity) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:GeneralAssessment | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: General Assessment |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationGeneralAssessment) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:WomenHealth | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Women Health |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationWomenHealth) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:Lifestyle | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Lifestyle |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationLifestyle) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:OtherObservations | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Other Observations |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(Observation | Condition) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:DocumentReference | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | SI | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Document Reference |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(DocumentReference) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| Documentation for this format | ||||
Summary
Mandatory: 3 elements (15 nested mandatory elements)
Must-Support: 20 elements
Fixed Value: 9 elements
Structures
This structure refers to these other structures:
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationVitalSigns
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationBodyMeasurement
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationPhysicalActivity
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationGeneralAssessment
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationWomenHealth
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/ObservationLifestyle
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation
- https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
Slices
This structure defines the following Slices:
- The element Composition.section is sliced based on the value of value:title (Open at End)
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| status | S | 1..1 | code | preliminary | final | amended | entered-in-error |
| type | S | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) |
| text | S | 0..1 | string | Plain text representation of the concept Fixed Value: Wellness Record |
| subject | S | 1..1 | Reference(Patient) | Who and/or what the composition is about |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| encounter | 0..1 | Reference(Encounter) | Context of the Composition | |
| date | S | 1..1 | dateTime | Composition editing time |
| author | S | 1..* | Reference(Device | RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Who and/or what authored the composition |
| title | S | 1..1 | string | Human Readable name/title |
| attester | S | 0..* | BackboneElement | Attests to accuracy of composition |
| party | 0..1 | Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Who attested the composition | |
| custodian | 0..1 | Reference(Organization) | Organization which maintains the composition | |
| section | S | 1..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Open At End by value:title |
| section:VitalSigns | 0..1 | BackboneElement | Composition is broken into sections | |
| title | S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Vital Signs |
| entry | S | 0..* | Reference(ObservationVitalSigns) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:BodyMeasurement | 0..1 | BackboneElement | Composition is broken into sections | |
| title | S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Body Measurement |
| entry | S | 0..* | Reference(ObservationBodyMeasurement) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:PhysicalActivity | 0..1 | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Physical Activity | |
| entry | S | 0..* | Reference(ObservationPhysicalActivity) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:GeneralAssessment | 0..1 | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: General Assessment | |
| entry | S | 0..* | Reference(ObservationGeneralAssessment) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:WomenHealth | 0..1 | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Women Health | |
| entry | S | 0..* | Reference(ObservationWomenHealth) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:Lifestyle | 0..1 | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Lifestyle | |
| entry | S | 0..* | Reference(ObservationLifestyle) | A reference to data that supports this section |
| section:OtherObservations | 0..1 | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Other Observations | |
| entry | S | 0..* | Reference(Observation | Condition) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:DocumentReference | 0..1 | BackboneElement | Composition is broken into sections | |
| title | S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Document Reference |
| entry | S | 0..* | Reference(DocumentReference) | A reference to data that supports this section |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | I | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..1 | Identifier | Version-independent identifier for the Composition |
| status | ?!SΣI | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
| type | SΣI | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | Coding | Code defined by a terminology system |
| text | SΣI | 0..1 | string | Plain text representation of the concept Fixed Value: Wellness Record |
| category | ΣI | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example) |
| subject | SΣI | 1..1 | Reference(Patient) | Who and/or what the composition is about |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| encounter | ΣI | 0..1 | Reference(Encounter) | Context of the Composition |
| date | SΣI | 1..1 | dateTime | Composition editing time |
| author | SΣI | 1..* | Reference(Device | RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Who and/or what authored the composition |
| title | SΣI | 1..1 | string | Human Readable name/title |
| confidentiality | ΣI | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required) |
| attester | SI | 0..* | BackboneElement | Attests to accuracy of composition |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | I | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required) |
| time | I | 0..1 | dateTime | When the composition was attested |
| party | I | 0..1 | Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Who attested the composition |
| custodian | ΣI | 0..1 | Reference(Organization) | Organization which maintains the composition |
| relatesTo | I | 0..* | BackboneElement | Relationships to other compositions/documents |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required) |
| target[x] | I | 1..1 | Target of the relationship | |
| targetIdentifier | Identifier | |||
| targetReference | Reference(Composition) | |||
| event | ΣI | 0..* | BackboneElement | The clinical service(s) being documented |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣI | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example) |
| period | ΣI | 0..1 | Period | The period covered by the documentation |
| detail | ΣI | 0..* | Reference(Resource) | The event(s) being documented |
| section | SI | 1..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Open At End by value:title |
| section:All Slices | Content/Rules for all slices | |||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | I | 0..* | Reference(Resource) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:VitalSigns | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | SI | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Vital Signs |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationVitalSigns) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:BodyMeasurement | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | SI | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Body Measurement |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationBodyMeasurement) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:PhysicalActivity | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Physical Activity |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationPhysicalActivity) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:GeneralAssessment | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: General Assessment |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationGeneralAssessment) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:WomenHealth | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Women Health |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationWomenHealth) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:Lifestyle | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Lifestyle |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(ObservationLifestyle) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:OtherObservations | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Other Observations |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(Observation | Condition) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| section:DocumentReference | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | SI | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Document Reference |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(DocumentReference) | A reference to data that supports this section |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| reference | ΣI | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| type | ΣI | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) |
| identifier | ΣI | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | ΣI | 0..1 | string | Text alternative for the resource |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | See section | Nested Section |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron
