CH eTOC (R4)
2.0.1 - trial-use
This page is part of the CH eTOC (R4) (v2.0.1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Official URL: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition | Version: 2.0.1 | |||
Active as of 2023-12-28 | Computable Name: ChEtocComposition | |||
Copyright/Legal: CC0-1.0 |
Definition for the Composition resource in the context of electronic transition of care.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ChOrfComposition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | ChOrfComposition | CH eTOC Composition | |
type | 1..1 | CodeableConcept | Precise type of clinical document 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://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 371535009 | |
category | 1..1 | CodeableConcept | High-level kind of a clinical document at a macro level 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://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721927009 | |
title | 1..1 | string | Meaningful title Required Pattern: Zuweisungsschreiben | |
section:orderReferral | 1..1 | BackboneElement | Contains the data that supports the order and referral by form. | |
entry | 3..* | Reference(Resource) | A reference to data that supports this section | |
entry:Questionnaire | 1..1 | Reference(CH ORF Questionnaire) | Questionnaire | |
entry:QuestionnaireResponse | 1..1 | Reference(CH ORF QuestionnaireResponse) | QuestionnaireResponse | |
entry:ServiceRequest | 1..* | Reference(CH eTOC Service Request) | ServiceRequest | |
section:sectionPurpose | S | 0..1 | BackboneElement | Contains information about the purpose/reason |
title | S | 1..1 | string | Purpose |
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: 42349-1 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Reason for referral (narrative) | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..1 | Reference(CH eTOC Service Request) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionProblems | S | 0..1 | BackboneElement | Contains the problem list |
title | S | 1..1 | string | Problems |
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: 57852-6 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Problem list Narrative - Reported | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Primary Diagnosis Condition | CH eTOC Secondary Diagnosis Condition) | A reference to data that supports this section |
section:sectionMedications | S | 0..1 | BackboneElement | Contains information about the medication |
title | S | 1..1 | string | Medication |
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: 42346-7 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Medications on admission (narrative) | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH EMED MedicationStatement) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionImmunizations | S | 0..1 | BackboneElement | Contains information about immunizations |
title | S | 1..1 | string | Immunizations |
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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of Immunization Narrative | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC immunizationstatus) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionAllergies | S | 0..1 | BackboneElement | Contains information about allergies and intolerances |
title | S | 1..1 | string | Allergies and intolerances |
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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Allergy Intolerance) | A reference to data that supports this section |
section:sectionPastIllnessHx | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | History of past illness |
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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of past illness Narrative | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Past History of Illnesses Condition) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionFunctionalStatus | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Functional Status |
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: 47420-5 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Functional status assessment note | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Functional Status Condition) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionProceduresHx | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | History of Procedures |
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: 47519-4 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Procedure) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionSocialHistory | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Social history |
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: 29762-2 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Social history Narrative | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..1 | Reference(CH eTOC Social History Condition) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionMedicalDevices | S | 0..1 | BackboneElement | Contains information about medical devices |
title | S | 1..1 | string | Medical devices |
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: 46264-8 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of medical device use | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Device) | A reference to data that supports this section |
section:sectionResults | S | 0..1 | BackboneElement | Contains informaion about diagnostic results |
title | S | 1..1 | string | Diagnostic results |
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: 30954-2 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Lab Observation | CH eTOC Pathology Observation | CH eTOC Radiology Observation | CH eTOC cardiology Observation | CH eTOC Body Weight Observation | CH eTOC Body Height Observation) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionPregnancyHx | S | 0..1 | BackboneElement | Contains informaion about pregnancy |
title | S | 1..1 | string | Pregnancy |
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: 10162-6 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of pregnancies Narrative | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..1 | Reference(CH eTOC Pregnancy Status Observation) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionAttachment | S | 0..1 | BackboneElement | Contains attachment (whatever is considered as important) |
title | S | 1..1 | string | Attachments |
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: 55107-7 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Addendum Document | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH ORF DocumentReference) | A reference to data that supports this section |
section | 0..0 | |||
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | ChOrfComposition | CH eTOC Composition | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
text | S | 1..1 | Narrative | Narrative text of the composition |
dataEnterer | S | 0..1 | (Complex) | The person/organization who has typed/filled in the form content URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer |
urgentNoficationContactForThisDocument | S | 0..1 | Reference(CH Core PractitionerRole) | An information recipient to notify for urgent matters URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument |
urgentNoficationContactForTheResponseToThisDocument | S | 0..1 | Reference(CH Core PractitionerRole) | An information recipient to notify for urgent matters about the response URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument |
receiver | S | 0..1 | Reference(CH Core PractitionerRole) | Person/organization who receives the document URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver |
copyReceiver | S | 0..* | Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson) | Person/organization who receives the copy of this order (shall receive also all results therefrom) URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver |
precedentDocument | S | 0..1 | Identifier | Identifier of the document which precedes this document in a thread. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument |
antecedentEpisodeOfCare | S | 0..1 | Reference(CH ORF Episode of Care) | Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare |
initiator | S | 0..1 | (Complex) | Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator |
patientConsent | S | 0..1 | Reference(CH ORF Consent) | To specify if the patient gave an informed consent to this order; in particulars for spitex
and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
type | SΣ | 1..1 | CodeableConcept | Precise type of clinical document Binding: DocumentEntry.typeCode (preferred) 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://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 371535009 | |
category | SΣ | 1..1 | CodeableConcept | High-level kind of a clinical document at a macro level Binding: DocumentEntry.classCode (preferred) 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://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721927009 | |
subject | SΣ | 1..1 | Reference(CH Core Patient) | Patient as the principle target of a particular form content |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
date | Σ | 1..1 | dateTime | Composition editing time |
author | SΣ | 1..1 | Reference(CH Core PractitionerRole) | The person/organization responsible for the form content |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
title | SΣ | 1..1 | string | Meaningful title Required Pattern: Zuweisungsschreiben |
Slices for section | SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code |
section:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
section:orderReferral | SC | 1..1 | BackboneElement | Contains the data that supports the order and referral by form. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Order-Referral |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 93037-0 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
Slices for entry | SC | 3..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
entry:Questionnaire | SC | 1..1 | Reference(CH ORF Questionnaire) | Questionnaire |
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
entry:QuestionnaireResponse | SC | 1..1 | Reference(CH ORF QuestionnaireResponse) | QuestionnaireResponse |
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
entry:ServiceRequest | SC | 1..* | Reference(CH eTOC Service Request) | ServiceRequest |
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
entry:DocumentReference | SC | 0..* | Reference(CH ORF DocumentReference) | DocumentReference |
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
section:originalRepresentation | SC | 0..1 | BackboneElement | Contains the original representation as a PDF of the current document. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Original representation |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 55108-5 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Clinical presentation Document | |
text | SC | 1..1 | Narrative | Representation of the original view |
entry | SC | 1..1 | Reference(Binary) | According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. |
section:sectionPurpose | SC | 0..1 | BackboneElement | Contains information about the purpose/reason |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Purpose |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 42349-1 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Reason for referral (narrative) | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..1 | Reference(CH eTOC Service Request) | A reference to data that supports this section |
section:sectionProblems | SC | 0..1 | BackboneElement | Contains the problem list |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Problems |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 57852-6 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Problem list Narrative - Reported | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Primary Diagnosis Condition | CH eTOC Secondary Diagnosis Condition) | A reference to data that supports this section |
section:sectionMedications | SC | 0..1 | BackboneElement | Contains information about the medication |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Medication |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 42346-7 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Medications on admission (narrative) | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH EMED MedicationStatement) | A reference to data that supports this section |
section:sectionImmunizations | SC | 0..1 | BackboneElement | Contains information about immunizations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Immunizations |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of Immunization Narrative | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC immunizationstatus) | A reference to data that supports this section |
section:sectionAllergies | SC | 0..1 | BackboneElement | Contains information about allergies and intolerances |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Allergies and intolerances |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Allergy Intolerance) | A reference to data that supports this section |
section:sectionPastIllnessHx | SC | 0..1 | BackboneElement | Composition is broken into sections |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | History of past illness |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of past illness Narrative | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Past History of Illnesses Condition) | A reference to data that supports this section |
section:sectionFunctionalStatus | SC | 0..1 | BackboneElement | Composition is broken into sections |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Functional Status |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 47420-5 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Functional status assessment note | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Functional Status Condition) | A reference to data that supports this section |
section:sectionProceduresHx | SC | 0..1 | BackboneElement | Composition is broken into sections |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | History of Procedures |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 47519-4 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Procedure) | A reference to data that supports this section |
section:sectionSocialHistory | SC | 0..1 | BackboneElement | Composition is broken into sections |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Social history |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 29762-2 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Social history Narrative | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..1 | Reference(CH eTOC Social History Condition) | A reference to data that supports this section |
section:sectionMedicalDevices | SC | 0..1 | BackboneElement | Contains information about medical devices |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Medical devices |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 46264-8 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of medical device use | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Device) | A reference to data that supports this section |
section:sectionResults | SC | 0..1 | BackboneElement | Contains informaion about diagnostic results |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Diagnostic results |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 30954-2 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Lab Observation | CH eTOC Pathology Observation | CH eTOC Radiology Observation | CH eTOC cardiology Observation | CH eTOC Body Weight Observation | CH eTOC Body Height Observation) | A reference to data that supports this section |
section:sectionPregnancyHx | SC | 0..1 | BackboneElement | Contains informaion about pregnancy |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Pregnancy |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 10162-6 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of pregnancies Narrative | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..1 | Reference(CH eTOC Pregnancy Status Observation) | A reference to data that supports this section |
section:sectionAttachment | SC | 0..1 | BackboneElement | Contains attachment (whatever is considered as important) |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Attachments |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 55107-7 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Addendum Document | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH ORF DocumentReference) | A reference to data that supports this section |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Composition.status | required | CompositionStatus |
Composition.type | preferred | Pattern: SNOMED CT code 371535009 |
Composition.category | preferred | Pattern: SNOMED CT code 721927009 |
Composition.section:orderReferral.code | example | Pattern: LOINC code 93037-0 |
Composition.section:originalRepresentation.code | example | Pattern: LOINC code 55108-5("Clinical presentation Document") |
Composition.section:sectionPurpose.code | example | Pattern: LOINC code 42349-1("Reason for referral (narrative)") |
Composition.section:sectionProblems.code | example | Pattern: LOINC code 57852-6("Problem list Narrative - Reported") |
Composition.section:sectionMedications.code | example | Pattern: LOINC code 42346-7("Medications on admission (narrative)") |
Composition.section:sectionImmunizations.code | example | Pattern: LOINC code 11369-6("History of Immunization Narrative") |
Composition.section:sectionAllergies.code | example | Pattern: LOINC code 48765-2("Allergies and adverse reactions Document") |
Composition.section:sectionPastIllnessHx.code | example | Pattern: LOINC code 11348-0("History of past illness Narrative") |
Composition.section:sectionFunctionalStatus.code | example | Pattern: LOINC code 47420-5("Functional status assessment note") |
Composition.section:sectionProceduresHx.code | example | Pattern: LOINC code 47519-4("History of Procedures Document") |
Composition.section:sectionSocialHistory.code | example | Pattern: LOINC code 29762-2("Social history Narrative") |
Composition.section:sectionMedicalDevices.code | example | Pattern: LOINC code 46264-8("History of medical device use") |
Composition.section:sectionResults.code | example | Pattern: LOINC code 30954-2("Relevant diagnostic tests/laboratory data Narrative") |
Composition.section:sectionPregnancyHx.code | example | Pattern: LOINC code 10162-6("History of pregnancies Narrative") |
Composition.section:sectionAttachment.code | example | Pattern: LOINC code 55107-7("Addendum Document") |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachment | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachment | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | ChOrfComposition | CH eTOC Composition | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | S | 1..1 | Narrative | Narrative text of the composition | ||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
dataEnterer | S | 0..1 | (Complex) | The person/organization who has typed/filled in the form content URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer | ||||
urgentNoficationContactForThisDocument | S | 0..1 | Reference(CH Core PractitionerRole) | An information recipient to notify for urgent matters URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument | ||||
urgentNoficationContactForTheResponseToThisDocument | S | 0..1 | Reference(CH Core PractitionerRole) | An information recipient to notify for urgent matters about the response URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument | ||||
receiver | S | 0..1 | Reference(CH Core PractitionerRole) | Person/organization who receives the document URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver | ||||
copyReceiver | S | 0..* | Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson) | Person/organization who receives the copy of this order (shall receive also all results therefrom) URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver | ||||
precedentDocument | S | 0..1 | Identifier | Identifier of the document which precedes this document in a thread. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument | ||||
antecedentEpisodeOfCare | S | 0..1 | Reference(CH ORF Episode of Care) | Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare | ||||
initiator | S | 0..1 | (Complex) | Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator | ||||
patientConsent | S | 0..1 | Reference(CH ORF Consent) | To specify if the patient gave an informed consent to this order; in particulars for spitex
and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
status | ?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
type | SΣ | 1..1 | CodeableConcept | Precise type of clinical document Binding: DocumentEntry.typeCode (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://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 371535009 | |||||
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 | SΣ | 1..1 | CodeableConcept | High-level kind of a clinical document at a macro level Binding: DocumentEntry.classCode (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://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721927009 | |||||
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 | |||||
subject | SΣ | 1..1 | Reference(CH Core Patient) | Patient as the principle target of a particular form content | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
encounter | Σ | 0..1 | Reference(CH Core Encounter) | Context of the Composition | ||||
date | Σ | 1..1 | dateTime | Composition editing time | ||||
author | SΣ | 1..1 | Reference(CH Core PractitionerRole) | The person/organization responsible for the form content | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
title | SΣ | 1..1 | string | Meaningful title Required Pattern: Zuweisungsschreiben | ||||
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
time | 0..1 | dateTime | When the composition was attested | |||||
party | 0..1 | Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) | Who attested the composition | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
custodian | Σ | 0..1 | Reference(CH Core Organization) | Organization which maintains the composition | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
target[x] | 1..1 | Target of the relationship | ||||||
targetIdentifier | Identifier | |||||||
targetReference | Reference(CH Core Composition) | |||||||
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
period | Σ | 0..1 | Period | The period covered by the documentation | ||||
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
Slices for section | SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | ||||
section:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:orderReferral | SC | 1..1 | BackboneElement | Contains the data that supports the order and referral by form. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Order-Referral | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 93037-0 | |||||
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 | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | SC | 3..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
entry:Questionnaire | SC | 1..1 | Reference(CH ORF Questionnaire) | Questionnaire | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
entry:QuestionnaireResponse | SC | 1..1 | Reference(CH ORF QuestionnaireResponse) | QuestionnaireResponse | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
entry:ServiceRequest | SC | 1..* | Reference(CH eTOC Service Request) | ServiceRequest | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
entry:DocumentReference | SC | 0..* | Reference(CH ORF DocumentReference) | DocumentReference | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:originalRepresentation | SC | 0..1 | BackboneElement | Contains the original representation as a PDF of the current document. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Original representation | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 55108-5 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Clinical presentation Document | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Representation of the original view | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 1..1 | Reference(Binary) | According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionPurpose | SC | 0..1 | BackboneElement | Contains information about the purpose/reason | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Purpose | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 42349-1 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Reason for referral (narrative) | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..1 | Reference(CH eTOC Service Request) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionProblems | SC | 0..1 | BackboneElement | Contains the problem list | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Problems | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 57852-6 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Problem list Narrative - Reported | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Primary Diagnosis Condition | CH eTOC Secondary Diagnosis Condition) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:sectionMedications | SC | 0..1 | BackboneElement | Contains information about the medication | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Medication | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 42346-7 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Medications on admission (narrative) | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH EMED MedicationStatement) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionImmunizations | SC | 0..1 | BackboneElement | Contains information about immunizations | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Immunizations | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | 1..1 | string | Representation defined by the system Fixed Value: History of Immunization Narrative | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC immunizationstatus) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionAllergies | SC | 0..1 | BackboneElement | Contains information about allergies and intolerances | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Allergies and intolerances | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | 1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Allergy Intolerance) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:sectionPastIllnessHx | SC | 0..1 | BackboneElement | Composition is broken into sections | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | History of past illness | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | 1..1 | string | Representation defined by the system Fixed Value: History of past illness Narrative | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Past History of Illnesses Condition) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionFunctionalStatus | SC | 0..1 | BackboneElement | Composition is broken into sections | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Functional Status | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 47420-5 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Functional status assessment note | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Functional Status Condition) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionProceduresHx | SC | 0..1 | BackboneElement | Composition is broken into sections | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | History of Procedures | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 47519-4 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Procedure) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionSocialHistory | SC | 0..1 | BackboneElement | Composition is broken into sections | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Social history | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 29762-2 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Social history Narrative | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..1 | Reference(CH eTOC Social History Condition) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionMedicalDevices | SC | 0..1 | BackboneElement | Contains information about medical devices | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Medical devices | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 46264-8 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: History of medical device use | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Device) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:sectionResults | SC | 0..1 | BackboneElement | Contains informaion about diagnostic results | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Diagnostic results | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 30954-2 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Lab Observation | CH eTOC Pathology Observation | CH eTOC Radiology Observation | CH eTOC cardiology Observation | CH eTOC Body Weight Observation | CH eTOC Body Height Observation) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionPregnancyHx | SC | 0..1 | BackboneElement | Contains informaion about pregnancy | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Pregnancy | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 10162-6 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: History of pregnancies Narrative | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..1 | Reference(CH eTOC Pregnancy Status Observation) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionAttachment | SC | 0..1 | BackboneElement | Contains attachment (whatever is considered as important) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Attachments | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 55107-7 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Addendum Document | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH ORF DocumentReference) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
Composition.language | preferred | CommonLanguages
| ||||
Composition.status | required | CompositionStatus | ||||
Composition.type | preferred | Pattern: SNOMED CT code 371535009 | ||||
Composition.category | preferred | Pattern: SNOMED CT code 721927009 | ||||
Composition.subject.type | extensible | ResourceType | ||||
Composition.author.type | extensible | ResourceType | ||||
Composition.confidentiality | required | v3.ConfidentialityClassification | ||||
Composition.attester.mode | required | CompositionAttestationMode | ||||
Composition.attester.party.type | extensible | ResourceType | ||||
Composition.custodian.type | extensible | ResourceType | ||||
Composition.relatesTo.code | required | DocumentRelationshipType | ||||
Composition.event.code | example | ActCode | ||||
Composition.section.code | example | DocumentSectionCodes | ||||
Composition.section.mode | required | ListMode | ||||
Composition.section.orderedBy | preferred | ListOrderCodes | ||||
Composition.section.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:orderReferral.code | example | Pattern: LOINC code 93037-0 | ||||
Composition.section:orderReferral.mode | required | ListMode | ||||
Composition.section:orderReferral.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:orderReferral.entry:Questionnaire.type | extensible | ResourceType | ||||
Composition.section:orderReferral.entry:QuestionnaireResponse.type | extensible | ResourceType | ||||
Composition.section:orderReferral.entry:ServiceRequest.type | extensible | ResourceType | ||||
Composition.section:orderReferral.entry:DocumentReference.type | extensible | ResourceType | ||||
Composition.section:orderReferral.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:originalRepresentation.code | example | Pattern: LOINC code 55108-5("Clinical presentation Document") | ||||
Composition.section:originalRepresentation.mode | required | ListMode | ||||
Composition.section:originalRepresentation.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:originalRepresentation.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionPurpose.code | example | Pattern: LOINC code 42349-1("Reason for referral (narrative)") | ||||
Composition.section:sectionPurpose.mode | required | ListMode | ||||
Composition.section:sectionPurpose.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionPurpose.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionProblems.code | example | Pattern: LOINC code 57852-6("Problem list Narrative - Reported") | ||||
Composition.section:sectionProblems.mode | required | ListMode | ||||
Composition.section:sectionProblems.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionProblems.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionMedications.code | example | Pattern: LOINC code 42346-7("Medications on admission (narrative)") | ||||
Composition.section:sectionMedications.mode | required | ListMode | ||||
Composition.section:sectionMedications.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionMedications.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionImmunizations.code | example | Pattern: LOINC code 11369-6("History of Immunization Narrative") | ||||
Composition.section:sectionImmunizations.mode | required | ListMode | ||||
Composition.section:sectionImmunizations.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionImmunizations.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionAllergies.code | example | Pattern: LOINC code 48765-2("Allergies and adverse reactions Document") | ||||
Composition.section:sectionAllergies.mode | required | ListMode | ||||
Composition.section:sectionAllergies.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionAllergies.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionPastIllnessHx.code | example | Pattern: LOINC code 11348-0("History of past illness Narrative") | ||||
Composition.section:sectionPastIllnessHx.mode | required | ListMode | ||||
Composition.section:sectionPastIllnessHx.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionPastIllnessHx.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionFunctionalStatus.code | example | Pattern: LOINC code 47420-5("Functional status assessment note") | ||||
Composition.section:sectionFunctionalStatus.mode | required | ListMode | ||||
Composition.section:sectionFunctionalStatus.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionFunctionalStatus.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionProceduresHx.code | example | Pattern: LOINC code 47519-4("History of Procedures Document") | ||||
Composition.section:sectionProceduresHx.mode | required | ListMode | ||||
Composition.section:sectionProceduresHx.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionProceduresHx.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionSocialHistory.code | example | Pattern: LOINC code 29762-2("Social history Narrative") | ||||
Composition.section:sectionSocialHistory.mode | required | ListMode | ||||
Composition.section:sectionSocialHistory.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionSocialHistory.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionMedicalDevices.code | example | Pattern: LOINC code 46264-8("History of medical device use") | ||||
Composition.section:sectionMedicalDevices.mode | required | ListMode | ||||
Composition.section:sectionMedicalDevices.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionMedicalDevices.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionResults.code | example | Pattern: LOINC code 30954-2("Relevant diagnostic tests/laboratory data Narrative") | ||||
Composition.section:sectionResults.mode | required | ListMode | ||||
Composition.section:sectionResults.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionResults.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionPregnancyHx.code | example | Pattern: LOINC code 10162-6("History of pregnancies Narrative") | ||||
Composition.section:sectionPregnancyHx.mode | required | ListMode | ||||
Composition.section:sectionPregnancyHx.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionPregnancyHx.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionAttachment.code | example | Pattern: LOINC code 55107-7("Addendum Document") | ||||
Composition.section:sectionAttachment.mode | required | ListMode | ||||
Composition.section:sectionAttachment.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionAttachment.emptyReason | preferred | ListEmptyReasons |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachment | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachment | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from ChOrfComposition
Summary
Mandatory: 2 elements (26 nested mandatory elements)
Must-Support: 65 elements
Prohibited: 10 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from ChOrfComposition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | ChOrfComposition | CH eTOC Composition | |
type | 1..1 | CodeableConcept | Precise type of clinical document 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://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 371535009 | |
category | 1..1 | CodeableConcept | High-level kind of a clinical document at a macro level 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://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721927009 | |
title | 1..1 | string | Meaningful title Required Pattern: Zuweisungsschreiben | |
section:orderReferral | 1..1 | BackboneElement | Contains the data that supports the order and referral by form. | |
entry | 3..* | Reference(Resource) | A reference to data that supports this section | |
entry:Questionnaire | 1..1 | Reference(CH ORF Questionnaire) | Questionnaire | |
entry:QuestionnaireResponse | 1..1 | Reference(CH ORF QuestionnaireResponse) | QuestionnaireResponse | |
entry:ServiceRequest | 1..* | Reference(CH eTOC Service Request) | ServiceRequest | |
section:sectionPurpose | S | 0..1 | BackboneElement | Contains information about the purpose/reason |
title | S | 1..1 | string | Purpose |
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: 42349-1 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Reason for referral (narrative) | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..1 | Reference(CH eTOC Service Request) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionProblems | S | 0..1 | BackboneElement | Contains the problem list |
title | S | 1..1 | string | Problems |
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: 57852-6 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Problem list Narrative - Reported | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Primary Diagnosis Condition | CH eTOC Secondary Diagnosis Condition) | A reference to data that supports this section |
section:sectionMedications | S | 0..1 | BackboneElement | Contains information about the medication |
title | S | 1..1 | string | Medication |
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: 42346-7 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Medications on admission (narrative) | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH EMED MedicationStatement) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionImmunizations | S | 0..1 | BackboneElement | Contains information about immunizations |
title | S | 1..1 | string | Immunizations |
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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of Immunization Narrative | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC immunizationstatus) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionAllergies | S | 0..1 | BackboneElement | Contains information about allergies and intolerances |
title | S | 1..1 | string | Allergies and intolerances |
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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Allergy Intolerance) | A reference to data that supports this section |
section:sectionPastIllnessHx | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | History of past illness |
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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of past illness Narrative | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Past History of Illnesses Condition) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionFunctionalStatus | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Functional Status |
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: 47420-5 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Functional status assessment note | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Functional Status Condition) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionProceduresHx | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | History of Procedures |
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: 47519-4 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Procedure) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionSocialHistory | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Social history |
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: 29762-2 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Social history Narrative | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..1 | Reference(CH eTOC Social History Condition) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionMedicalDevices | S | 0..1 | BackboneElement | Contains information about medical devices |
title | S | 1..1 | string | Medical devices |
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: 46264-8 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of medical device use | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Device) | A reference to data that supports this section |
section:sectionResults | S | 0..1 | BackboneElement | Contains informaion about diagnostic results |
title | S | 1..1 | string | Diagnostic results |
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: 30954-2 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH eTOC Lab Observation | CH eTOC Pathology Observation | CH eTOC Radiology Observation | CH eTOC cardiology Observation | CH eTOC Body Weight Observation | CH eTOC Body Height Observation) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionPregnancyHx | S | 0..1 | BackboneElement | Contains informaion about pregnancy |
title | S | 1..1 | string | Pregnancy |
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: 10162-6 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of pregnancies Narrative | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..1 | Reference(CH eTOC Pregnancy Status Observation) | A reference to data that supports this section |
section | 0..0 | |||
section:sectionAttachment | S | 0..1 | BackboneElement | Contains attachment (whatever is considered as important) |
title | S | 1..1 | string | Attachments |
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: 55107-7 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Addendum Document | |
text | S | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(CH ORF DocumentReference) | A reference to data that supports this section |
section | 0..0 | |||
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | ChOrfComposition | CH eTOC Composition | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
text | S | 1..1 | Narrative | Narrative text of the composition |
dataEnterer | S | 0..1 | (Complex) | The person/organization who has typed/filled in the form content URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer |
urgentNoficationContactForThisDocument | S | 0..1 | Reference(CH Core PractitionerRole) | An information recipient to notify for urgent matters URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument |
urgentNoficationContactForTheResponseToThisDocument | S | 0..1 | Reference(CH Core PractitionerRole) | An information recipient to notify for urgent matters about the response URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument |
receiver | S | 0..1 | Reference(CH Core PractitionerRole) | Person/organization who receives the document URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver |
copyReceiver | S | 0..* | Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson) | Person/organization who receives the copy of this order (shall receive also all results therefrom) URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver |
precedentDocument | S | 0..1 | Identifier | Identifier of the document which precedes this document in a thread. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument |
antecedentEpisodeOfCare | S | 0..1 | Reference(CH ORF Episode of Care) | Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare |
initiator | S | 0..1 | (Complex) | Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator |
patientConsent | S | 0..1 | Reference(CH ORF Consent) | To specify if the patient gave an informed consent to this order; in particulars for spitex
and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
type | SΣ | 1..1 | CodeableConcept | Precise type of clinical document Binding: DocumentEntry.typeCode (preferred) 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://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 371535009 | |
category | SΣ | 1..1 | CodeableConcept | High-level kind of a clinical document at a macro level Binding: DocumentEntry.classCode (preferred) 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://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721927009 | |
subject | SΣ | 1..1 | Reference(CH Core Patient) | Patient as the principle target of a particular form content |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
date | Σ | 1..1 | dateTime | Composition editing time |
author | SΣ | 1..1 | Reference(CH Core PractitionerRole) | The person/organization responsible for the form content |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
title | SΣ | 1..1 | string | Meaningful title Required Pattern: Zuweisungsschreiben |
Slices for section | SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code |
section:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
section:orderReferral | SC | 1..1 | BackboneElement | Contains the data that supports the order and referral by form. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Order-Referral |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 93037-0 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
Slices for entry | SC | 3..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
entry:Questionnaire | SC | 1..1 | Reference(CH ORF Questionnaire) | Questionnaire |
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
entry:QuestionnaireResponse | SC | 1..1 | Reference(CH ORF QuestionnaireResponse) | QuestionnaireResponse |
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
entry:ServiceRequest | SC | 1..* | Reference(CH eTOC Service Request) | ServiceRequest |
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
entry:DocumentReference | SC | 0..* | Reference(CH ORF DocumentReference) | DocumentReference |
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
section:originalRepresentation | SC | 0..1 | BackboneElement | Contains the original representation as a PDF of the current document. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Original representation |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 55108-5 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Clinical presentation Document | |
text | SC | 1..1 | Narrative | Representation of the original view |
entry | SC | 1..1 | Reference(Binary) | According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. |
section:sectionPurpose | SC | 0..1 | BackboneElement | Contains information about the purpose/reason |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Purpose |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 42349-1 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Reason for referral (narrative) | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..1 | Reference(CH eTOC Service Request) | A reference to data that supports this section |
section:sectionProblems | SC | 0..1 | BackboneElement | Contains the problem list |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Problems |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 57852-6 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Problem list Narrative - Reported | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Primary Diagnosis Condition | CH eTOC Secondary Diagnosis Condition) | A reference to data that supports this section |
section:sectionMedications | SC | 0..1 | BackboneElement | Contains information about the medication |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Medication |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 42346-7 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Medications on admission (narrative) | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH EMED MedicationStatement) | A reference to data that supports this section |
section:sectionImmunizations | SC | 0..1 | BackboneElement | Contains information about immunizations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Immunizations |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of Immunization Narrative | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC immunizationstatus) | A reference to data that supports this section |
section:sectionAllergies | SC | 0..1 | BackboneElement | Contains information about allergies and intolerances |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Allergies and intolerances |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Allergy Intolerance) | A reference to data that supports this section |
section:sectionPastIllnessHx | SC | 0..1 | BackboneElement | Composition is broken into sections |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | History of past illness |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of past illness Narrative | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Past History of Illnesses Condition) | A reference to data that supports this section |
section:sectionFunctionalStatus | SC | 0..1 | BackboneElement | Composition is broken into sections |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Functional Status |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 47420-5 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Functional status assessment note | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Functional Status Condition) | A reference to data that supports this section |
section:sectionProceduresHx | SC | 0..1 | BackboneElement | Composition is broken into sections |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | History of Procedures |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 47519-4 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Procedure) | A reference to data that supports this section |
section:sectionSocialHistory | SC | 0..1 | BackboneElement | Composition is broken into sections |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Social history |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 29762-2 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Social history Narrative | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..1 | Reference(CH eTOC Social History Condition) | A reference to data that supports this section |
section:sectionMedicalDevices | SC | 0..1 | BackboneElement | Contains information about medical devices |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Medical devices |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 46264-8 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of medical device use | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Device) | A reference to data that supports this section |
section:sectionResults | SC | 0..1 | BackboneElement | Contains informaion about diagnostic results |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Diagnostic results |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 30954-2 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH eTOC Lab Observation | CH eTOC Pathology Observation | CH eTOC Radiology Observation | CH eTOC cardiology Observation | CH eTOC Body Weight Observation | CH eTOC Body Height Observation) | A reference to data that supports this section |
section:sectionPregnancyHx | SC | 0..1 | BackboneElement | Contains informaion about pregnancy |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Pregnancy |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 10162-6 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of pregnancies Narrative | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..1 | Reference(CH eTOC Pregnancy Status Observation) | A reference to data that supports this section |
section:sectionAttachment | SC | 0..1 | BackboneElement | Contains attachment (whatever is considered as important) |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Attachments |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 55107-7 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Addendum Document | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(CH ORF DocumentReference) | A reference to data that supports this section |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Composition.status | required | CompositionStatus |
Composition.type | preferred | Pattern: SNOMED CT code 371535009 |
Composition.category | preferred | Pattern: SNOMED CT code 721927009 |
Composition.section:orderReferral.code | example | Pattern: LOINC code 93037-0 |
Composition.section:originalRepresentation.code | example | Pattern: LOINC code 55108-5("Clinical presentation Document") |
Composition.section:sectionPurpose.code | example | Pattern: LOINC code 42349-1("Reason for referral (narrative)") |
Composition.section:sectionProblems.code | example | Pattern: LOINC code 57852-6("Problem list Narrative - Reported") |
Composition.section:sectionMedications.code | example | Pattern: LOINC code 42346-7("Medications on admission (narrative)") |
Composition.section:sectionImmunizations.code | example | Pattern: LOINC code 11369-6("History of Immunization Narrative") |
Composition.section:sectionAllergies.code | example | Pattern: LOINC code 48765-2("Allergies and adverse reactions Document") |
Composition.section:sectionPastIllnessHx.code | example | Pattern: LOINC code 11348-0("History of past illness Narrative") |
Composition.section:sectionFunctionalStatus.code | example | Pattern: LOINC code 47420-5("Functional status assessment note") |
Composition.section:sectionProceduresHx.code | example | Pattern: LOINC code 47519-4("History of Procedures Document") |
Composition.section:sectionSocialHistory.code | example | Pattern: LOINC code 29762-2("Social history Narrative") |
Composition.section:sectionMedicalDevices.code | example | Pattern: LOINC code 46264-8("History of medical device use") |
Composition.section:sectionResults.code | example | Pattern: LOINC code 30954-2("Relevant diagnostic tests/laboratory data Narrative") |
Composition.section:sectionPregnancyHx.code | example | Pattern: LOINC code 10162-6("History of pregnancies Narrative") |
Composition.section:sectionAttachment.code | example | Pattern: LOINC code 55107-7("Addendum Document") |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachment | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachment | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | ChOrfComposition | CH eTOC Composition | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | S | 1..1 | Narrative | Narrative text of the composition | ||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
dataEnterer | S | 0..1 | (Complex) | The person/organization who has typed/filled in the form content URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer | ||||
urgentNoficationContactForThisDocument | S | 0..1 | Reference(CH Core PractitionerRole) | An information recipient to notify for urgent matters URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument | ||||
urgentNoficationContactForTheResponseToThisDocument | S | 0..1 | Reference(CH Core PractitionerRole) | An information recipient to notify for urgent matters about the response URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument | ||||
receiver | S | 0..1 | Reference(CH Core PractitionerRole) | Person/organization who receives the document URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver | ||||
copyReceiver | S | 0..* | Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson) | Person/organization who receives the copy of this order (shall receive also all results therefrom) URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver | ||||
precedentDocument | S | 0..1 | Identifier | Identifier of the document which precedes this document in a thread. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument | ||||
antecedentEpisodeOfCare | S | 0..1 | Reference(CH ORF Episode of Care) | Documentation of the antecedent episode of care e.g hospitalisation in case of care transfer between instituitons e.g. hospitals, rehab. clinics, retirement homes etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare | ||||
initiator | S | 0..1 | (Complex) | Profile to specify who intiated this order; in particulars for spitex and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator | ||||
patientConsent | S | 0..1 | Reference(CH ORF Consent) | To specify if the patient gave an informed consent to this order; in particulars for spitex
and transfer to retirement home etc. URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-patientconsent | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
status | ?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
type | SΣ | 1..1 | CodeableConcept | Precise type of clinical document Binding: DocumentEntry.typeCode (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://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 371535009 | |||||
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 | SΣ | 1..1 | CodeableConcept | High-level kind of a clinical document at a macro level Binding: DocumentEntry.classCode (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://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721927009 | |||||
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 | |||||
subject | SΣ | 1..1 | Reference(CH Core Patient) | Patient as the principle target of a particular form content | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
encounter | Σ | 0..1 | Reference(CH Core Encounter) | Context of the Composition | ||||
date | Σ | 1..1 | dateTime | Composition editing time | ||||
author | SΣ | 1..1 | Reference(CH Core PractitionerRole) | The person/organization responsible for the form content | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
title | SΣ | 1..1 | string | Meaningful title Required Pattern: Zuweisungsschreiben | ||||
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
time | 0..1 | dateTime | When the composition was attested | |||||
party | 0..1 | Reference(CH Core Patient | RelatedPerson | CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) | Who attested the composition | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
custodian | Σ | 0..1 | Reference(CH Core Organization) | Organization which maintains the composition | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
target[x] | 1..1 | Target of the relationship | ||||||
targetIdentifier | Identifier | |||||||
targetReference | Reference(CH Core Composition) | |||||||
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
period | Σ | 0..1 | Period | The period covered by the documentation | ||||
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
Slices for section | SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code | ||||
section:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:orderReferral | SC | 1..1 | BackboneElement | Contains the data that supports the order and referral by form. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Order-Referral | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 93037-0 | |||||
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 | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
Slices for entry | SC | 3..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | ||||
entry:Questionnaire | SC | 1..1 | Reference(CH ORF Questionnaire) | Questionnaire | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
entry:QuestionnaireResponse | SC | 1..1 | Reference(CH ORF QuestionnaireResponse) | QuestionnaireResponse | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
entry:ServiceRequest | SC | 1..* | Reference(CH eTOC Service Request) | ServiceRequest | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
entry:DocumentReference | SC | 0..* | Reference(CH ORF DocumentReference) | DocumentReference | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:originalRepresentation | SC | 0..1 | BackboneElement | Contains the original representation as a PDF of the current document. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Original representation | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 55108-5 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Clinical presentation Document | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 1..1 | Narrative | Representation of the original view | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 1..1 | Reference(Binary) | According to the EPR ordonnance the PDF has to be in PDF/A-1 or PDF/A-2 format. | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionPurpose | SC | 0..1 | BackboneElement | Contains information about the purpose/reason | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Purpose | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 42349-1 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Reason for referral (narrative) | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..1 | Reference(CH eTOC Service Request) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionProblems | SC | 0..1 | BackboneElement | Contains the problem list | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Problems | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 57852-6 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Problem list Narrative - Reported | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Primary Diagnosis Condition | CH eTOC Secondary Diagnosis Condition) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:sectionMedications | SC | 0..1 | BackboneElement | Contains information about the medication | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Medication | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 42346-7 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Medications on admission (narrative) | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH EMED MedicationStatement) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionImmunizations | SC | 0..1 | BackboneElement | Contains information about immunizations | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Immunizations | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | 1..1 | string | Representation defined by the system Fixed Value: History of Immunization Narrative | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC immunizationstatus) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionAllergies | SC | 0..1 | BackboneElement | Contains information about allergies and intolerances | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Allergies and intolerances | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | 1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Allergy Intolerance) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:sectionPastIllnessHx | SC | 0..1 | BackboneElement | Composition is broken into sections | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | History of past illness | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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 | 1..1 | string | Representation defined by the system Fixed Value: History of past illness Narrative | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Past History of Illnesses Condition) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionFunctionalStatus | SC | 0..1 | BackboneElement | Composition is broken into sections | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Functional Status | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 47420-5 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Functional status assessment note | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Functional Status Condition) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionProceduresHx | SC | 0..1 | BackboneElement | Composition is broken into sections | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | History of Procedures | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 47519-4 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Procedure) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionSocialHistory | SC | 0..1 | BackboneElement | Composition is broken into sections | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Social history | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 29762-2 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Social history Narrative | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..1 | Reference(CH eTOC Social History Condition) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionMedicalDevices | SC | 0..1 | BackboneElement | Contains information about medical devices | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Medical devices | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 46264-8 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: History of medical device use | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Device) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:sectionResults | SC | 0..1 | BackboneElement | Contains informaion about diagnostic results | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Diagnostic results | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 30954-2 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH eTOC Lab Observation | CH eTOC Pathology Observation | CH eTOC Radiology Observation | CH eTOC cardiology Observation | CH eTOC Body Weight Observation | CH eTOC Body Height Observation) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionPregnancyHx | SC | 0..1 | BackboneElement | Contains informaion about pregnancy | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Pregnancy | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 10162-6 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: History of pregnancies Narrative | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..1 | Reference(CH eTOC Pregnancy Status Observation) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section:sectionAttachment | SC | 0..1 | BackboneElement | Contains attachment (whatever is considered as important) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Attachments | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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: 55107-7 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Addendum Document | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(CH Core Practitioner | CH Core PractitionerRole | Device | CH Core Patient | RelatedPerson | CH Core Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | SC | 0..* | Reference(CH ORF DocumentReference) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
Composition.language | preferred | CommonLanguages
| ||||
Composition.status | required | CompositionStatus | ||||
Composition.type | preferred | Pattern: SNOMED CT code 371535009 | ||||
Composition.category | preferred | Pattern: SNOMED CT code 721927009 | ||||
Composition.subject.type | extensible | ResourceType | ||||
Composition.author.type | extensible | ResourceType | ||||
Composition.confidentiality | required | v3.ConfidentialityClassification | ||||
Composition.attester.mode | required | CompositionAttestationMode | ||||
Composition.attester.party.type | extensible | ResourceType | ||||
Composition.custodian.type | extensible | ResourceType | ||||
Composition.relatesTo.code | required | DocumentRelationshipType | ||||
Composition.event.code | example | ActCode | ||||
Composition.section.code | example | DocumentSectionCodes | ||||
Composition.section.mode | required | ListMode | ||||
Composition.section.orderedBy | preferred | ListOrderCodes | ||||
Composition.section.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:orderReferral.code | example | Pattern: LOINC code 93037-0 | ||||
Composition.section:orderReferral.mode | required | ListMode | ||||
Composition.section:orderReferral.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:orderReferral.entry:Questionnaire.type | extensible | ResourceType | ||||
Composition.section:orderReferral.entry:QuestionnaireResponse.type | extensible | ResourceType | ||||
Composition.section:orderReferral.entry:ServiceRequest.type | extensible | ResourceType | ||||
Composition.section:orderReferral.entry:DocumentReference.type | extensible | ResourceType | ||||
Composition.section:orderReferral.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:originalRepresentation.code | example | Pattern: LOINC code 55108-5("Clinical presentation Document") | ||||
Composition.section:originalRepresentation.mode | required | ListMode | ||||
Composition.section:originalRepresentation.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:originalRepresentation.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionPurpose.code | example | Pattern: LOINC code 42349-1("Reason for referral (narrative)") | ||||
Composition.section:sectionPurpose.mode | required | ListMode | ||||
Composition.section:sectionPurpose.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionPurpose.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionProblems.code | example | Pattern: LOINC code 57852-6("Problem list Narrative - Reported") | ||||
Composition.section:sectionProblems.mode | required | ListMode | ||||
Composition.section:sectionProblems.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionProblems.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionMedications.code | example | Pattern: LOINC code 42346-7("Medications on admission (narrative)") | ||||
Composition.section:sectionMedications.mode | required | ListMode | ||||
Composition.section:sectionMedications.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionMedications.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionImmunizations.code | example | Pattern: LOINC code 11369-6("History of Immunization Narrative") | ||||
Composition.section:sectionImmunizations.mode | required | ListMode | ||||
Composition.section:sectionImmunizations.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionImmunizations.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionAllergies.code | example | Pattern: LOINC code 48765-2("Allergies and adverse reactions Document") | ||||
Composition.section:sectionAllergies.mode | required | ListMode | ||||
Composition.section:sectionAllergies.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionAllergies.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionPastIllnessHx.code | example | Pattern: LOINC code 11348-0("History of past illness Narrative") | ||||
Composition.section:sectionPastIllnessHx.mode | required | ListMode | ||||
Composition.section:sectionPastIllnessHx.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionPastIllnessHx.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionFunctionalStatus.code | example | Pattern: LOINC code 47420-5("Functional status assessment note") | ||||
Composition.section:sectionFunctionalStatus.mode | required | ListMode | ||||
Composition.section:sectionFunctionalStatus.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionFunctionalStatus.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionProceduresHx.code | example | Pattern: LOINC code 47519-4("History of Procedures Document") | ||||
Composition.section:sectionProceduresHx.mode | required | ListMode | ||||
Composition.section:sectionProceduresHx.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionProceduresHx.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionSocialHistory.code | example | Pattern: LOINC code 29762-2("Social history Narrative") | ||||
Composition.section:sectionSocialHistory.mode | required | ListMode | ||||
Composition.section:sectionSocialHistory.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionSocialHistory.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionMedicalDevices.code | example | Pattern: LOINC code 46264-8("History of medical device use") | ||||
Composition.section:sectionMedicalDevices.mode | required | ListMode | ||||
Composition.section:sectionMedicalDevices.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionMedicalDevices.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionResults.code | example | Pattern: LOINC code 30954-2("Relevant diagnostic tests/laboratory data Narrative") | ||||
Composition.section:sectionResults.mode | required | ListMode | ||||
Composition.section:sectionResults.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionResults.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionPregnancyHx.code | example | Pattern: LOINC code 10162-6("History of pregnancies Narrative") | ||||
Composition.section:sectionPregnancyHx.mode | required | ListMode | ||||
Composition.section:sectionPregnancyHx.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionPregnancyHx.emptyReason | preferred | ListEmptyReasons | ||||
Composition.section:sectionAttachment.code | example | Pattern: LOINC code 55107-7("Addendum Document") | ||||
Composition.section:sectionAttachment.mode | required | ListMode | ||||
Composition.section:sectionAttachment.orderedBy | preferred | ListOrderCodes | ||||
Composition.section:sectionAttachment.emptyReason | preferred | ListEmptyReasons |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachment | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:orderReferral, Composition.section:originalRepresentation, Composition.section:sectionPurpose, Composition.section:sectionProblems, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionAllergies, Composition.section:sectionPastIllnessHx, Composition.section:sectionFunctionalStatus, Composition.section:sectionProceduresHx, Composition.section:sectionSocialHistory, Composition.section:sectionMedicalDevices, Composition.section:sectionResults, Composition.section:sectionPregnancyHx, Composition.section:sectionAttachment | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from ChOrfComposition
Summary
Mandatory: 2 elements (26 nested mandatory elements)
Must-Support: 65 elements
Prohibited: 10 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron