Mongolian HDIT Implementation guide
1.0.0 - Review
Mongolian HDIT Implementation guide
1.0.0 - Review
Mongolian HDIT Implementation guide - Local Development build (v1.0.0). See the Directory of published versions
Documentation of medical treatment of a patient during a period of hospitalization. It is a summary of examination, findings, treatment decisions and plan of treatment and referrals for the patient.
The official URL for this profile is:
http://fhir.mn/StructureDefinition/mng-inpatient-discharge-summary
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Composition
Summary
Mandatory: 5 elements (12 nested mandatory elements)
Must-Support: 18 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
  subject | S | 1..1 | Reference(PatientMn) | Who and/or what the composition is about |
| encounter | S | 1..1 | Reference(InpatientEncounterMn) | Context of the Composition |
 date | S | 1..1 | dateTime | Composition editing time |
| author | S | 1..* | Reference(PractitionerRoleMn) | Who and/or what authored the composition |
  section | S | 1..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Closed by value:title |
   section:Referral-information | 0..* | BackboneElement | Composition is broken into sections | |
  title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Referral information | |
 entry | S | 0..* | Reference(PractitionerRoleMn) | A reference to data that supports this section |
| section:performed-treatment | 1..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Treatment | |
 section | S | 0..* | (Slice Definition) | Nested Section Slice: Unordered, Closed by value:title |
| section:medication-treatment | 0..* | BackboneElement | Nested Section | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication treatment | |
| entry | S | 0..* | Reference(MedicationAdministrationMn) | A reference to data that supports this section |
| section:rehab | 0..* | BackboneElement | Nested Section | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Rehabilitation treatment | |
| entry | S | 0..* | Reference(Rehabilitation treatment) | A reference to data that supports this section |
 section:other-treatment | 0..* | BackboneElement | Nested Section | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Other treatment | |
| entry | S | 0..* | Reference(ProcedureMn) | A reference to data that supports this section |
| section:surgery | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Performed surgeries and interventions | |
| entry | S | 0..* | Reference(Surgical Procedure) | A reference to data that supports this section |
| section:imaging-test-study | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Imaging study test result | |
| entry | S | 0..* | Reference(ImagingReportMn) | A reference to data that supports this section |
| section:laboratory-test-study | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Laboratory test result | |
| entry | S | 0..* | Reference(LabReportMn) | A reference to data that supports this section |
| section:blood-transfusion | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: BloodTransfusion | |
| entry | S | 0..* | Reference(Blood transfusion) | A reference to data that supports this section |
| section:medication-adverse-event | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication adverse reaction | |
| entry | S | 0..* | Reference(AllergyIntoleranceMn) | A reference to data that supports this section |
| section:medication-requests | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Prescription after discharge | |
| entry | S | 0..* | Reference(MedicationRequestMn) | A reference to data that supports this section |
| section:advice | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Advice | |
| entry | S | 0..* | Reference(Communication) | A reference to data that supports this section |
| section:other-documentation | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Attached Special Records / Хавсаргасан тусгай файлууд | |
| entry | S | 0..* | Reference(AttachedSpecialRecord) | A reference to data that supports this section |
| 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 | ?!ΣI | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
| type | ΣI | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred) |
| category | ΣI | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example) |
| subject | SΣI | 1..1 | Reference(PatientMn) | Who and/or what the composition is about |
| encounter | SΣI | 1..1 | Reference(InpatientEncounterMn) | Context of the Composition |
| date | SΣI | 1..1 | dateTime | Composition editing time |
| author | SΣI | 1..* | Reference(PractitionerRoleMn) | Who and/or what authored the composition |
| title | ΣI | 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 | I | 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(Patient | RelatedPerson | 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, Closed 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..* | Unknown reference to #Composition.section Nested Section | |
| section:Referral-information | I | 0..* | 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) Required Pattern: Referral information |
| 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(PractitionerRoleMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:Referral-information Nested Section | |
| section:performed-treatment | I | 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) Required Pattern: Treatment |
| 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 | SI | 0..* | (Slice Definition) | Unknown reference to #Composition.section:performed-treatment Nested Section Slice: Unordered, Closed by value:title |
| section:medication-treatment | I | 0..* | BackboneElement | Nested Section |
| 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) Required Pattern: Medication treatment |
| 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(MedicationAdministrationMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:performed-treatment Nested Section | |
| section:rehab | I | 0..* | BackboneElement | Nested Section |
| 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) Required Pattern: Rehabilitation treatment |
| 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(Rehabilitation treatment) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:performed-treatment Nested Section | |
| section:other-treatment | I | 0..* | BackboneElement | Nested Section |
| 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) Required Pattern: Other treatment |
| 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(ProcedureMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:performed-treatment Nested Section | |
| section:surgery | I | 0..* | 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) Required Pattern: Performed surgeries and interventions |
| 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(Surgical Procedure) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:surgery Nested Section | |
| section:imaging-test-study | I | 0..* | 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) Required Pattern: Imaging study test result |
| 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(ImagingReportMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:imaging-test-study Nested Section | |
| section:laboratory-test-study | I | 0..* | 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) Required Pattern: Laboratory test result |
| 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(LabReportMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:laboratory-test-study Nested Section | |
| section:blood-transfusion | I | 0..* | 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) Required Pattern: BloodTransfusion |
| 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(Blood transfusion) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:blood-transfusion Nested Section | |
| section:medication-adverse-event | I | 0..* | 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) Required Pattern: Medication adverse reaction |
| 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(AllergyIntoleranceMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:medication-adverse-event Nested Section | |
| section:medication-requests | I | 0..* | 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) Required Pattern: Prescription after discharge |
| 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(MedicationRequestMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:medication-requests Nested Section | |
| section:advice | I | 0..* | 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) Required Pattern: Advice |
| 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(Communication) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:advice Nested Section | |
| section:other-documentation | I | 0..* | 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) Required Pattern: Attached Special Records / Хавсаргасан тусгай файлууд |
| 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(AttachedSpecialRecord) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:other-documentation Nested Section | |
| Documentation for this format | ||||
This structure is derived from Composition
Summary
Mandatory: 5 elements (12 nested mandatory elements)
Must-Support: 18 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| subject | S | 1..1 | Reference(PatientMn) | Who and/or what the composition is about |
| encounter | S | 1..1 | Reference(InpatientEncounterMn) | Context of the Composition |
| date | S | 1..1 | dateTime | Composition editing time |
| author | S | 1..* | Reference(PractitionerRoleMn) | Who and/or what authored the composition |
| section | S | 1..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Closed by value:title |
| section:Referral-information | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Referral information | |
| entry | S | 0..* | Reference(PractitionerRoleMn) | A reference to data that supports this section |
| section:performed-treatment | 1..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Treatment | |
| section | S | 0..* | (Slice Definition) | Nested Section Slice: Unordered, Closed by value:title |
| section:medication-treatment | 0..* | BackboneElement | Nested Section | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication treatment | |
| entry | S | 0..* | Reference(MedicationAdministrationMn) | A reference to data that supports this section |
| section:rehab | 0..* | BackboneElement | Nested Section | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Rehabilitation treatment | |
| entry | S | 0..* | Reference(Rehabilitation treatment) | A reference to data that supports this section |
| section:other-treatment | 0..* | BackboneElement | Nested Section | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Other treatment | |
| entry | S | 0..* | Reference(ProcedureMn) | A reference to data that supports this section |
| section:surgery | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Performed surgeries and interventions | |
| entry | S | 0..* | Reference(Surgical Procedure) | A reference to data that supports this section |
| section:imaging-test-study | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Imaging study test result | |
| entry | S | 0..* | Reference(ImagingReportMn) | A reference to data that supports this section |
| section:laboratory-test-study | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Laboratory test result | |
| entry | S | 0..* | Reference(LabReportMn) | A reference to data that supports this section |
| section:blood-transfusion | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: BloodTransfusion | |
| entry | S | 0..* | Reference(Blood transfusion) | A reference to data that supports this section |
| section:medication-adverse-event | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication adverse reaction | |
| entry | S | 0..* | Reference(AllergyIntoleranceMn) | A reference to data that supports this section |
| section:medication-requests | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Prescription after discharge | |
| entry | S | 0..* | Reference(MedicationRequestMn) | A reference to data that supports this section |
| section:advice | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Advice | |
| entry | S | 0..* | Reference(Communication) | A reference to data that supports this section |
| section:other-documentation | 0..* | BackboneElement | Composition is broken into sections | |
| title | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Attached Special Records / Хавсаргасан тусгай файлууд | |
| entry | S | 0..* | Reference(AttachedSpecialRecord) | A reference to data that supports this section |
| 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 | ?!ΣI | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
| type | ΣI | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred) |
| category | ΣI | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example) |
| subject | SΣI | 1..1 | Reference(PatientMn) | Who and/or what the composition is about |
| encounter | SΣI | 1..1 | Reference(InpatientEncounterMn) | Context of the Composition |
| date | SΣI | 1..1 | dateTime | Composition editing time |
| author | SΣI | 1..* | Reference(PractitionerRoleMn) | Who and/or what authored the composition |
| title | ΣI | 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 | I | 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(Patient | RelatedPerson | 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, Closed 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..* | Unknown reference to #Composition.section Nested Section | |
| section:Referral-information | I | 0..* | 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) Required Pattern: Referral information |
| 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(PractitionerRoleMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:Referral-information Nested Section | |
| section:performed-treatment | I | 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) Required Pattern: Treatment |
| 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 | SI | 0..* | (Slice Definition) | Unknown reference to #Composition.section:performed-treatment Nested Section Slice: Unordered, Closed by value:title |
| section:medication-treatment | I | 0..* | BackboneElement | Nested Section |
| 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) Required Pattern: Medication treatment |
| 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(MedicationAdministrationMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:performed-treatment Nested Section | |
| section:rehab | I | 0..* | BackboneElement | Nested Section |
| 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) Required Pattern: Rehabilitation treatment |
| 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(Rehabilitation treatment) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:performed-treatment Nested Section | |
| section:other-treatment | I | 0..* | BackboneElement | Nested Section |
| 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) Required Pattern: Other treatment |
| 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(ProcedureMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:performed-treatment Nested Section | |
| section:surgery | I | 0..* | 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) Required Pattern: Performed surgeries and interventions |
| 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(Surgical Procedure) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:surgery Nested Section | |
| section:imaging-test-study | I | 0..* | 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) Required Pattern: Imaging study test result |
| 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(ImagingReportMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:imaging-test-study Nested Section | |
| section:laboratory-test-study | I | 0..* | 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) Required Pattern: Laboratory test result |
| 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(LabReportMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:laboratory-test-study Nested Section | |
| section:blood-transfusion | I | 0..* | 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) Required Pattern: BloodTransfusion |
| 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(Blood transfusion) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:blood-transfusion Nested Section | |
| section:medication-adverse-event | I | 0..* | 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) Required Pattern: Medication adverse reaction |
| 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(AllergyIntoleranceMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:medication-adverse-event Nested Section | |
| section:medication-requests | I | 0..* | 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) Required Pattern: Prescription after discharge |
| 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(MedicationRequestMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:medication-requests Nested Section | |
| section:advice | I | 0..* | 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) Required Pattern: Advice |
| 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(Communication) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:advice Nested Section | |
| section:other-documentation | I | 0..* | 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) Required Pattern: Attached Special Records / Хавсаргасан тусгай файлууд |
| 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(AttachedSpecialRecord) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section:other-documentation Nested Section | |
| Documentation for this format | ||||
Other representations of profile: Schematron
| Path | Conformance | ValueSet |
| Composition.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Composition.status | required | CompositionStatus |
| Composition.type | preferred | FHIRDocumentTypeCodes |
| Composition.category | example | DocumentClassValueSet |
| Composition.confidentiality | required | v3.ConfidentialityClassification |
| Composition.attester.mode | required | CompositionAttestationMode |
| Composition.relatesTo.code | required | DocumentRelationshipType |
| Composition.event.code | example | v3.ActCode |
| Composition.section.code | example | DocumentSectionCodes |
| Composition.section.mode | required | ListMode |
| Composition.section.orderedBy | preferred | ListOrderCodes |
| Composition.section.emptyReason | preferred | ListEmptyReasons |
| Composition.section:Referral-information.code | example | DocumentSectionCodes |
| Composition.section:Referral-information.mode | required | ListMode |
| Composition.section:Referral-information.orderedBy | preferred | ListOrderCodes |
| Composition.section:Referral-information.emptyReason | preferred | ListEmptyReasons |
| Composition.section:performed-treatment.code | example | DocumentSectionCodes |
| Composition.section:performed-treatment.mode | required | ListMode |
| Composition.section:performed-treatment.orderedBy | preferred | ListOrderCodes |
| Composition.section:performed-treatment.emptyReason | preferred | ListEmptyReasons |
| Composition.section:performed-treatment.section:medication-treatment.code | example | DocumentSectionCodes |
| Composition.section:performed-treatment.section:medication-treatment.mode | required | ListMode |
| Composition.section:performed-treatment.section:medication-treatment.orderedBy | preferred | ListOrderCodes |
| Composition.section:performed-treatment.section:medication-treatment.emptyReason | preferred | ListEmptyReasons |
| Composition.section:performed-treatment.section:rehab.code | example | DocumentSectionCodes |
| Composition.section:performed-treatment.section:rehab.mode | required | ListMode |
| Composition.section:performed-treatment.section:rehab.orderedBy | preferred | ListOrderCodes |
| Composition.section:performed-treatment.section:rehab.emptyReason | preferred | ListEmptyReasons |
| Composition.section:performed-treatment.section:other-treatment.code | example | DocumentSectionCodes |
| Composition.section:performed-treatment.section:other-treatment.mode | required | ListMode |
| Composition.section:performed-treatment.section:other-treatment.orderedBy | preferred | ListOrderCodes |
| Composition.section:performed-treatment.section:other-treatment.emptyReason | preferred | ListEmptyReasons |
| Composition.section:surgery.code | example | DocumentSectionCodes |
| Composition.section:surgery.mode | required | ListMode |
| Composition.section:surgery.orderedBy | preferred | ListOrderCodes |
| Composition.section:surgery.emptyReason | preferred | ListEmptyReasons |
| Composition.section:imaging-test-study.code | example | DocumentSectionCodes |
| Composition.section:imaging-test-study.mode | required | ListMode |
| Composition.section:imaging-test-study.orderedBy | preferred | ListOrderCodes |
| Composition.section:imaging-test-study.emptyReason | preferred | ListEmptyReasons |
| Composition.section:laboratory-test-study.code | example | DocumentSectionCodes |
| Composition.section:laboratory-test-study.mode | required | ListMode |
| Composition.section:laboratory-test-study.orderedBy | preferred | ListOrderCodes |
| Composition.section:laboratory-test-study.emptyReason | preferred | ListEmptyReasons |
| Composition.section:blood-transfusion.code | example | DocumentSectionCodes |
| Composition.section:blood-transfusion.mode | required | ListMode |
| Composition.section:blood-transfusion.orderedBy | preferred | ListOrderCodes |
| Composition.section:blood-transfusion.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medication-adverse-event.code | example | DocumentSectionCodes |
| Composition.section:medication-adverse-event.mode | required | ListMode |
| Composition.section:medication-adverse-event.orderedBy | preferred | ListOrderCodes |
| Composition.section:medication-adverse-event.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medication-requests.code | example | DocumentSectionCodes |
| Composition.section:medication-requests.mode | required | ListMode |
| Composition.section:medication-requests.orderedBy | preferred | ListOrderCodes |
| Composition.section:medication-requests.emptyReason | preferred | ListEmptyReasons |
| Composition.section:advice.code | example | DocumentSectionCodes |
| Composition.section:advice.mode | required | ListMode |
| Composition.section:advice.orderedBy | preferred | ListOrderCodes |
| Composition.section:advice.emptyReason | preferred | ListEmptyReasons |
| Composition.section:other-documentation.code | example | DocumentSectionCodes |
| Composition.section:other-documentation.mode | required | ListMode |
| Composition.section:other-documentation.orderedBy | preferred | ListOrderCodes |
| Composition.section:other-documentation.emptyReason | preferred | ListEmptyReasons |
| Id | Path | Details | Requirements |