description: This profile defines how the Composition resource is used to represent a European Patient Summary.
package_name: hl7.fhir.eu.eps
derivation: constraint
name: CompositionEuEps
type: Composition
elements:
  date: {short: PS date, index: 8}
  meta:
    elements:
      profile: {index: 0}
  section:
    short: Sections composing the IPS
    array: true
    min: 5
    index: 19
    elements:
      title: {index: 20}
      code: {type: CodeableConcept, index: 21}
      text: {index: 22}
      section: {index: 23}
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: code, type: value}
      min: 5
      slices:
        sectionProblems:
          match:
            code:
              coding:
              - {code: 11450-4, system: 'http://loinc.org'}
          schema:
            constraint:
              ips-comp-1: {human: Either section.entry or emptyReason are present, source: 'http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps', severity: error, expression: (entry.reference.exists() or emptyReason.exists())}
            short: EPS Problems Section
            _required: true
            index: 24
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 11450-4, system: 'http://loinc.org'}
                index: 25
              entry:
                type: Reference
                short: Clinical problems or conditions currently being monitored for the patient.
                refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/StructureDefinition/DocumentReference']
                index: 26
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    problem:
                      match: {}
                      schema:
                        refers: ['http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core']
                        type: Reference
                        array: true
                        index: 27
                      min: 0
              emptyReason: {index: 28}
        sectionPatientStory:
          match:
            code:
              coding:
              - {code: 81338-6, system: 'http://loinc.org'}
          schema:
            short: EPS Patient Story Section
            index: 75
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 81338-6, system: 'http://loinc.org'}
                index: 76
              entry: {short: Patient Story resources., index: 77}
        sectionProceduresHx:
          match:
            code:
              coding:
              - {code: 47519-4, system: 'http://loinc.org'}
          schema:
            short: EPS History of Procedures Section
            _required: true
            index: 48
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 47519-4, system: 'http://loinc.org'}
                index: 49
              entry:
                type: Reference
                short: Slice on procedure
                refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Procedure']
                index: 50
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    procedure:
                      match: {}
                      schema:
                        short: Patient past procedures pertinent to the scope of this document.
                        refers: ['http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps']
                        type: Reference
                        array: true
                        index: 51
                      min: 0
        sectionPlanOfCare:
          match:
            code:
              coding:
              - {code: 18776-5, system: 'http://loinc.org'}
          schema:
            short: EPS Plan of Care Section
            index: 78
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 18776-5, system: 'http://loinc.org'}
                index: 79
              entry:
                type: Reference
                short: Optional entry used to represent structured care plans
                refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation']
                index: 80
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    carePlan:
                      match: {}
                      schema:
                        type: Reference
                        short: Optional slice used to represent care plans
                        refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan']
                        array: true
                        index: 81
                      min: 0
                    immunizationRecommendation:
                      match: {}
                      schema:
                        short: Optional slice used to represent immunization recommendations
                        refers: ['http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation']
                        type: Reference
                        array: true
                        index: 82
                      min: 0
        sectionMedicalDevices:
          match:
            code:
              coding:
              - {code: 46264-8, system: 'http://loinc.org'}
          schema:
            short: EPS Medical Devices Section
            _required: true
            index: 52
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 46264-8, system: 'http://loinc.org'}
                index: 53
              entry:
                type: Reference
                short: EPS Medical Device entry
                refers: ['http://hl7.org/fhir/StructureDefinition/DeviceUseStatement', 'http://hl7.org/fhir/StructureDefinition/DocumentReference']
                index: 54
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    deviceStatement:
                      match: {}
                      schema:
                        short: Patient history of medical device use
                        refers: ['http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps']
                        type: Reference
                        array: true
                        index: 55
                      min: 0
        sectionTravelHx:
          match:
            code:
              coding:
              - {code: 10182-4, system: 'http://loinc.org'}
          schema:
            short: EPS Travel History Section
            index: 92
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 10182-4, system: 'http://loinc.org'}
                index: 93
              entry:
                type: Reference
                short: Travel history observation
                refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Observation']
                index: 94
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    travelObservation:
                      match: {}
                      schema:
                        type: Reference
                        refers: ['http://hl7.eu/fhir/eps/StructureDefinition/observation-travel-eu-eps']
                        array: true
                        index: 95
                      min: 0
        sectionSocialHistory:
          match:
            code:
              coding:
              - {code: 29762-2, system: 'http://loinc.org'}
          schema:
            short: EPS Social History Section
            index: 83
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 29762-2, system: 'http://loinc.org'}
                index: 84
              entry:
                type: Reference
                short: Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
                refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Observation']
                index: 85
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    smokingTobaccoUse:
                      match: {}
                      schema:
                        short: Smoke habits
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-tobaccouse-uv-ips']
                        type: Reference
                        array: true
                        index: 86
                      min: 0
                    alcoholUse:
                      match: {}
                      schema:
                        short: Alcohol consumption
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips']
                        type: Reference
                        array: true
                        index: 87
                      min: 0
        sectionPatientHx:
          match:
            code:
              coding:
              - {code: 11329-0, system: 'http://loinc.org'}
          schema:
            short: EPS Patient History Section
            index: 96
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 11329-0, system: 'http://loinc.org'}
                index: 97
        sectionFunctionalStatus:
          match:
            code:
              coding:
              - {code: 47420-5, system: 'http://loinc.org'}
          schema:
            short: EPS Functional Status
            index: 64
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 47420-5, system: 'http://loinc.org'}
                index: 65
              entry:
                type: Reference
                short: Optional entry used to represent disabilities and functional assessments
                refers: ['http://hl7.org/fhir/StructureDefinition/ClinicalImpression', 'http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/StructureDefinition/DocumentReference']
                index: 66
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    disability:
                      match: {}
                      schema:
                        type: Reference
                        short: Optional slice used to represent disabilities
                        refers: ['http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core']
                        array: true
                        index: 67
                      min: 0
                    functionalAssessment:
                      match: {}
                      schema:
                        type: Reference
                        short: Optional slice used to represent functional assessments
                        refers: ['http://hl7.org/fhir/StructureDefinition/ClinicalImpression']
                        array: true
                        index: 68
                      min: 0
        sectionAllergies:
          match:
            code:
              coding:
              - {code: 48765-2, system: 'http://loinc.org'}
          schema:
            constraint:
              ips-comp-1: {human: Either section.entry or emptyReason are present, source: 'http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps', severity: error, expression: (entry.reference.exists() or emptyReason.exists())}
            short: EPS Allergies and Intolerances Section
            _required: true
            index: 29
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 48765-2, system: 'http://loinc.org'}
                index: 30
              entry:
                type: Reference
                short: allergyOrIntolerance
                refers: ['http://hl7.org/fhir/StructureDefinition/AllergyIntolerance', 'http://hl7.org/fhir/StructureDefinition/DocumentReference']
                index: 31
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    allergyOrIntolerance:
                      match: {}
                      schema:
                        short: Relevant allergies or intolerances for that patient.
                        refers: ['http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core']
                        type: Reference
                        array: true
                        index: 32
                      min: 0
              emptyReason: {index: 33}
        sectionPregnancyHx:
          match:
            code:
              coding:
              - {code: 10162-6, system: 'http://loinc.org'}
          schema:
            short: EPS History of Pregnancy Section
            index: 69
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 10162-6, system: 'http://loinc.org'}
                index: 70
              entry:
                short: Current pregnancy status and, optionally, information about the outcome of earlier pregnancies
                index: 71
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    pregnancyStatus:
                      match: {}
                      schema:
                        short: Current pregnancy status
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips']
                        type: Reference
                        array: true
                        index: 72
                      min: 0
                    pregnancyOutcome:
                      match: {}
                      schema:
                        short: Information about the outcome of earlier pregnancies
                        refers: ['http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips']
                        type: Reference
                        array: true
                        index: 73
                      min: 0
                    gestationalAge:
                      match: {}
                      schema:
                        short: Information about the gestational age of the pregnancy
                        refers: ['http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-gestationalAge-eu-eps']
                        type: Reference
                        array: true
                        index: 74
                      min: 0
        sectionAdvanceDirectives:
          match:
            code:
              coding:
              - {code: 42348-3, system: 'http://loinc.org'}
          schema:
            short: EPS Advance Directives Section
            index: 56
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 42348-3, system: 'http://loinc.org'}
                index: 57
              entry:
                type: Reference
                short: Advance directives
                refers: ['http://hl7.org/fhir/StructureDefinition/Consent', 'http://hl7.org/fhir/StructureDefinition/DocumentReference']
                index: 58
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    advanceDirectivesConsent:
                      match: {}
                      schema:
                        short: Narrative description of the patient's advance directive.
                        refers: ['http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps']
                        type: Reference
                        array: true
                        index: 59
                      min: 0
        sectionAlert:
          match:
            code:
              coding:
              - {code: 104605-1, system: 'http://loinc.org'}
          schema:
            short: EPS Alerts Section
            index: 60
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 104605-1, system: 'http://loinc.org'}
                index: 61
              entry:
                type: Reference
                short: EPS Alerts entry
                refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Flag']
                index: 62
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    flag:
                      match: {}
                      schema:
                        short: Alert information
                        refers: ['http://hl7.eu/fhir/base/StructureDefinition/flag-patient-eu-core']
                        type: Reference
                        array: true
                        index: 63
                      min: 0
        sectionVitalSigns:
          match:
            code:
              coding:
              - {code: 8716-3, system: 'http://loinc.org'}
          schema:
            short: EPS Vital Signs Section
            index: 88
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 8716-3, system: 'http://loinc.org'}
                index: 89
              entry:
                type: Reference
                short: Vital Signs
                refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Observation']
                index: 90
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    vitalSign:
                      match: {}
                      schema:
                        type: Reference
                        short: Notable vital signs or physical findings.
                        refers: ['http://hl7.org/fhir/StructureDefinition/vitalsigns']
                        array: true
                        index: 91
                      min: 0
        sectionImmunizations:
          match:
            code:
              coding:
              - {code: 11369-6, system: 'http://loinc.org'}
          schema:
            short: EPS Immunizations Section
            index: 39
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 11369-6, system: 'http://loinc.org'}
                index: 40
              entry:
                type: Reference
                short: Patient's immunization status and pertinent history.
                refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Immunization']
                index: 41
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    immunization:
                      match: {}
                      schema:
                        type: Reference
                        refers: ['http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core']
                        array: true
                        index: 42
                      min: 0
        sectionResults:
          match:
            code:
              coding:
              - {code: 30954-2, system: 'http://loinc.org'}
          schema:
            short: EPS Results Section
            index: 43
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 30954-2, system: 'http://loinc.org'}
                index: 44
              entry:
                type: Reference
                short: EPS Results entry
                refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Observation']
                index: 45
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    results-medicalTestResult:
                      match: {}
                      schema:
                        short: Medical test results
                        refers: ['http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core']
                        type: Reference
                        array: true
                        index: 46
                      min: 0
                    results-diagnosticReport:
                      match: {}
                      schema:
                        short: EPS DiagnosticReport
                        refers: ['http://hl7.eu/fhir/eps/StructureDefinition/diagnosticReport-eu-eps']
                        type: Reference
                        array: true
                        index: 47
                      min: 0
        sectionMedications:
          match:
            code:
              coding:
              - {code: 10160-0, system: 'http://loinc.org'}
          schema:
            constraint:
              ips-comp-1: {human: Either section.entry or emptyReason are present, source: 'http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps', severity: error, expression: (entry.reference.exists() or emptyReason.exists())}
            short: EPS Medication Summary Section
            _required: true
            index: 34
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 10160-0, system: 'http://loinc.org'}
                index: 35
              entry:
                type: Reference
                short: medicationStatementOrRequest
                refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/MedicationAdministration', 'http://hl7.org/fhir/StructureDefinition/MedicationDispense', 'http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'http://hl7.org/fhir/StructureDefinition/MedicationStatement']
                index: 36
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    medicationStatementOrRequest:
                      match: {}
                      schema:
                        short: Medications relevant for the scope of the patient summary
                        refers: ['http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps']
                        type: Reference
                        array: true
                        index: 37
                      min: 0
              emptyReason: {index: 38}
  attester:
    index: 11
    elements:
      mode: {short: The type of attestation, index: 12}
      time: {index: 13}
      party:
        type: Reference
        refers: ['http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core', 'http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core', 'http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core', 'http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
        index: 14
  type:
    type: CodeableConcept
    short: Kind of composition ("Patient Summary")
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 60591-5, system: 'http://loinc.org'}
    index: 5
  title: {short: Patient Summary, index: 10}
  author:
    type: Reference
    short: Who and/or what authored the Patient Summary
    refers: ['http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core', 'http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core', 'http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core', 'http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps', 'http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
    index: 9
  extension:
    short: Business version
    index: 2
    slicing:
      slices:
        version:
          match: {}
          schema: {short: Business version, index: 2}
  event:
    index: 16
    elements:
      code: {index: 17}
      period: {index: 18}
  custodian: {short: Custodian of the Patient Summary, index: 15}
  status: {short: PS status, index: 4}
  identifier: {short: PS business identifier, index: 3}
  subject:
    type: Reference
    refers: ['http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps']
    index: 6
    elements:
      reference: {index: 7}
    required: [reference]
  text: {index: 1}
package_version: 1.0.0-ballot
extensions:
  version: {url: null, short: Business version, index: 2}
class: profile
kind: resource
url: http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps
base: http://hl7.eu/fhir/base/StructureDefinition/composition-eu-core
version: 1.0.0-ballot