description: This profile describes constraints for a Transfer Summary. The Transfer Summary standardizes critical information for exchange of information between providers of care when a patient moves between health care settings. Standardization of information used in this form will promote interoperability; create information suitable for reuse in quality measurement, public health, research, and for reimbursement. package_name: hl7.fhir.us.ccda derivation: constraint name: TransferSummary type: Composition elements: type: label: Transfer Summary short: Transfer Summary binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/ccda/ValueSet/2.16.840.1.113883.1.11.20.2.4'} mustSupport: true index: 0 event: {short: event, mustSupport: true, index: 1} section: index: 2 slicing: rules: open discriminator: - {path: code, type: value} min: null slices: functional_status_section: match: code: coding: - {code: 47420-5, system: 'http://loinc.org'} schema: label: Functional Status Section short: Functional Status Section mustSupport: true index: 79 elements: title: {short: title, mustSupport: true, index: 80} code: label: Functional status assessment short: Functional status assessment mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 47420-5, system: 'http://loinc.org'} index: 81 text: {short: text, mustSupport: true, index: 82} entry: short: entry index: 83 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: functional_status_entry: match: {} schema: type: Reference short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Observation'] index: 84 required: [text, title, code] allergies_and_intolerances_section: match: code: coding: - {code: 48765-2, system: 'http://loinc.org'} schema: short: Allergies and Intolerances Section mustSupport: true _required: true label: Allergies and Intolerances Section index: 3 elements: title: {short: title, mustSupport: true, index: 4} code: label: Allergies and adverse reactions short: Allergies and adverse reactions mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 48765-2, system: 'http://loinc.org'} index: 5 text: {short: text, mustSupport: true, index: 6} entry: short: entry index: 7 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: allergies_and_intolerances_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance'] index: 8 required: [text, title, code] mental_status_section: match: code: coding: - {code: 10190-7, system: 'http://loinc.org'} schema: label: Mental Status Section short: Mental Status Section mustSupport: true index: 69 elements: title: {short: title, mustSupport: true, index: 70} code: label: Mental status short: Mental status mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 10190-7, system: 'http://loinc.org'} index: 71 text: {short: text, mustSupport: true, index: 72} entry: short: entry index: 73 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: mental_status_entry: match: {} schema: type: Reference short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Observation'] index: 74 required: [text, title, code] general_status_section: match: code: coding: - {code: 10210-3, system: 'http://loinc.org'} schema: label: General Status Section short: General Status Section mustSupport: true index: 101 elements: title: {short: title, mustSupport: true, index: 102} code: short: code mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 10210-3, system: 'http://loinc.org'} index: 103 text: {short: This section contains only human readable content, mustSupport: true, index: 104} required: [text, title, code] assessment_and_plan_section: match: code: coding: - {code: 51847-2, system: 'http://loinc.org'} schema: label: Assessment and Plan Section short: !!binary |- QXNzZXNzbWVudCBhbmQgUGxhbiBTZWN0aW9uLiBUaGlzIHNlY3Rpb24gcmVwcmVzZW50cyB0aGUgY2xpbmljaWFuw6LCgMKZcyBjb25jbHVzaW9ucyBhbmQgd29ya2luZyBhc3N1bXB0aW9ucyB0aGF0IHdpbGwgZ3VpZGUgdHJlYXRtZW50IG9mIHRoZSBwYXRpZW50LiBUaGUgQXNzZXNzbWVudCBhbmQgUGxhbiBTZWN0aW9uIG1heSBiZSBjb21iaW5lZCBvciBzZXBhcmF0ZWQgdG8gbWVldCBsb2NhbCBwb2xpY3kgcmVxdWlyZW1lbnRzLg== mustSupport: true index: 147 elements: title: {short: title, mustSupport: true, index: 148} code: short: code mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 51847-2, system: 'http://loinc.org'} index: 149 text: {short: text, mustSupport: true, index: 150} entry: index: 151 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: assessment_and_plan_entry: match: {} schema: type: Reference short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Communication', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'] index: 152 required: [text, title, code] nutrition_section: match: code: coding: - {code: 61144-2, system: 'http://loinc.org'} schema: label: Nutrition Section short: Nutrition Section mustSupport: true index: 63 elements: title: {short: title, mustSupport: true, index: 64} code: label: Diet and nutrition short: Diet and nutrition mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 61144-2, system: 'http://loinc.org'} index: 65 text: {short: text, mustSupport: true, index: 66} entry: short: entry index: 67 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: nutrition_entry: match: {} schema: type: Reference short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Observation'] index: 68 required: [text, title, code] immunizations_section: match: code: coding: - {code: 11369-6, system: 'http://loinc.org'} schema: label: Immunizations Section short: Immunizations Section mustSupport: true index: 105 elements: title: {short: title, mustSupport: true, index: 106} code: label: History of immunization short: History of immunization mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 11369-6, system: 'http://loinc.org'} index: 107 text: {short: text, mustSupport: true, index: 108} entry: short: entry index: 109 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: immunizations_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization'] index: 110 required: [text, title, code] past_medical_history_section: match: code: coding: - {code: 11348-0, system: 'http://loinc.org'} schema: label: Past Medical History Section short: Past Medical History Section mustSupport: true index: 117 elements: title: {short: title, mustSupport: true, index: 118} code: short: code mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 11348-0, system: 'http://loinc.org'} index: 119 text: {short: text, mustSupport: true, index: 120} entry: short: entry index: 121 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: past_medical_history_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'] index: 122 required: [text, title, code] results_section: match: code: coding: - {code: 30954-2, system: 'http://loinc.org'} schema: short: Results Section mustSupport: true _required: true label: Results Section index: 21 elements: title: {short: title, mustSupport: true, index: 22} code: label: Relevant diagnostic tests and laboratory data short: Relevant diagnostic tests and laboratory data mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 30954-2, system: 'http://loinc.org'} index: 23 text: {short: text, mustSupport: true, index: 24} entry: short: entry index: 25 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: results_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab'] index: 26 required: [text, title, code] history_of_present_illness_section: match: code: coding: - {code: 10164-2, system: 'http://loinc.org'} schema: label: History of Present Illness Section short: History of Present Illness Section mustSupport: true index: 75 elements: title: {short: title, mustSupport: true, index: 76} code: short: code mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 10164-2, system: 'http://loinc.org'} index: 77 text: {short: This section contains only human readable content, mustSupport: true, index: 78} required: [text, title, code] medications_section: match: code: coding: - {code: 10160-0, system: 'http://loinc.org'} schema: short: Medications Section mustSupport: true _required: true label: Medications Section index: 9 elements: title: {short: title, mustSupport: true, index: 10} code: label: History of medication use short: History of medication use mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 10160-0, system: 'http://loinc.org'} index: 11 text: {short: text, mustSupport: true, index: 12} entry: short: entry index: 13 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: medications_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/MedicationStatement', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest'] index: 14 required: [text, title, code] social_history_section: match: code: coding: - {code: 29762-2, system: 'http://loinc.org'} schema: short: Social History Section mustSupport: true _required: true label: Social History Section index: 51 elements: title: {short: title, mustSupport: true, index: 52} code: label: Social history short: Social history mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 29762-2, system: 'http://loinc.org'} index: 53 text: {short: text, mustSupport: true, index: 54} entry: short: entry index: 55 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: social_history_entry: match: {} schema: type: Reference short: Smoking status mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus'] index: 56 required: [text, title, code] procedures_section: match: code: coding: - {code: 47519-4, system: 'http://loinc.org'} schema: label: Procedures Section short: Procedures Section mustSupport: true index: 57 elements: title: {short: title, mustSupport: true, index: 58} code: label: History of procedures short: History of procedures mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 47519-4, system: 'http://loinc.org'} index: 59 text: {short: text, mustSupport: true, index: 60} entry: short: entry index: 61 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: procedures_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure'] index: 62 required: [text, title, code] reason_for_referral_section: match: code: coding: - {code: 42349-1, system: 'http://loinc.org'} schema: label: Reason for Referral Section short: Reason for Referral Section mustSupport: true _required: true index: 33 elements: title: {short: title, mustSupport: true, index: 34} code: short: code mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 42349-1, system: 'http://loinc.org'} index: 35 text: {short: text, mustSupport: true, index: 36} entry: short: entry index: 37 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: reason_for_referral_entry: match: {} schema: type: Reference short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/ServiceRequest'] index: 38 required: [text, title] plan_of_treatment_section: match: code: coding: - {code: 18776-5, system: 'http://loinc.org'} schema: label: Plan of Treatment Section short: Plan of Treatment Section mustSupport: true index: 129 elements: title: {short: title, mustSupport: true, index: 130} code: label: Plan of treatment short: Plan of treatment mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 18776-5, system: 'http://loinc.org'} index: 131 text: {short: text, mustSupport: true, index: 132} entry: short: entry index: 133 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: sliceEntry: match: {} schema: type: Reference short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. refers: ['http://hl7.org/fhir/StructureDefinition/Appointment', 'http://hl7.org/fhir/StructureDefinition/Communication', 'http://hl7.org/fhir/StructureDefinition/CommunicationRequest', 'http://hl7.org/fhir/StructureDefinition/DeviceRequest', 'http://hl7.org/fhir/StructureDefinition/NutritionOrder', 'http://hl7.org/fhir/StructureDefinition/RequestGroup', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest', 'http://hl7.org/fhir/StructureDefinition/Task', 'http://hl7.org/fhir/StructureDefinition/VisionPrescription', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest'] index: 134 required: [text, title, code] problem_section: match: code: coding: - {code: 11450-4, system: 'http://loinc.org'} schema: short: Problem Section mustSupport: true _required: true label: Problem Section index: 15 elements: title: {short: title, mustSupport: true, index: 16} code: label: Problem list short: Problem list mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 11450-4, system: 'http://loinc.org'} index: 17 text: {short: text, mustSupport: true, index: 18} entry: short: entry index: 19 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: problem_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'] index: 20 required: [text, title, code] payers_section: match: code: coding: - {code: 48768-6, system: 'http://loinc.org'} schema: label: Payers Section short: Payers Section mustSupport: true index: 123 elements: title: {short: title, mustSupport: true, index: 124} code: short: code mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 48768-6, system: 'http://loinc.org'} index: 125 text: {short: text, mustSupport: true, index: 126} entry: short: entry index: 127 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: payers_entry: match: {} schema: type: Reference short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Coverage'] index: 128 required: [text, title, code] vital_signs_section: match: code: coding: - {code: 8716-3, system: 'http://loinc.org'} schema: short: Vital Signs Section mustSupport: true _required: true label: Vital Signs Section index: 27 elements: title: {short: title, mustSupport: true, index: 28} code: label: Vital signs short: Vital signs mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 8716-3, system: 'http://loinc.org'} index: 29 text: {short: text, mustSupport: true, index: 30} entry: short: entry index: 31 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: vital_signs_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/vitalsigns'] index: 32 required: [text, title, code] medical_equipment_section: match: code: coding: - {code: 46264-8, system: 'http://loinc.org'} schema: label: Medical Equipment Section short: Medical Equipment Section mustSupport: true index: 111 elements: title: {short: title, mustSupport: true, index: 112} code: label: Medical equipment short: Medical equipment mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 46264-8, system: 'http://loinc.org'} index: 113 text: {short: text, mustSupport: true, index: 114} entry: short: entry index: 115 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: medical_equipment_entry: match: {} schema: type: Reference short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure'] index: 116 required: [text, title, code] admission_diagnosis_section: match: code: coding: - {code: 46241-6, system: 'http://loinc.org'} schema: label: Admission Diagnosis Section short: Admission Diagnosis Section mustSupport: true index: 141 elements: title: {short: title, mustSupport: true, index: 142} code: short: code mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 46241-6, system: 'http://loinc.org'} index: 143 text: {short: text, mustSupport: true, index: 144} entry: short: entry index: 145 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: admission_diagnosis_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'] index: 146 required: [text, title, code] family_history_section: match: code: coding: - {code: 10157-6, system: 'http://loinc.org'} schema: label: Family History Section short: Family History Section mustSupport: true index: 135 elements: title: {short: title, mustSupport: true, index: 136} code: label: History of family member diseases short: History of family member diseases mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 10157-6, system: 'http://loinc.org'} index: 137 text: {short: text, mustSupport: true, index: 138} entry: short: entry index: 139 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: family_history_entry: match: {} schema: type: Reference short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory'] index: 140 required: [text, title, code] encounters_section: match: code: coding: - {code: 46240-8, system: 'http://loinc.org'} schema: label: Encounters Section short: Encounters Section mustSupport: true index: 95 elements: title: {short: title, mustSupport: true, index: 96} code: label: Encounters short: Encounters mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 46240-8, system: 'http://loinc.org'} index: 97 text: {short: text, mustSupport: true, index: 98} entry: short: entry index: 99 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: encounters_entry: match: {} schema: type: Reference short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'] index: 100 required: [text, title, code] admission_medications_section: match: code: coding: - {code: 42346-7, system: 'http://loinc.org'} schema: label: Admission Medications Section short: Admission Medications Section mustSupport: true index: 89 elements: title: {short: title, mustSupport: true, index: 90} code: label: Medications on admission short: Medications on admission mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 42346-7, system: 'http://loinc.org'} index: 91 text: {short: text, mustSupport: true, index: 92} entry: short: entry index: 93 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: admission_medications_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/MedicationStatement', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest'] index: 94 required: [text, title, code] advance_directives_section: match: code: coding: - {code: 42348-3, system: 'http://loinc.org'} schema: label: Advance Directives Section short: Advance Directives Section mustSupport: true index: 39 elements: title: {short: title, mustSupport: true, index: 40} code: label: Advance directives short: Advance directives mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 42348-3, system: 'http://loinc.org'} index: 41 text: {short: text, mustSupport: true, index: 42} entry: index: 43 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: advance_directive_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Consent'] index: 44 required: [text, title, code] assessment_section: match: code: coding: - {code: 51848-0, system: 'http://loinc.org'} schema: label: Assessment Section short: Assessment Section mustSupport: true index: 85 elements: title: {short: title, mustSupport: true, index: 86} code: short: code mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 51848-0, system: 'http://loinc.org'} index: 87 text: {short: This section contains only human readable content, mustSupport: true, index: 88} required: [text, title, code] discharge_diagnosis_section: match: code: coding: - {code: 11535-2, system: 'http://loinc.org'} schema: label: Discharge Diagnosis Section short: Discharge Diagnosis Section mustSupport: true _required: true index: 45 elements: title: {short: title, mustSupport: true, index: 46} code: label: Hospital discharge diagnosis short: Hospital discharge diagnosis mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 11535-2, system: 'http://loinc.org'} index: 47 text: {short: text, mustSupport: true, index: 48} entry: short: entry mustSupport: true index: 49 slicing: rules: open discriminator: - {path: resolve(), type: profile} min: null slices: discharge_diagnosis_entry: match: {} schema: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'] index: 50 required: [text, title, code] package_version: 1.2.0-ballot class: profile kind: resource url: http://hl7.org/fhir/us/ccda/StructureDefinition/Transfer-Summary base: http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header version: 1.2.0-ballot required: [event]