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
A composition representing a comprehensive overview of the patient’s condition. This summary includes alerts and adverse events, current medical problems, history of medical problems, medication summary as well as other findings and observations.
The official URL for this profile is:
http://fhir.mn/StructureDefinition/mng-patient-summary
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Composition
Summary
Mandatory: 25 elements
Must-Support: 59 elements
Prohibited: 21 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 | |
  type | S | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Required Pattern: At least the following |
   coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
  system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
 subject | S | 0..1 | Reference(PatientMn | Group) | Who and/or what the composition is about |
| author | S | 1..* | Reference(PractitionerRoleMn) | Who and/or what authored the composition |
| confidentiality | S | 0..0 | ||
 section | S | 9..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Closed by |
  section:alerts | 1..1 | BackboneElement | Composition is broken into sections | |
  title | S | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Alerts / Анхааруулга |
 code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74018-3 | |
| author | S | 0..0 | ||
| focus | S | 0..0 | ||
| mode | S | 0..0 | ||
| orderedBy | S | 0..0 | ||
| entry | S | 0..0 | ||
| emptyReason | S | 0..0 | ||
 section | S | 1..1 | (Slice Definition) | Nested Section Slice: Unordered, Closed by value:code |
 section:allergies | 1..1 | BackboneElement | Nested Section | |
| title | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Allergies and intolerances / Харшил, үл нийцлүүд | |
| code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| author | S | 0..0 | ||
| focus | S | 0..0 | ||
| mode | S | 0..1 | code | working | snapshot | changes Required Pattern: snapshot |
| orderedBy | S | 0..0 | ||
| entry | S | 0..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
 entry:allergyIntolerance | 0..* | Reference(AllergyIntoleranceMn) {b} | A reference to data that supports this section | |
 section | S | 0..0 | ||
| section:medical-history | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Past medical history / Өмнөх өвчлөлийн түүх |
| code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| author | S | 0..0 | ||
| focus | S | 0..0 | ||
| mode | S | 0..0 | ||
| orderedBy | S | 0..0 | ||
| entry | S | 0..0 | ||
| emptyReason | S | 0..0 | ||
| section | S | 3..3 | (Slice Definition) | Nested Section Slice: Unordered, Closed by value:code |
| section:immunization | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Immunization / Дархлаажуулалт |
| code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
| author | S | 0..0 | ||
| focus | S | 0..0 | ||
| mode | S | 0..1 | code | working | snapshot | changes Required Pattern: snapshot |
| orderedBy | S | 0..0 | ||
| entry | S | 0..* | Reference(ImmunizationMn) | A reference to data that supports this section |
| section | S | 0..0 | ||
| section:past-medical-problems | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Past medical history / Өмнөх өвчлөлийн түүх |
| code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| entry | 0..* | Reference(ConditionMn) | A reference to data that supports this section | |
| section:surgical-procedures | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Surgical procedures prior 6 months / Сүүлийн 6 сараас өмнө хийгдсэн мэс заслын жагсаалт |
| entry | 0..* | Reference(Surgical Procedure) | A reference to data that supports this section | |
| section:medical-problems | 1..1 | BackboneElement | Composition is broken into sections | |
| section | S | 5..5 | (Slice Definition) | Nested Section Slice: Unordered, Closed by value:code |
| section:current-conditions | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Current diagnosis list / Одоогийн оношийн жагсаалтууд |
| entry | 0..* | Reference(ConditionMn) | A reference to data that supports this section | |
| section:medical-devices | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Medical devices and implants / Эмнэлгийн хэрэгсэл, суулгацууд |
| entry | 0..* | Reference(DeviceUseStatementMn) | A reference to data that supports this section | |
| section:surgical-procedures | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Major surgical procedures in the last 6 months / Сүүлийн 6 сар дотор хийгдсэн томоохон мэс засал |
| entry | 0..* | Reference(Surgical Procedure) | A reference to data that supports this section | |
| section:treatment-recommendations | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Treatment recommendations / Эмчилгээний зөвлөмж |
| entry | 0..* | Reference(Treatment advice) | A reference to data that supports this section | |
| section:invalidity | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Autonomy - Invalidity / Бие даасан байдал - Чадвар алдалт |
| entry | 0..* | Reference(ConditionMn) | A reference to data that supports this section | |
| section:medication-summary | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication summary / Эмийн мэдээлэл |
| entry | 0..* | Reference(MedicationStatementMn) | A reference to data that supports this section | |
| section:social-history | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Social history / Үйлчлүүлэгчийн хорт зуршил хэрэглэдэг эсэх талаарх мэдээлэл |
| entry | 0..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
 entry:smoking | S | 0..1 | Reference(SmokingMn) | A reference to data that supports this section |
| entry:alcohol-use | S | 0..1 | Reference(AlcoholHistoryMn) | A reference to data that supports this section |
| entry:drug-use | S | 0..1 | Reference(DrugUseHistoryMn) | A reference to data that supports this section |
| section:pregnancy-history | 1..1 | BackboneElement | Composition is broken into sections | |
| title | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Pregnancy history / Жирэмслэл-тийн түүх | |
| entry | 0..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:last-menstrual-period | S | 0..1 | Reference(LastMenstrualPeriod) | A reference to data that supports this section |
| entry:pregnancy-status | S | 0..1 | Reference(PregnancyStatus) | A reference to data that supports this section |
| entry:pregnancy-week | S | 0..1 | Reference(PregnancyWeek) | A reference to data that supports this section |
| entry:menopause | S | 0..1 | Reference(MenopauseStatus) | A reference to data that supports this section |
| section:vital-signs | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Vital signs / Амин үзүүлэлт |
| entry | 0..* | Reference(VitalSignsMn) | A reference to data that supports this section | |
| section:diagnostic-tests | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Treatment plan / Үйлчлүүлэгчийн эмчилгээ, оношилгооны төлөвлөгөө |
| entry | 0..* | Reference(LabReferralMn | ImagingReferralMn | ElectronicReferralMn) | A reference to data that supports this section | |
| section:measurements | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Anthropometric measurements / Антропометрийн хэмжилт |
| entry | 0..* | Reference(MeasurementMn) | 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 | SΣI | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| category | ΣI | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example) |
| subject | SΣI | 0..1 | Reference(PatientMn | Group) | Who and/or what the composition is about |
| encounter | ΣI | 0..1 | Reference(Encounter) | Context of the Composition |
| date | ΣI | 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 |
| 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 | 9..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Closed by |
| 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:alerts | I | 1..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) Required Pattern: Alerts / Анхааруулга |
| code | SI | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74018-3 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| section | SI | 1..1 | (Slice Definition) | Unknown reference to #Composition.section:alerts Nested Section Slice: Unordered, Closed by value:code |
| section:allergies | I | 1..1 | 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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Allergies and intolerances / Харшил, үл нийцлүүд |
| code | SI | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | SI | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Required Pattern: snapshot |
| entry | SI | 0..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:allergyIntolerance | I | 0..* | Reference(AllergyIntoleranceMn) {b} | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section:medical-history | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Past medical history / Өмнөх өвчлөлийн түүх |
| code | SI | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| section | SI | 3..3 | (Slice Definition) | Unknown reference to #Composition.section:medical-history Nested Section Slice: Unordered, Closed by value:code |
| section:immunization | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Immunization / Дархлаажуулалт |
| code | SI | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | SI | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Required Pattern: snapshot |
| entry | SI | 0..* | Reference(ImmunizationMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section:past-medical-problems | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Past medical history / Өмнөх өвчлөлийн түүх |
| code | SI | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| 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(ConditionMn) | 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:medical-history Nested Section | |
| section:surgical-procedures | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Surgical procedures prior 6 months / Сүүлийн 6 сараас өмнө хийгдсэн мэс заслын жагсаалт |
| 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(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:medical-history Nested Section | |
| section:medical-problems | I | 1..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 | 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 | SI | 5..5 | (Slice Definition) | Unknown reference to #Composition.section:medical-problems Nested Section Slice: Unordered, Closed by value:code |
| section:current-conditions | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Current diagnosis list / Одоогийн оношийн жагсаалтууд |
| 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(ConditionMn) | 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:medical-problems Nested Section | |
| section:medical-devices | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Medical devices and implants / Эмнэлгийн хэрэгсэл, суулгацууд |
| 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(DeviceUseStatementMn) | 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:medical-problems Nested Section | |
| section:surgical-procedures | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Major surgical procedures in the last 6 months / Сүүлийн 6 сар дотор хийгдсэн томоохон мэс засал |
| 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(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:medical-problems Nested Section | |
| section:treatment-recommendations | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Treatment recommendations / Эмчилгээний зөвлөмж |
| 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(Treatment advice) | 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:medical-problems Nested Section | |
| section:invalidity | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Autonomy - Invalidity / Бие даасан байдал - Чадвар алдалт |
| 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(ConditionMn) | 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:medical-problems Nested Section | |
| section:medication-summary | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication summary / Эмийн мэдээлэл |
| 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(MedicationStatementMn) | 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-summary Nested Section | |
| section:social-history | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Social history / Үйлчлүүлэгчийн хорт зуршил хэрэглэдэг эсэх талаарх мэдээлэл |
| 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..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:smoking | SI | 0..1 | Reference(SmokingMn) | A reference to data that supports this section |
| entry:alcohol-use | SI | 0..1 | Reference(AlcoholHistoryMn) | A reference to data that supports this section |
| entry:drug-use | SI | 0..1 | Reference(DrugUseHistoryMn) | 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:social-history Nested Section | |
| section:pregnancy-history | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Pregnancy history / Жирэмслэл-тийн түүх |
| 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..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:last-menstrual-period | SI | 0..1 | Reference(LastMenstrualPeriod) | A reference to data that supports this section |
| entry:pregnancy-status | SI | 0..1 | Reference(PregnancyStatus) | A reference to data that supports this section |
| entry:pregnancy-week | SI | 0..1 | Reference(PregnancyWeek) | A reference to data that supports this section |
| entry:menopause | SI | 0..1 | Reference(MenopauseStatus) | 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:pregnancy-history Nested Section | |
| section:vital-signs | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Vital signs / Амин үзүүлэлт |
| 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(VitalSignsMn) | 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:vital-signs Nested Section | |
| section:diagnostic-tests | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Treatment plan / Үйлчлүүлэгчийн эмчилгээ, оношилгооны төлөвлөгөө |
| 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(LabReferralMn | ImagingReferralMn | ElectronicReferralMn) | 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:diagnostic-tests Nested Section | |
| section:measurements | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Anthropometric measurements / Антропометрийн хэмжилт |
| 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(MeasurementMn) | 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:measurements Nested Section | |
| Documentation for this format | ||||
This structure is derived from Composition
Summary
Mandatory: 25 elements
Must-Support: 59 elements
Prohibited: 21 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 | |
| type | S | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
| subject | S | 0..1 | Reference(PatientMn | Group) | Who and/or what the composition is about |
| author | S | 1..* | Reference(PractitionerRoleMn) | Who and/or what authored the composition |
| confidentiality | S | 0..0 | ||
| section | S | 9..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Closed by |
| section:alerts | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 1..1 | string | Label for section (e.g. for ToC) Required Pattern: Alerts / Анхааруулга |
| code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74018-3 | |
| author | S | 0..0 | ||
| focus | S | 0..0 | ||
| mode | S | 0..0 | ||
| orderedBy | S | 0..0 | ||
| entry | S | 0..0 | ||
| emptyReason | S | 0..0 | ||
| section | S | 1..1 | (Slice Definition) | Nested Section Slice: Unordered, Closed by value:code |
| section:allergies | 1..1 | BackboneElement | Nested Section | |
| title | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Allergies and intolerances / Харшил, үл нийцлүүд | |
| code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| author | S | 0..0 | ||
| focus | S | 0..0 | ||
| mode | S | 0..1 | code | working | snapshot | changes Required Pattern: snapshot |
| orderedBy | S | 0..0 | ||
| entry | S | 0..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:allergyIntolerance | 0..* | Reference(AllergyIntoleranceMn) {b} | A reference to data that supports this section | |
| section | S | 0..0 | ||
| section:medical-history | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Past medical history / Өмнөх өвчлөлийн түүх |
| code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| author | S | 0..0 | ||
| focus | S | 0..0 | ||
| mode | S | 0..0 | ||
| orderedBy | S | 0..0 | ||
| entry | S | 0..0 | ||
| emptyReason | S | 0..0 | ||
| section | S | 3..3 | (Slice Definition) | Nested Section Slice: Unordered, Closed by value:code |
| section:immunization | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Immunization / Дархлаажуулалт |
| code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
| author | S | 0..0 | ||
| focus | S | 0..0 | ||
| mode | S | 0..1 | code | working | snapshot | changes Required Pattern: snapshot |
| orderedBy | S | 0..0 | ||
| entry | S | 0..* | Reference(ImmunizationMn) | A reference to data that supports this section |
| section | S | 0..0 | ||
| section:past-medical-problems | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Past medical history / Өмнөх өвчлөлийн түүх |
| code | S | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| entry | 0..* | Reference(ConditionMn) | A reference to data that supports this section | |
| section:surgical-procedures | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Surgical procedures prior 6 months / Сүүлийн 6 сараас өмнө хийгдсэн мэс заслын жагсаалт |
| entry | 0..* | Reference(Surgical Procedure) | A reference to data that supports this section | |
| section:medical-problems | 1..1 | BackboneElement | Composition is broken into sections | |
| section | S | 5..5 | (Slice Definition) | Nested Section Slice: Unordered, Closed by value:code |
| section:current-conditions | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Current diagnosis list / Одоогийн оношийн жагсаалтууд |
| entry | 0..* | Reference(ConditionMn) | A reference to data that supports this section | |
| section:medical-devices | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Medical devices and implants / Эмнэлгийн хэрэгсэл, суулгацууд |
| entry | 0..* | Reference(DeviceUseStatementMn) | A reference to data that supports this section | |
| section:surgical-procedures | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Major surgical procedures in the last 6 months / Сүүлийн 6 сар дотор хийгдсэн томоохон мэс засал |
| entry | 0..* | Reference(Surgical Procedure) | A reference to data that supports this section | |
| section:treatment-recommendations | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Treatment recommendations / Эмчилгээний зөвлөмж |
| entry | 0..* | Reference(Treatment advice) | A reference to data that supports this section | |
| section:invalidity | 1..1 | BackboneElement | Nested Section | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Autonomy - Invalidity / Бие даасан байдал - Чадвар алдалт |
| entry | 0..* | Reference(ConditionMn) | A reference to data that supports this section | |
| section:medication-summary | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication summary / Эмийн мэдээлэл |
| entry | 0..* | Reference(MedicationStatementMn) | A reference to data that supports this section | |
| section:social-history | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Social history / Үйлчлүүлэгчийн хорт зуршил хэрэглэдэг эсэх талаарх мэдээлэл |
| entry | 0..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:smoking | S | 0..1 | Reference(SmokingMn) | A reference to data that supports this section |
| entry:alcohol-use | S | 0..1 | Reference(AlcoholHistoryMn) | A reference to data that supports this section |
| entry:drug-use | S | 0..1 | Reference(DrugUseHistoryMn) | A reference to data that supports this section |
| section:pregnancy-history | 1..1 | BackboneElement | Composition is broken into sections | |
| title | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Pregnancy history / Жирэмслэл-тийн түүх | |
| entry | 0..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
| entry:last-menstrual-period | S | 0..1 | Reference(LastMenstrualPeriod) | A reference to data that supports this section |
| entry:pregnancy-status | S | 0..1 | Reference(PregnancyStatus) | A reference to data that supports this section |
| entry:pregnancy-week | S | 0..1 | Reference(PregnancyWeek) | A reference to data that supports this section |
| entry:menopause | S | 0..1 | Reference(MenopauseStatus) | A reference to data that supports this section |
| section:vital-signs | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Vital signs / Амин үзүүлэлт |
| entry | 0..* | Reference(VitalSignsMn) | A reference to data that supports this section | |
| section:diagnostic-tests | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Treatment plan / Үйлчлүүлэгчийн эмчилгээ, оношилгооны төлөвлөгөө |
| entry | 0..* | Reference(LabReferralMn | ImagingReferralMn | ElectronicReferralMn) | A reference to data that supports this section | |
| section:measurements | 1..1 | BackboneElement | Composition is broken into sections | |
| title | S | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Anthropometric measurements / Антропометрийн хэмжилт |
| entry | 0..* | Reference(MeasurementMn) | 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 | SΣI | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| category | ΣI | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example) |
| subject | SΣI | 0..1 | Reference(PatientMn | Group) | Who and/or what the composition is about |
| encounter | ΣI | 0..1 | Reference(Encounter) | Context of the Composition |
| date | ΣI | 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 |
| 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 | 9..* | (Slice Definition) | Composition is broken into sections Slice: Unordered, Closed by |
| 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:alerts | I | 1..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) Required Pattern: Alerts / Анхааруулга |
| code | SI | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74018-3 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| section | SI | 1..1 | (Slice Definition) | Unknown reference to #Composition.section:alerts Nested Section Slice: Unordered, Closed by value:code |
| section:allergies | I | 1..1 | 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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Allergies and intolerances / Харшил, үл нийцлүүд |
| code | SI | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | SI | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Required Pattern: snapshot |
| entry | SI | 0..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:allergyIntolerance | I | 0..* | Reference(AllergyIntoleranceMn) {b} | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section:medical-history | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Past medical history / Өмнөх өвчлөлийн түүх |
| code | SI | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| section | SI | 3..3 | (Slice Definition) | Unknown reference to #Composition.section:medical-history Nested Section Slice: Unordered, Closed by value:code |
| section:immunization | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Immunization / Дархлаажуулалт |
| code | SI | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | SI | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Required Pattern: snapshot |
| entry | SI | 0..* | Reference(ImmunizationMn) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section:past-medical-problems | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Past medical history / Өмнөх өвчлөлийн түүх |
| code | SI | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| 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(ConditionMn) | 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:medical-history Nested Section | |
| section:surgical-procedures | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Surgical procedures prior 6 months / Сүүлийн 6 сараас өмнө хийгдсэн мэс заслын жагсаалт |
| 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(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:medical-history Nested Section | |
| section:medical-problems | I | 1..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 | 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 | SI | 5..5 | (Slice Definition) | Unknown reference to #Composition.section:medical-problems Nested Section Slice: Unordered, Closed by value:code |
| section:current-conditions | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Current diagnosis list / Одоогийн оношийн жагсаалтууд |
| 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(ConditionMn) | 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:medical-problems Nested Section | |
| section:medical-devices | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Medical devices and implants / Эмнэлгийн хэрэгсэл, суулгацууд |
| 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(DeviceUseStatementMn) | 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:medical-problems Nested Section | |
| section:surgical-procedures | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Major surgical procedures in the last 6 months / Сүүлийн 6 сар дотор хийгдсэн томоохон мэс засал |
| 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(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:medical-problems Nested Section | |
| section:treatment-recommendations | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Treatment recommendations / Эмчилгээний зөвлөмж |
| 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(Treatment advice) | 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:medical-problems Nested Section | |
| section:invalidity | I | 1..1 | 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 | SI | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Autonomy - Invalidity / Бие даасан байдал - Чадвар алдалт |
| 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(ConditionMn) | 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:medical-problems Nested Section | |
| section:medication-summary | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Medication summary / Эмийн мэдээлэл |
| 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(MedicationStatementMn) | 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-summary Nested Section | |
| section:social-history | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Social history / Үйлчлүүлэгчийн хорт зуршил хэрэглэдэг эсэх талаарх мэдээлэл |
| 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..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:smoking | SI | 0..1 | Reference(SmokingMn) | A reference to data that supports this section |
| entry:alcohol-use | SI | 0..1 | Reference(AlcoholHistoryMn) | A reference to data that supports this section |
| entry:drug-use | SI | 0..1 | Reference(DrugUseHistoryMn) | 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:social-history Nested Section | |
| section:pregnancy-history | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Pregnancy history / Жирэмслэл-тийн түүх |
| 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..* | (Slice Definition) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
| entry:last-menstrual-period | SI | 0..1 | Reference(LastMenstrualPeriod) | A reference to data that supports this section |
| entry:pregnancy-status | SI | 0..1 | Reference(PregnancyStatus) | A reference to data that supports this section |
| entry:pregnancy-week | SI | 0..1 | Reference(PregnancyWeek) | A reference to data that supports this section |
| entry:menopause | SI | 0..1 | Reference(MenopauseStatus) | 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:pregnancy-history Nested Section | |
| section:vital-signs | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Vital signs / Амин үзүүлэлт |
| 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(VitalSignsMn) | 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:vital-signs Nested Section | |
| section:diagnostic-tests | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Treatment plan / Үйлчлүүлэгчийн эмчилгээ, оношилгооны төлөвлөгөө |
| 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(LabReferralMn | ImagingReferralMn | ElectronicReferralMn) | 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:diagnostic-tests Nested Section | |
| section:measurements | I | 1..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 | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Anthropometric measurements / Антропометрийн хэмжилт |
| 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(MeasurementMn) | 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:measurements Nested Section | |
| Documentation for this format | ||||
Other representations of profile: Schematron
| Path | Conformance | ValueSet / Code |
| Composition.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Composition.status | required | CompositionStatus |
| Composition.type | preferred | Pattern: LOINC code 60591-5 |
| Composition.category | example | DocumentClassValueSet |
| 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:alerts.code | example | Pattern: LOINC code 74018-3 |
| Composition.section:alerts.section:allergies.code | example | Pattern: LOINC code 48765-2 |
| Composition.section:alerts.section:allergies.mode | required | Pattern: snapshot |
| Composition.section:alerts.section:allergies.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medical-history.code | example | Pattern: LOINC code 11348-0 |
| Composition.section:medical-history.section:immunization.code | example | Pattern: LOINC code 11369-6 |
| Composition.section:medical-history.section:immunization.mode | required | Pattern: snapshot |
| Composition.section:medical-history.section:immunization.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medical-history.section:past-medical-problems.code | example | Pattern: LOINC code 11348-0 |
| Composition.section:medical-history.section:past-medical-problems.mode | required | ListMode |
| Composition.section:medical-history.section:past-medical-problems.orderedBy | preferred | ListOrderCodes |
| Composition.section:medical-history.section:past-medical-problems.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medical-history.section:surgical-procedures.code | example | DocumentSectionCodes |
| Composition.section:medical-history.section:surgical-procedures.mode | required | ListMode |
| Composition.section:medical-history.section:surgical-procedures.orderedBy | preferred | ListOrderCodes |
| Composition.section:medical-history.section:surgical-procedures.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medical-problems.code | example | DocumentSectionCodes |
| Composition.section:medical-problems.mode | required | ListMode |
| Composition.section:medical-problems.orderedBy | preferred | ListOrderCodes |
| Composition.section:medical-problems.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medical-problems.section:current-conditions.code | example | DocumentSectionCodes |
| Composition.section:medical-problems.section:current-conditions.mode | required | ListMode |
| Composition.section:medical-problems.section:current-conditions.orderedBy | preferred | ListOrderCodes |
| Composition.section:medical-problems.section:current-conditions.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medical-problems.section:medical-devices.code | example | DocumentSectionCodes |
| Composition.section:medical-problems.section:medical-devices.mode | required | ListMode |
| Composition.section:medical-problems.section:medical-devices.orderedBy | preferred | ListOrderCodes |
| Composition.section:medical-problems.section:medical-devices.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medical-problems.section:surgical-procedures.code | example | DocumentSectionCodes |
| Composition.section:medical-problems.section:surgical-procedures.mode | required | ListMode |
| Composition.section:medical-problems.section:surgical-procedures.orderedBy | preferred | ListOrderCodes |
| Composition.section:medical-problems.section:surgical-procedures.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medical-problems.section:treatment-recommendations.code | example | DocumentSectionCodes |
| Composition.section:medical-problems.section:treatment-recommendations.mode | required | ListMode |
| Composition.section:medical-problems.section:treatment-recommendations.orderedBy | preferred | ListOrderCodes |
| Composition.section:medical-problems.section:treatment-recommendations.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medical-problems.section:invalidity.code | example | DocumentSectionCodes |
| Composition.section:medical-problems.section:invalidity.mode | required | ListMode |
| Composition.section:medical-problems.section:invalidity.orderedBy | preferred | ListOrderCodes |
| Composition.section:medical-problems.section:invalidity.emptyReason | preferred | ListEmptyReasons |
| Composition.section:medication-summary.code | example | DocumentSectionCodes |
| Composition.section:medication-summary.mode | required | ListMode |
| Composition.section:medication-summary.orderedBy | preferred | ListOrderCodes |
| Composition.section:medication-summary.emptyReason | preferred | ListEmptyReasons |
| Composition.section:social-history.code | example | DocumentSectionCodes |
| Composition.section:social-history.mode | required | ListMode |
| Composition.section:social-history.orderedBy | preferred | ListOrderCodes |
| Composition.section:social-history.emptyReason | preferred | ListEmptyReasons |
| Composition.section:pregnancy-history.code | example | DocumentSectionCodes |
| Composition.section:pregnancy-history.mode | required | ListMode |
| Composition.section:pregnancy-history.orderedBy | preferred | ListOrderCodes |
| Composition.section:pregnancy-history.emptyReason | preferred | ListEmptyReasons |
| Composition.section:vital-signs.code | example | DocumentSectionCodes |
| Composition.section:vital-signs.mode | required | ListMode |
| Composition.section:vital-signs.orderedBy | preferred | ListOrderCodes |
| Composition.section:vital-signs.emptyReason | preferred | ListEmptyReasons |
| Composition.section:diagnostic-tests.code | example | DocumentSectionCodes |
| Composition.section:diagnostic-tests.mode | required | ListMode |
| Composition.section:diagnostic-tests.orderedBy | preferred | ListOrderCodes |
| Composition.section:diagnostic-tests.emptyReason | preferred | ListEmptyReasons |
| Composition.section:measurements.code | example | DocumentSectionCodes |
| Composition.section:measurements.mode | required | ListMode |
| Composition.section:measurements.orderedBy | preferred | ListOrderCodes |
| Composition.section:measurements.emptyReason | preferred | ListEmptyReasons |
| Id | Path | Details | Requirements |